Does visual impairment lead to additional disability in adults with intellectual disabilities?

Background  This study addresses the question to what extent visual impairment leads to additional disability in adults with intellectual disabilities (ID). Method  In a multi‐centre cross‐sectional study of 269 adults with mild to profound ID, social and behavioural functioning was assessed with ob...

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Veröffentlicht in:Journal of intellectual disability research 2009-01, Vol.53 (1), p.19-28
Hauptverfasser: Evenhuis, H. M., Sjoukes, L., Koot, H. M., Kooijman, A. C.
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container_end_page 28
container_issue 1
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container_title Journal of intellectual disability research
container_volume 53
creator Evenhuis, H. M.
Sjoukes, L.
Koot, H. M.
Kooijman, A. C.
description Background  This study addresses the question to what extent visual impairment leads to additional disability in adults with intellectual disabilities (ID). Method  In a multi‐centre cross‐sectional study of 269 adults with mild to profound ID, social and behavioural functioning was assessed with observant‐based questionnaires, prior to expert assessment of visual function. With linear regression analysis the percentage of variance, explained by levels of visual function, was calculated for the total population and per ID level. Results  A total of 107/269 participants were visually impaired or blind (WHO criteria). On top of the decrease by ID visual impairment significantly decreased daily living skills, communication & language, recognition/communication. Visual impairment did not cause more self‐absorbed and withdrawn behaviour or anxiety. Peculiar looking habits correlated with visual impairment and not with ID. In the groups with moderate and severe ID this effect seems stronger than in the group with profound ID. Conclusion  Although ID alone impairs daily functioning, visual impairment diminishes the daily functioning even more. Timely detection and treatment or rehabilitation of visual impairment may positively influence daily functioning, language development, initiative and persistence, social skills, communication skills and insecure movement.
doi_str_mv 10.1111/j.1365-2788.2008.01114.x
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Visual impairment did not cause more self‐absorbed and withdrawn behaviour or anxiety. Peculiar looking habits correlated with visual impairment and not with ID. In the groups with moderate and severe ID this effect seems stronger than in the group with profound ID. Conclusion  Although ID alone impairs daily functioning, visual impairment diminishes the daily functioning even more. Timely detection and treatment or rehabilitation of visual impairment may positively influence daily functioning, language development, initiative and persistence, social skills, communication skills and insecure movement.</description><identifier>ISSN: 0964-2633</identifier><identifier>EISSN: 1365-2788</identifier><identifier>DOI: 10.1111/j.1365-2788.2008.01114.x</identifier><identifier>PMID: 18771511</identifier><identifier>CODEN: JIDREN</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Activities of Daily Living - psychology ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Adults ; Aged ; Anxiety ; Behavior Patterns ; Behavioural problems ; Biological and medical sciences ; Causality ; Communication Disorders - epidemiology ; Communication Disorders - psychology ; Communication Skills ; Comorbidity ; Correlation ; Correlation analysis ; Cross-Sectional Studies ; Daily Living Skills ; Disability ; Down Syndrome - epidemiology ; Down Syndrome - psychology ; Female ; Humans ; Intellectual deficiency ; Intellectual Disability ; Intellectual Disability - epidemiology ; Intellectual Disability - psychology ; Interpersonal Competence ; Language Acquisition ; Language development ; Learning disabilities ; Learning disabled people ; Male ; Medical sciences ; Mental Retardation ; Middle Aged ; Multiple Disabilities ; Netherlands - epidemiology ; Ophthalmology ; Psychology. 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M.</creatorcontrib><creatorcontrib>Sjoukes, L.</creatorcontrib><creatorcontrib>Koot, H. M.</creatorcontrib><creatorcontrib>Kooijman, A. C.</creatorcontrib><title>Does visual impairment lead to additional disability in adults with intellectual disabilities?</title><title>Journal of intellectual disability research</title><addtitle>J Intellect Disabil Res</addtitle><description>Background  This study addresses the question to what extent visual impairment leads to additional disability in adults with intellectual disabilities (ID). Method  In a multi‐centre cross‐sectional study of 269 adults with mild to profound ID, social and behavioural functioning was assessed with observant‐based questionnaires, prior to expert assessment of visual function. With linear regression analysis the percentage of variance, explained by levels of visual function, was calculated for the total population and per ID level. 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M.</au><au>Sjoukes, L.</au><au>Koot, H. M.</au><au>Kooijman, A. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ821495</ericid><atitle>Does visual impairment lead to additional disability in adults with intellectual disabilities?</atitle><jtitle>Journal of intellectual disability research</jtitle><addtitle>J Intellect Disabil Res</addtitle><date>2009-01</date><risdate>2009</risdate><volume>53</volume><issue>1</issue><spage>19</spage><epage>28</epage><pages>19-28</pages><issn>0964-2633</issn><eissn>1365-2788</eissn><coden>JIDREN</coden><abstract>Background  This study addresses the question to what extent visual impairment leads to additional disability in adults with intellectual disabilities (ID). Method  In a multi‐centre cross‐sectional study of 269 adults with mild to profound ID, social and behavioural functioning was assessed with observant‐based questionnaires, prior to expert assessment of visual function. With linear regression analysis the percentage of variance, explained by levels of visual function, was calculated for the total population and per ID level. Results  A total of 107/269 participants were visually impaired or blind (WHO criteria). On top of the decrease by ID visual impairment significantly decreased daily living skills, communication &amp; language, recognition/communication. Visual impairment did not cause more self‐absorbed and withdrawn behaviour or anxiety. Peculiar looking habits correlated with visual impairment and not with ID. In the groups with moderate and severe ID this effect seems stronger than in the group with profound ID. Conclusion  Although ID alone impairs daily functioning, visual impairment diminishes the daily functioning even more. Timely detection and treatment or rehabilitation of visual impairment may positively influence daily functioning, language development, initiative and persistence, social skills, communication skills and insecure movement.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18771511</pmid><doi>10.1111/j.1365-2788.2008.01114.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of Daily Living - psychology
Adolescent
Adult
Adult and adolescent clinical studies
Adults
Aged
Anxiety
Behavior Patterns
Behavioural problems
Biological and medical sciences
Causality
Communication Disorders - epidemiology
Communication Disorders - psychology
Communication Skills
Comorbidity
Correlation
Correlation analysis
Cross-Sectional Studies
Daily Living Skills
Disability
Down Syndrome - epidemiology
Down Syndrome - psychology
Female
Humans
Intellectual deficiency
Intellectual Disability
Intellectual Disability - epidemiology
Intellectual Disability - psychology
Interpersonal Competence
Language Acquisition
Language development
Learning disabilities
Learning disabled people
Male
Medical sciences
Mental Retardation
Middle Aged
Multiple Disabilities
Netherlands - epidemiology
Ophthalmology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life - psychology
Questionnaires
Regression (Statistics)
Regression analysis
Rehabilitation
Severity of Illness Index
Social Behavior Disorders - epidemiology
Social Behavior Disorders - psychology
Studies
Surveys and Questionnaires
Vision disorders
Vision Disorders - epidemiology
Vision Disorders - psychology
Visual impairment
Visual Impairments
Young Adult
title Does visual impairment lead to additional disability in adults with intellectual disabilities?
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