The associations of quality of life and general functioning with trauma, borderline intellectual functioning and mild intellectual disability in outpatients with serious mental illness. (August 2021)

• Record Type: Journal Article
• Authors: Noorthoorn, E.O.; Smits, H.J.H.; Penterman, E.J.M.; Seelen-de Lang, B.L.; Nieuwenhuis, J.G.; Nijman, H.L.I.
• Is Part Of: Research in developmental disabilities. Volume 115(2021)
• Publication Date: 2021-08
• Subjects: Trauma -- Intellectual disability -- Screening -- Treatment implications; Developmental disabilities -- Periodicals; Developmentally disabled -- Research -- United States -- Periodicals; Developmentally disabled children -- Education -- Research -- United States -- Periodicals; Developmental Disabilities -- Periodicals; Disabled -- Periodicals; Mental Retardation -- rehabilitation -- Periodicals; Personnes atteintes de troubles du développement -- Recherche -- États-Unis -- Périodiques; Enfants atteints de troubles du développement -- Éducation -- Recherche -- États-Unis -- Périodiques; Développement, Troubles du -- Recherche -- États-Unis -- Périodiques; 616.858800
• DOI: 10.1016/j.ridd.2021.103988
• Languages: English
• ISSNs: 0891-4222

Abstract

Highlights: Trauma and intellectual disability are highly prevalent in the serious mentally ill. Trauma and intellectual disability are associated to lesser general functioning as well as less quality of life at referral. Literature shows judgment of a psychiatric disorder is different when patients suffer trauma or intellectual disability. This study shows it is therefore advisable to screen for trauma and Intellectual impairment before providing treatment. Abstract: Background: Trauma and intellectual disability are highly prevalent in the serious mental ill (SMI). Little is known of their impact on general functioning and quality of life. Aim: This study investigated the association of trauma and intellectual disability (ID) with general functioning and quality of life in SMI. Methods: Patient characteristics and diagnoses were extracted from electronic patient records. We used the Trauma Screening Questionnaire (TSQ), the Screener for Intelligence and Learning Disabilities (SCIL), the Health of the Nation Outcome Scale (HoNOS) and the Manchester Short Assessment of Quality of Life (MANSA) to asses trauma, intellectual impairment, general functioning and quality of life. Proportions on cut-off scores were analysed with cross-tabulations, questionnaire scores with t-tests. Multivariable associations were determined by logistic regression analysis. Results: 611 patients from an outpatient service were assessed. Trauma and ID were associated with each other (r = −0.207). Trauma was associated with worse general functioning and a lower quality of life. Mild intellectual disability (MID) or borderline intellectual functioning (BIF) were associated with worse general functioning. Conclusions: For patients with SMI, trauma and ID should be identified early in care to treat the lower general functioning and quality of life it caused.