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首页> 外文期刊>American journal on intellectual and developmental disabilities: AJIDD >The Purported Association Between Depression, Aggression, and Self-Injury in People With Intellectual Disability: A Critical Review of the Literature
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The Purported Association Between Depression, Aggression, and Self-Injury in People With Intellectual Disability: A Critical Review of the Literature

机译：智障人士的抑郁，侵略和自我伤害之间的所谓联系：对文学的批判性评论

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摘要

The prevalence of depression in individuals with an intellectual disability is estimated to lie between 3% and 6%. It has been suggested that symptoms of depression in this population might be atypical and include unusual features such as challenging behavior. However, there is significant disagreement regarding the use of challenging behavior as "depressive equivalent'' symptomatology. The aim of this review is to evaluate published research reporting on the association between challenging behavior, specifically aggression and self-injury, and depression in people with an intellectual disability as a first step toward evaluating whether challenging behaviors might be considered as depressive equivalent symptoms. The results of the studies identified indicated that the association between depression and aggression, and depression and self-injury are equivocal and the interpretations of the results limited by threats to validity. Based on this analysis, there is insufficient evidence to support the use of challenging behavior as a depressive equivalent symptom. Further research to examine potentially confounding variables and the association between challenging behaviour and depression using methodologically robust designs and measures is clearly warranted.
机译：智障人士的抑郁症患病率估计在3％至6％之间。已经提出，该人群的抑郁症状可能是非典型的，并且包括异常特征，例如具有挑战性的行为。然而，在将挑战性行为作为“抑郁等效”症状学方面存在很大分歧，本综述旨在评估已发表的研究报告，该研究报告了挑战性行为（特别是攻击性和自残性）与抑郁症患者抑郁之间的关系。智力障碍是评估挑战性行为是否可以被视为抑郁等效症状的第一步，研究结果表明，抑郁与攻击性，抑郁与自残之间的联系是模棱两可的，对结果的解释有限根据这种分析，没有足够的证据支持使用挑战性行为作为抑郁等效症状。进一步的研究使用方法学上可靠的设计和方法来研究潜在的混淆变量以及挑战性行为与抑郁之间的联系保证。

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