+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Patterns of multimorbidity in people with severe or profound intellectual and motor disabilities



Patterns of multimorbidity in people with severe or profound intellectual and motor disabilities



Research in Developmental Disabilities 67: 28-33



People with severe or profound intellectual and motor disabilities (SPIMD) experience multimorbidity and have complex health needs. Multimorbidity increases mortality, decreases functioning, and negatively influences quality of life. Information regarding patterns of multimorbidity in people with SPIMD may lead to proactive prevention, specifically detection and treatment of physical health problems at an early stage and prevention of secondary complications. The aim of this study was to explore patterns of multimorbidity in individuals with SPIMD. Data from medical records and care plans on reported physical health problems of 99 adults with SPIMD were analysed. To explore the co-occurrence of physical health problems, cross tabulations and a 5-set Venn Diagram were used. The most common combination of two physical health problems comprise the most prevalent physical health problems, which included visual impairment, constipation, epilepsy, spasticity, and scoliosis. These five issues occurred as a multimorbidity combination in 37% of the participants. In 56% of the participants a multimorbidity combination of four health problems emerged, namely constipation, visual impairment, epilepsy, and spasticity. People experiencing SPIMD have interrelated health problems. As a consequence, a broad variety of potential interactions between physical health problems and their treatments may occur. Identifying multimorbidity patterns can provide guidance for accurate monitoring of persistent health problems and, early detection of secondary complications. However, the results require confirmation with larger samples in further studies.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 060073395

Download citation: RISBibTeXText

PMID: 28622657

DOI: 10.1016/j.ridd.2017.05.002


Related references

A systematic review of the effects of motor interventions to improve motor, cognitive, and/or social functioning in people with severe or profound intellectual disabilities. Research in Developmental Disabilities 35(9): 2093-2116, 2014

Prevalence of reported physical health problems in people with severe or profound intellectual and motor disabilities: a cross-sectional study of medical records and care plans. Journal of Intellectual Disability Research 60(11): 1109-1118, 2016

See What I Mean: Interpreting the Meaning of Communication by People with Severe and Profound Intellectual Disabilities. Journal of Applied Research in Intellectual Disabilities 12(3): 190-203, 1999

Low mood and challenging behaviour in people with severe and profound intellectual disabilities. Journal of Intellectual Disability Research 55(2): 182-189, 2011

Caregivers' perceptions of clothing for people with severe and profound intellectual disabilities. Perceptual and Motor Skills 110(3 Pt 1): 961-964, 2010

The role of attention in the affective life of people with severe or profound intellectual disabilities. Research in Developmental Disabilities 34(3): 902-909, 2013

A preliminary investigation of the suitability of aquatics for people with severe and profound intellectual disabilities. Journal of Intellectual Disabilities 21(2): 118-133, 2017

Investigating the relationship between observed mood and emotions in people with severe and profound intellectual disabilities. Journal of Intellectual Disability Research 57(5): 440-451, 2013

Behavioural symptoms among people with severe and profound intellectual disabilities: a 26-year follow-up study. British Journal of Psychiatry 181: 67-71, 2002

Analysis of staff reports on the frequency of challenging behaviour in people with severe or profound intellectual disabilities. Research in Developmental Disabilities 30(5): 863-872, 2009

Using goal attainment scaling to evaluate a needs-led exercise programme for people with severe and profound intellectual disabilities. Journal of Intellectual Disabilities 10(4): 317-335, 2006

An overview of research on increasing indices of happiness of people with severe/profound intellectual and multiple disabilities. Disability and Rehabilitation 27(3): 83-93, 2005

Use of microswitches and speech output systems with people with severe/profound intellectual or multiple disabilities: A literature review. Research in Developmental Disabilities 22(1): 21-40, 2001

Examining relationships between staff attributions of soundscapes and core affect in people with severe or profound intellectual and visual disabilities. Journal of Intellectual & Developmental Disability 41(1): 21-30, 2016

The convergent validity of a Dutch Screening tool for Dysphagia (Signaleringslijst Verslikken) for people with severe or profound intellectual and multiple disabilities. Journal of Applied Research in Intellectual Disabilities 32(4): 994, 2019