Psychiatric Comorbidity in Older Adults with Intellectual Disability.
Psychiatr Danub
; 29(Suppl 3): 590-593, 2017 Sep.
Article
en En
| MEDLINE
| ID: mdl-28953835
ABSTRACT
BACKGROUND:
The population of older adults with intellectual disability (ID) is large and growing due to a significant increase of life expectancy caused by improvements in health and social care. Multimorbidity is highly prevalent in this population and co-morbid psychiatric disorders are especially frequent. SUBJECT ANDMETHODS:
The aim of this article is to review the prevalence and consequences of psychiatric comorbidity in the population of older adults with ID. We therefore performed a literature search of studies relevant to adults with ID, published since January 2006, using the following keywords intellectual disability and comorbidity, intellectual disability and mental disorders, intellectual disability and polypharmacy.RESULTS:
Psychiatric comorbidity is frequent among patients with ID and correlates with older age. Mental disorders are present in up to 40% of older adults with ID and the most prevalent are challenging behaviour, depression, anxiety and dementia. Patients with ID and at least one co-morbid mental disorder are at a high risk of polypharmacy. Importantly, psychiatric comorbidity was found to significantly increase service use and costs of care.CONCLUSIONS:
Further investigation of the population of older adults with ID is needed, with special attention to development of clear treatment guidelines in order to effectively manage co-morbid mental illnesses and physical health problems.
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Banco de datos:
MEDLINE
Asunto principal:
Trastornos Mentales
/
Discapacidad Intelectual
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Risk_factors_studies
Límite:
Aged
/
Humans
Idioma:
En
Año:
2017
Tipo del documento:
Article