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Prevalence of Psychopathological Features in Intellectual Diability: The Italian SPAID-G Multicentric Study

Published online by Cambridge University Press:  23 March 2020

D. Scuticchio ,
M.O. Bertelli ,
G. Chiodelli ,
R. Cavagnola  and
F. Manna
D. Scuticchio
Affiliation:
CREA Research and Clinical Center–San Sebastiano Foundation, Misericordia di Firenze, Florence, Italy
M.O. Bertelli
Affiliation:
CREA Research and Clinical Center–San Sebastiano Foundation, Misericordia di Firenze, Florence, Italy
G. Chiodelli
Affiliation:
Fondazione Istituto Ospedaliero di Sospiro Onlus, Fondazione Istituto Ospedaliero di Sospiro Onlus, Cremona, Italy
R. Cavagnola
Affiliation:
Fondazione Istituto Ospedaliero di Sospiro Onlus, Fondazione Istituto Ospedaliero di Sospiro Onlus, Cremona, Italy
F. Manna
Affiliation:
Istituto Opera Don Guanella, Istituto Opera Don Guanella, Roma, Italy

Abstract

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Introduction

Despite increasing awareness of high prevalence of psychiatric disorders in people with intellectual disability (ID), diagnostic tools are few and scarcely used in daily practice. SPAID-G (psychiatric instrument for the intellectually disabled adult-general version) is the first Italian for carrying out psychiatric diagnostic orientations in adults with ID. It was designed to be easy and quick instrument for daily clinical practice.

Objectives/Aims

The present study was aimed at evaluating psychometric and psychodiagnostic characteristics of the SPAID-G and at supplying new data on the prevalence rate of psychiatric disorders in a multicentric Italian sample of people with ID living in different settings.

Methods

The SPAID-G was consecutively administered to more than 800 persons with ID attending residential, rehabilitative or clinical services across Italy. A part of the sample was also assessed for psychopathology through the use of DASH-II, PDD-MRS and clinically diagnosed in accordance to DSM-IV-TR and DSM-5 criteria.

Results

SPAID internal consistency, inter-rater reliability and concordance with DASH-II and PDD-MRS resulted to be good. Around 40% of the sample was assessed to have a cluster of psychopathological symptoms that could be consistent with a psychiatric diagnosis. Autism, impulse control disorder and personality disorder resulted to be the most frequent over threshold scores.

Conclusions

The SPAID-G seems to be a valid and cost-effective screening tool for the psychiatric assessment within the Italian population with ID.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
Oral communications: Epidemiology and social psychiatry; migration and mental health of immigrants; forensic psychiatry; suicidology and suicide prevention; prevention of mental disorders and promotion of mental health
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S92 - S93
Copyright
Copyright © European Psychiatric Association 2017
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