Intervenciones psicológicas en adultos con discapacidad intelectual y trastorno límite de la personalidad comórbido
Résumé
Objetivo: La importancia de identificar la comorbilidad psicopatológica permite responder de forma más efectiva a la aplicación de ciertos tratamientos específicos, en función de las características de los individuos con discapacidad intelectual y su perfil psicopatológico. El objetivo de la presente revisión es describir cuáles son las intervenciones que se llevan a cabo en individuos adultos con discapacidad intelectual asociada a un trastorno límite de la personalidad (TLP) y determinar su efectividad. Método: en la revisión de la literatura se han identificado 24 artículos, 11 hacen referencia a la prevalencia de los trastornos psiquiátricos en individuos con discapacidad intelectual y las implicaciones que supone, y 13 a las intervenciones psicológicas en el ámbito de la discapacidad intelectual y TLP comórbido. Las bases de datos utilizadas son WOS (Web of Science), SCOPUS, CINALH, PsycINFO, LILACS y la librería Cochrane. Resultados: el enfoque psicoterapéutico en población con discapacidad intelectual es controvertido y la evidencia sobre las terapias psicológicas es limitada. Respecto a las intervenciones utilizadas, la que aporta unos resultados favorables para la reducción de la sintomatología es la terapia dialéctica conductual.Références
AAIDD (2011): Discapacidad intelectual. Definición, clasificación y sistemas de apoyo social. Madrid: Alianza Editorial.
Benson, B. (2004): “Psychological interventions for people with intellectual disability and mental health problems”. Current Opinion in Psychiatry, 17 (5): 353-357.
Bhaumik, S. et al. (2011): “Psychological treatments in intellectual disability: the challenges of building a good evidence base”. The British Journal of Psychiatry, 198: 428-430.
Brown, M. et al. (2011): “A review of the literature relating to psychological interventions and people with intellectual disabilities: issues for research, policy, education and clinical practice”. Journal of Intellectual Disabilities, 15 (1): 31-45.
Costello, H. y Bouras, N. (2006): “Assessment of mental health problems in people with intellectual disabilities”. The Israel Journal of Psychiatry and Related Sciences, 43 (4): 241-51.
Crossland, T. et al. (2017): “Outcomes and experiences of an adapted dialectic behavior therapy skills training group for people with intellectual disabilities”. British Journal of Learning Disabilities, 45: 208-2016.
Di Nuovo, S. F. y Buono, S. (2007): “Psychiatric syndromes comorbid with mental retardation: differences in cognitive and adaptive skills”. Journal of Psychiatric Research, 41 (9): 795-800.
Dosen, A. (2007): “integrative treatment in persons with intelectual disability and mental health problems”. Journal of Intellectual Disability Research, 15 (1): 66-74.
Drury, H. y Alim, N. (2014): “Integrative psychotherapy in intelectual disabilities: using cognitive-behavioural and psychodynamic formulations”. Advances in mental health and intellectual disabilities, 8 (3): 197-209.
Kerker, B. et al. (2004): “Mental health disorders among individuals with mental retardation: challenges to accurate prevalence estimates”. Public Health Reports, 119 (4): 409-17.
Lew, M. et al. (2006): “Dialectical Behavior Therapy (DBT) for individuals with intellectual disabilities: a program description”. Mental Health Aspects of Developmental Disabilities, 9 (1): 1-13.
Martorell A. et al. (2009): “Mental health in adults with mild and moderate intellectual disabilities: the role of recent life events and traumatic experiences across the life span”. The Journal of Nervous and Mental Disease, 197 (3): 182-186.
McNair, L. et al. (2017): “Dialectical Behaviour Therapy [DBT] with people with intellectual disabilities: a systematic review and narrative analysis”. Journal of Applied Research in Intellectual Disabilities, 30 (5): 787-804.
Pridding, A., y Procter, N. (2008): “A systematic review of personality disorder amongst people with intellectual disability with implications for the mental health nurse practitioner”. Journal of Clinical Nursing, 17 (21): 2811-9.
Roscoe, P. et al. (2015): “Dialectical Behaviour Therapy in an inpatient unit for women with a learning disability: service user’s perspectives”. Journal of Intellectual Disabilities, 1-18.
Rush, K. et al. (2004): “Assessing psychopathology in individuals with developmental disabilities”. Behavior Modification, 28 (5): 621-637.
Schalock, R. et al. (2007): “El nuevo concepto de retraso mental: comprendiendo el cambio al término de discapacidad intelectual”. Revista Española de Discapacidad Intelectual, 38 (4): 5-20.
Turygin, N. et al. (2014): “Prevalence of co-occurring disorders in a sample of adults with mild and moderate intellectual disabilities who reside in a residential treatment setting”. Research in Developmental Disabilities, 35 (7): 1802-1808.
Vereenooghe, L. y Langdon, P. (2013): “psychological therapies for people with intellectual disabilities: a systematic review and meta-analysis”. Research in Developmental Disabilities, 34: 4085-4102.
Wieland, J. et al. (2015): “The prevalence of personality disorders in psychiatric outpatients with borderline intellectual functioning: comparison with outpatients from regular mental health care and outpatients with mild intellectual disabilities”. Nordic Journal of Psychiatry, 69 (8): 599-604.
Wieland, J. et al. (2014): “psychiatric disorders in outpatients with borderline intellectual functioning: comparison with both outpatients from regular mental health care and outpatients with mild intellectual disabilities”. Canadian Journal of Psychiatry, 59 (4): 213-219.
Wilson, S. (2001): “A four-stage model for management of borderline personality disorder in people with mental retardation”. Mental Health Aspects of Developmental Disabilities, 4 (2): 68-76.
Wink, L. et al. (2010): “Co-morbid intellectual disability and borderline personality disorder: a case series”. Psychiatry Interpersonal and Biological Processes, 73 (3): 277-287.
Whitaker, S. y Read, S. (2006): “The prevalence of psychiatric disorders among people with intellectual disabilities: an analysis of the literature”. Journal of Applied Research in Intellectual Disabilities, 19: 330-345.
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