NDLI: Psychiatric disorders in outpatients with borderline intellectual functioning: comparison with both outpatients from regular mental health care and outpatients with mild intellectual disabilities.

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Psychiatric disorders in outpatients with borderline intellectual functioning: comparison with both outpatients from regular mental health care and outpatients with mild intellectual disabilities.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Wieland, Jannelien Kapitein-de Haan, Sara Zitman, Frans G.
Spatial Coverage	Netherlands
Description	Country affiliation: Netherlands Author Affiliation: Wieland J ( Psychiatrist, Rivierduinen, Kristal Centre for Psychiatry and Intellectual Disability, Leiden, the Netherlands); Kapitein-de Haan S ( Psychiatrist, Rivierduinen, Kristal Centre for Psychiatry and Intellectual Disability, Leiden, the Netherlands.); Zitman FG ( Professor Emeritus and Psychiatrist, Department of Psychiatry, Leiden University Medical Centre, Leiden, the Netherlands.)
Abstract	OBJECTIVE: In the Netherlands, patients with borderline intellectual functioning are eligible for specialized mental health care. This offers the unique possibility to examine the mix of psychiatric disorders in patients who, in other countries, are treated in regular outpatient mental health care clinics. Our study sought to examine the rates of all main Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, Axis I psychiatric diagnoses in outpatients with borderline intellectual functioning of 2 specialized regional psychiatric outpatient departments and to compare these with rates of the same disorders in outpatients from regular mental health care (RMHC) and outpatients with mild intellectual disabilities (IDs). METHOD: Our study was a cross-sectional, anonymized medical chart review. All participants were patients from the Dutch regional mental health care provider Rivierduinen. Diagnoses of patients with borderline intellectual functioning (borderline intellectual functioning group; n = 235) were compared with diagnoses of patients from RMHC (RMHC group; n = 1026) and patients with mild ID (mild ID group; n = 152). RESULTS: Compared with the RMHC group, psychotic and major depressive disorders were less common in the borderline intellectual functioning group, while posttraumatic stress disorder and V codes were more common. Compared with the mild ID group, psychotic disorders were significantly less common. CONCLUSION: Mental health problems in people with borderline intellectual functioning may not be well addressed in general psychiatry, or by standard psychiatry for patients with ID. Specific attention to this group in clinical practice and research may be warranted lest they fall between 2 stools.
File Format	HTM / HTML
ISSN	07067437
e-ISSN	14970015
Journal	The Canadian Journal of Psychiatry
Issue Number	4
Volume Number	59
Language	English
Publisher	Sage Publications
Publisher Date	2014-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Psychiatry Intellectual Disability Mental Disorders Ambulatory Care Statistics & Numerical Data Comorbidity Cross-sectional Studies Diagnostic And Statistical Manual Of Mental Disorders Disability Evaluation Diagnosis Epidemiology Therapy Classification Mental Health Services Netherlands Outpatients Severity Of Illness Index Comparative Study
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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Psychiatric Disorders in Outpatients With Borderline Intellectual Functioning: Comparison With Both Outpatients From Regular Mental Health Care and Outpatients With Mild Intellectual Disabilities

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