A general practice-based prevalence study of epilepsy among adults with intellectual disabilities and of its association with psychiatric disorder, behaviour disturbance and carer stress

Journal of Intellectual Disability Research : JIDR
T MatthewsM Kerr

Abstract

Although the elevated occurrence of epilepsy in people with intellectual disabilities (ID) is well recognized, the nature of seizures and their association with psychopathology and carer strain are less clearly understood. The aims were to determine the prevalence and features of epilepsy in a community-based population of adults with ID, and to explore whether the presence of epilepsy was associated with greater psychopathology or carer strain. Data were collected on the age, gender, place of residence, adaptive and challenging behaviour, social abilities and psychiatric status of 318 adults from 40 general practices, together with the degree of malaise and strain of family carers. For participants with epilepsy, a nurse collected information on seizures, investigations, treatment and carer concerns by interview. Association between epilepsy and psychiatric morbidity, challenging behaviour and caregiver malaise or strain, was explored by comparing those with epilepsy with a comparison group matched on adaptive behaviour. Fifty-eight participants (18%) had epilepsy: 26% were seizure free, but 34% had extremely poorly controlled seizures. Earlier onset and seizure frequency were associated with adaptive behaviour. Carer concerns...Continue Reading

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Citations

Jun 18, 2014·Intellectual and Developmental Disabilities·Sarah H AileyTanya R Friese
Oct 6, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Patrick F BoltonMichael Rutter
Dec 23, 2009·American Journal on Intellectual and Developmental Disabilities·Chris StintonPatricia Howlin
Apr 12, 2016·Advances in Mental Health and Intellectual Disabilities·Marco O BertelliLuis Salvador-Carulla
Jun 19, 2009·Current Opinion in Psychiatry·Sally-Ann Cooper, Rohan van der Speck
Apr 2, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Rohit ShankarSharon Axby
May 7, 2014·Journal of Evaluation in Clinical Practice·Marieke van Schijndel-SpeetMichael A Echteld
Mar 4, 2011·Journal of Intellectual Disability Research : JIDR·C F de WinterH M Evenhuis
Jun 16, 2010·Journal of Intellectual Disability Research : JIDR·L CharlotC Deutsch
Aug 14, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Berit HöglundMargareta Larsson
May 8, 2013·Journal of Intellectual Disability Research : JIDR·R KianiM Barrett
Nov 4, 2015·Journal of Applied Research in Intellectual Disabilities : JARID·Janet RobertsonChris Hatton
Oct 13, 2020·Seizure : the Journal of the British Epilepsy Association·Serafino BuonoRaffaele Ferri

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