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Challenging behaviours should not be considered as depressive equivalents in individuals with intellectual disability
Author(s) -
Tsiouris J. A.,
Mann R.,
Patti P. J.,
Sturmey P.
Publication year - 2003
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.1365-2788.2003.00456.x
Subject(s) - psychology , intellectual disability , psychopathology , depression (economics) , clinical psychology , psychiatry , checklist , aggression , rating scale , population , major depressive disorder , psychometrics , developmental psychology , medicine , cognition , environmental health , economics , cognitive psychology , macroeconomics
Background  Depression is one of the most common forms of psychopathology in people with intellectual disability (ID). The present study evaluated the utility of an expanded assessment of psychiatric symptoms and challenging behaviours, as measured by the Clinical Behavior Checklist for Persons with Intellectual Disabilities (CBCPID). Methods  The CBCPID was administered to 92 people with ID, 35 of whom were diagnosed with a depressive disorder. Results  Item and factor analysis of the scale indicated that depression was best assessed using the core DSM‐IV symptoms of depressive disorder. Challenging behaviours such as self‐injury or aggression were not closely associated with depression. Short scales using the core DSM‐IV symptoms of depression were highly internally consistent. There was also evidence of the validity of these scales. Conclusions  This study found no evidence that challenging behaviours were depressive equivalents in this population. The present authors conclude that the assessment of depression in people with ID should focus on the core DSM‐IV symptoms of depression.

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