Family dynamics, trauma, and child-related characteristics: examining factors associated with co-occurring mental health problems in clinically-referred children with and without an intellectual (and developmental) disability.

Publisher: SAGE Publications Country of Publication: England NLM ID: 101229024 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-6309 (Electronic) Linking ISSN: 17446295 NLM ISO Abbreviation: J Intellect Disabil Subsets: MEDLINE

Original Publication: London : Thousand Oaks, CA : SAGE Publications, c2005-

Mental Health* ; Intellectual Disability*/epidemiology ; Intellectual Disability*/psychology; Adolescent ; Humans ; Child ; Family ; Family Relations ; Comorbidity ; Developmental Disabilities/epidemiology

Psychiatric disorders are common in youth with intellectual and developmental disabilities. This is a vulnerable group of children whose behavioural problems often have more complicated care needs than other children, which can place a great deal of stress on their families. However, the association of family mental health issues, level of intellectual ability, and diagnostic co-morbidity in children is relatively under-studied. In the present study, we investigated the relationship among child diagnoses, family mental health problems, risk for self-injury, and disruption in care among children with ( N = 517) and without ( N = 517) intellectual and developmental disabilities. A negative binomial regression showed that mental health problems in multiple family members, self-injurious behaviour, and self-reported abuse/trauma was related to greater likelihood of provisional diagnoses of co-occurring psychiatric disorders in both a clinically referred sample and a sample with IDD. Implications for care-planning are discussed.

Keywords: Intellectual disability; family mental health; interRAI; self-injury; trauma

Date Created: 20220518 Date Completed: 20230828 Latest Revision: 20230828

20230828

10.1177/17446295221093967

35584277