Conference paper
PSYCHIATRIC COMORBIDITY IN OLDER ADULTS WITH INTELLECTUAL DISABILITY
Agnieszka Bratek
; Department of Psychiatry and Psychotherapy, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
Krzysztof Krysta
; Department of Psychiatry and Psychotherapy, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
Krzysztof Kucia
; Department of Psychiatry and Psychotherapy, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
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 comorbid psychiatric disorders are especially frequent.
Subject and methods: 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.
Keywords
intellectual disability – comorbidity - mental disorders - aged, polypharmacy
Hrčak ID:
263947
URI
Publication date:
15.6.2017.
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