Schizophrenia in Mentally Retarded Patients, Diagnostic Consideration and Practical Experience
Authors:
K. Pavlíková
Authors‘ workplace:
Psychiatrické oddělení Fakultní nemocnice Ostrava
prim. MUDr. J. Svobodová, Ph. D.
Published in:
Čes. a slov. Psychiat., 105, 2009, No. 6-8, pp. 275-280.
Category:
Comprehensive Reports
Overview
The clinical work with mentally retarded patients may expose a whole range of suddenly altered behavior. Although behavioral disorders are a part of the diagnosis itself; they may be a manifestation of more serious associated illnesses, such as the suspicion of a psychotic disorder that can require a further in-depth diagnostic investigation. With the degree of mental retardation, the requirements for the diagnostic procedure substantially increase, due to the problems in communication with the patient. In this respect, we are forced to gather more information not only from the subjective experience of the patient but also mainly from the patient’s record, by observation or an interview with the relatives. A correct diagnostics will determine an accurate diagnosis with better harmonization of medication, resulting in effective treatment.
Key words:
mental retardation, psychotic conditions, schizophrenia, behavioral disorders, epilepsy, comorbidities, mental disorders.
Sources
1. Babovic-Vuksanovic, D., Jenkons, S. C., Ensenauer, R. et al.: Subtelemetric deletion of 18p in adult with paranoid schizofrenia and mental retardation. Am. J. Hum. Genet, 63, 2004, pp. 1139-1152.
2. Cooper, S., Smiley, E., Morrison, J. et al.: Psychosis and adults with intellectual disabilities; prevalence, incidence, and related factors. Soc. Psychiatry Psychiatr. Epidemiol., 42, 2000, pp. 530-537.
3. Čadilová,V., Hynek, J., Thorová, K. a kol.: Agrese u lidí s mentální retardaci a s autismem Praha, Portál, 2007, s. 55-113.
4. Deb, S., Thomas, M., Bright, C.: Mental disorder in adults with intellectual disability. J. Intellect. Disabil. Res., 45, 2001, pp. 495-505.
5. Faber, J.: Epilepsie- psychóza, nejasný vztah. Psychiatrie pro praxi, 2002, 4, s. 199-204.
6. Frank, J., Menolascino, M. D., Stephen, L. et al.: Diagnosis and pharmacotherapy of schizofrenia in the retarder. Psychofarmacology Bulletin, 21, 1985, pp. 316-322.
7. Gladston, S., Clarke, D. J.: Clozapine treatment of psychosis associated with velo cardio-acial syndrome: benefits and risks. J. Intellect. Disabil. Res., 49, 2005, pp. 567-570.
8. Höschl, C., Libiger, J., Švestka, J. a kol.: Psychiatrie. Praha, Tigris, 2004, s. 312-313, s. 82-83.
9. Christian, L. A., Polling, A.: Drug abuse in persons with mental retardation: a review. Am. J. on Ment. Retard. In Čadilová,V., Hynek, J., Thorová, K. a kol.: Agrese u lidí s mentální retardaci a s autismem. Praha, Portál, 2007, s. 61.
10. Kanner, A. M., Dunn, D. W.: Diagnosis and management of depression and psychosis in children and adolescents with epilepsy. J. Child Neurol., 19, 2004, pp. 65-72.
11. Leonard, H., Hohenecj, D.: Metabolic side effects of the atypical antipsychotic in an inpatient population of adults with developmental disabilities. Ment. Helth Aspects Dev. Disabil., 9, 2006, pp. 18-22.
12. Marušič, P. Tomášek, M.: Altas epileptických záchvatů. Praha, Tritton, 2003, s. 39-49.
13. Mezinárodní klasifikace nemocí. Praha, Svoboda, 1993.
14. Morhead, T. W. J., Job, D. E., Halley, H. C. et al.: Voxel-based morphometry of comorbid schizofrenia and learning disability: analyses in normalized and native spaces using parametric and nonparametric statistical methods. Neuroimage, 22, 2004, pp. 188-202.
15. Petíšková, M.: Poznámky psychiatrovy k problematice mentální retardace. QUIP, 2007, dostupný také: http:/www.kvalitavpraxi.cz.
16. Reid, A. H.: Diagnosis of psychiatric disorder in the severely and profoundly retarder patient. J. R. Soc. Med., 73, 1980, pp. 607-609.
17. Reinblatt, S. P., Rifkin, A., Freeman, J.: The efficaty of ECT in adults with mental retardation experiencing psychiatric disorders. J. ECT, 20, 2004, pp. 208-212.
18. Shedlack, K. J., Hennen, J., Magee, C. et al.: Assesing the utility of atypical antipsychotic medication in adults with mild mental retardation and comorbid psychiatric disorders. J. Clin. Psychiatry, 66, 2005, pp. 52-62.
19. Schopler, E., Mesibov, G. B.: Autistické chování. Speciální pedagogika. Praha, Portál, 1997, s. 149-153.
20. Stuchlík, J., Petišková, M.: Sledování psychiatrické medikace ve vybraných ústavech sociální péče Středočeského kraje. QUIP, 2006, dostupný také: http:/www.kvalitavpraxi.cz
21. Thalayasingam, S., Alexander, R. T., Singh, I.: The use of clozapine in adults with intellectual disability. J. Intellect. Disabil. Res., 48, 2004, pp. 572-579.
22. Urruca, N., Arenas-Sirbo, M., Ortiz-Dominiquez, A. et al.: An 8q21 delection in a pacient with comorbid psychosis and mental retardation. CNS Spectr., 10, 2005, pp. 864-866.
23. White , P., Chant, D., Edwards N. et al.: Prevalence of intellectual disability and comorbid mental ilness in an Australian community sample. J. Psychiatry, 39, 2005, pp. 395-400.
24. White, M., Nicolas, C., Cook, R. et al.: Diagnostic owershadoving and mental retardation. Am. J. on Ment. Petard., 100, 1995, pp. 293-298. In Čadilová,V., Hynek, J., Thorová, K. a kol.: Agrese u lidí s mentální retardaci a s autismem. Praha, Portál, 2007, s. 56.
Labels
Addictology Paediatric psychiatry PsychiatryArticle was published in
Czech and Slovak Psychiatry
2009 Issue 6-8
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