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Respondent and informant accounts of psychiatric symptoms in a sample of patients with learning disability
Author(s) -
Moss S.,
Prosser H.,
Ibbotson B.,
Goldberg D.
Publication year - 1996
Publication title -
journal of intellectual disability research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.941
H-Index - 104
eISSN - 1365-2788
pISSN - 0964-2633
DOI - 10.1046/j.1365-2788.1996.792792.x
Subject(s) - respondent , psychology , psychiatry , learning disability , anxiety , clinical psychology , depression (economics) , psychiatric interview , panic , panic disorder , political science , law , economics , macroeconomics
This paper investigates differences in the nature and frequency of psychiatric symptoms reported by patients with learning disability and by key informants. The study involved psychiatric assessment of 100 patients with learning disabilities and key informants using the Psychiatric Assessment Schedule for Adults with a Developmental Disability (PAS‐ADD), a semi‐structured psychiatric interview developed specifically for people who have a learning disability. There was considerable disagreement between respondent and informant interviews; only 40.7% of cases were detected by both interviews. Respondents were more likely to report on autonomic symptoms and certain psychotic phenomena. Other anxiety and depression symptoms were more frequently reported by infcrnnants. The results indicate that it is crucial for sensitive case detection to complete both interviews where possible. If the respondent cannot be interviewed, panic disorder or phobias may be particularly difficult to detect.