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首页> 外文期刊>Nordic journal of psychiatry. >Intellectual developmental disorder in adult psychiatry: A 24-year register study
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Intellectual developmental disorder in adult psychiatry: A 24-year register study

机译：成人精神病学中的智力发育障碍：一项为期24年的注册研究

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Background: Intellectual developmental disorder (IDD) may pre-dispose for mental health disorders. It is sometimes debated whether the needs of this group are adequately met in general psychiatry. However, little is known about patients with IDD in the psychiatric clinical settingoccurrence, clinical diagnoses, or service use.Aims: This study aimed to assess the number of adult patients diagnosed with IDD in a psychiatric clinic, their psychiatric diagnoses, and their use of psychiatric services.Methods: Individuals with registered IDD diagnoses were identified in a university hospital adult psychiatric clinic register comprising 67 384 patients.Results: IDD had been diagnosed in 0.6% of the patients. Psychotic disorders were the most common co-existing psychiatric diagnoses (25.5%). In 21.8% no psychiatric diagnosis other than IDD was registered. More than 50% had been inpatients; 21% had been compulsorily admitted. Patients with IDD had required a mean of five hospital beds per day.Conclusions: The percentage, 0.6%, of IDD diagnoses was lower than estimates of the prevalence of IDD in the general population. This may reflect a lower need for psychiatric care, barriers to access services, or diagnostic over-shadowing. One fifth of the patients in this study had no psychiatric diagnosis beside IDD, which may be due to diagnostic difficulties, or other problems (e.g. somatic or behavioural disorders) leading to psychiatric contact. Since patients with IDD use the equivalent of five inpatient beds every year, it is suggested that it may be worthwhile to consider specialized psychiatry with expertise in IDD, even though this group is small.
机译：背景：智力发育障碍（IDD）可能会导致精神健康障碍。有时，人们在一般精神病学中是否能够充分满足该人群的需求，这是有争议的。但是，关于IDD患者在精神科临床环境中的发生，临床诊断或服务用途知之甚少。目的：本研究旨在评估在精神科诊所中诊断为IDD的成年患者的数量，他们的精神病诊断以及他们对方法：方法：在一家大学医院的成人精神科诊所登记册中识别出具有IDD诊断的个人，包括67384名患者。结果：0.6％的患者被诊断出IDD。精神病是最常见的同时存在的精神病学诊断（25.5％）。在21.8％的患者中，除IDD以外没有其他精神疾病诊断的记录。住院病人超过50％; 21％被强制录取。 IDD患者平均每天需要五张病床。结论：IDD诊断的百分比为0.6％，低于一般人群IDD患病率的估计值。这可能反映出对精神病治疗的需求减少，获得服务的障碍或诊断上的阴影。这项研究中有五分之一的患者除IDD之外没有其他精神病诊断，这可能是由于诊断困难或其他导致精神病接触的问题（例如躯体或行为障碍）。由于IDD患者每年要使用相当于5张病床的床，因此建议即使该人群很小，也应该考虑具有IDD专业知识的专科精神病学。

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