Zihinsel Yetersizlik
Özet
Zihinsel yetersizlik, gelişimsel dönemde başlayan ve kavramsal, sosyal ve pratik alanlarda hem zihinsel hem de uyumsal işlev eksikliklerini içeren nörogelişimsel bir bozukluktur. IQ puanı ve uyumsal davranış düzeylerine göre hafiften çok ağıra kadar sınıflandırılan bu durumun etiyolojisi genetik, çevresel ve sosyoekonomik faktörlerle şekillenmektedir. Tanı süreci klinik gözlem ve standardize testlere dayanırken; tedavi stratejileri özel eğitim, destekleyici politikalar ve eşlik eden tıbbi veya psikiyatrik sorunlara yönelik müdahaleleri kapsamaktadır.
Intellectual disability is a neurodevelopmental disorder originating during the developmental period, characterized by significant deficits in both intellectual and adaptive functioning across conceptual, social, and practical domains. Classified by IQ levels and adaptive capabilities ranging from mild to profound, the condition is influenced by a complex interplay of genetic, environmental, and socioeconomic factors. Diagnosis relies on clinical observation combined with standardized psychometric testing, while treatment primarily focuses on tailored educational support, psychosocial interventions, and targeted management of associated medical or psychiatric comorbidities.
Referanslar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th edition. Arlington, TX: American Psychiatric Association Publishing; 2013. p. 33-40.
Einfeld S, Emerson E. Intellectual Disability. In: Rutter M, Bishop DVM, Pine DS, Scott S, Stevenson J, Taylor E, Thapar A, editors. Rutter's Child and Adolescent Psychiatry. 5th ed. Blackwell Publishing; 2008. p. 820-40.
Sparrow S, Davis SM. Recent advances in the assessment of intelli¬ gence and cognition. J Child Psychol Psychiatry. 2000;41:117-31.
Volkmar FR, Dykens EM, Hodapp RM. Intellectual Disability. In: Martin A, Bloch MH, Volkmar F, editors. Lewis's Child and Adolescent Psychiatry. 5th ed. Philadelphia: Wolters Kluwer; 2018. p. 1197-223.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th edition. Text revision. Washington, DC: American Psychiatric Association Publishing; 2000.
World Health Organization. Multiaxial Classification of Child and Adolescent Psychiatric Disorders: The ICD-10 Classification of Mental and Behavioural Disorders in Children and Adolescents. Cambridge: Cambridge University Press; 1996.
Roeleveld N, Zielhuis GA, Gabreels F. The prevalence of mental retardation: A critical review of recent literature. Dev Med Child Neurol. 1997;39:125–32.
Anastasi A, Urbina S. Psychological Testing. New Jersey: Prentice Hall; 1997.
Modood T, Berthoud R, Lakey J, Nazroo J, Smith P, Virdee S., et al. Ethnic minorities in Britain: Diversity and disadvantage. London: Policy Studies Institute; 1997.
Fujiura GT, Yamaki K. Analysis of ethnic variations in developmental disability prevalence and household economic status. Ment Retard. 1997;35:286–94.
Leonard H, Petterson B, De Klerk N, Zubrick SR, Glasson E, Sanders R, et al. Association of sociodemographic characteristics of children with intellectual disability in Western Australia. Soc Sci Med. 2005;60:1499–513.
Hatton C, Emerson E. The relationship between life events and psychopathology amongst children with intellectual disabilities. J Appl Res Intellect Disabil. 2004;17:109–17.
Emerson E, Graham H, Hatton C. Household income and health status in children and adolescents: Cross-sectional study. Eur J Public Health. 2006;16:354–60.
Durkin M. The epidemiology of developmental disabilities in low-income countries. Ment Retard Dev Disabil Res Rev. 2002;8,:206–11.
Luckasson R, Borthwick-Duffy S, Buntinx WHE, Coulter DL, Craig EM, Reeve A, et al. Mental retardation: Definition, classification, and systems of support (10th edn.). Washington, DC: American Association on Mental Retardation; 2002.
Luckasson R, Coulter DL, Polloway EA, Reiss S, Schalock RL, Snell ME, et al. Mental retardation: Definition, classification, and systems of support (9th edn.). Washington, DC: American Association on Mental Retardation; 1992.
Kılıç BG. Zeka Geriliği. İçinde: Aysev AS, Taner YI, editörler. Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları. İstanbul: Golden Print; 2007. p. 269-76.
Curry CJ, Stevenson RE, Aughton D, Byrne J, Carey JC, Cassidy S, et al. Evaluation of mental retardation: Recom- mendations of a consensus conference. American College of Medical Genetics. Am J Med Genet. 1997;72:468–77.
Partington M, Mowat D, Einfeld S, Tonge B, Turner G. Genes on the X chromosome are important in undiagnosed mental retardation. Am J Med Genet, 2000;92:57–61.
Olness K. Effects on brain development leading to cognitive impairment: A worldwide epidemic. J Dev Behav Pediatr. 2003;24:120–30.
Pharoah PO, Buttfield IH, Hetzel BS. Neurological damage to the fetus resulting from severe iodine deficiency during pregnancy. Lancet. 1971;1:308–10.
Drotar D, Olness K, Wiznitzer M, Guay L, Marum L, Svilar G, et al. Neurodevelopmental outcomes of Ugandan infants with human immunodeficiency virus type 1 infection. Pediatrics. 1997;100,:E5.
Anlar B, Erman H. Zihinsel Gelişim (Zeka) Gerilikleri. İçinde: Çetin FÇ, Coşkun A, İşeri E, Miral S, Motavallı N, Pehlivantürk B, Türkbay T, Uslu R, Ünal F, editörler. Çocuk ve Ergen Psikiyatri Temel Kitabı. Ankara: Hekimler Yayın Birliği; 2008. p. 187-98.
Hagerman RJ. Neurodevelopmental disorders, diagnosis and treatment. New York: Oxford University Press; 1999.
Einfeld SL, Tonge BJ, Rees VW. Longitudinal course of behavioral and emotional problems in Williams syndrome. Am J Ment Retard. 2001;106:73–81.
Holland A, Whittington J, Butler J. Prader–Willi and Angelman syndromes: From childhood to adult life. In: Howlin P, Udwin O, editors. Outcomes in neurodevelopmental and genetic disorders. Cambridge: Cambridge University Press; 2002. p. 220-40.
Einfeld SL, Tonge BJ, Parmenter T, Cray KM. A 15 year cohort study of psychopathology in young people with intellectual disability. J Intellect Disabil Res. 2004;48:304.
Einfeld SL, Tonge BJ. Population prevalence of psychopathology in children and adolescents with intellectual disability: II. Epidemiological findings. J Intellect Disabil Res. 1996;40:99-109.
Ryan R, Sunada K. Medical evaluation of persons with mental retardation referred for psychiatric assessment. Gen Hosp Psychiatry. 1997;19:274-80.
Goulden KK, Shinnnar S, Koller K, Katz M, Richardson SA. Epilepsy in children with mental retardation: a cohort study. Epilepsia. 1991;32:690-697.
Cohen WI, Nadal L, Madnick ME, editors. Health care guidelines for individuals with Down syndrome. New York: Wiley-Liss; 2002.
Roizen NJ. The early interventionist and the medical problems of the child with Down syndrome. Infant Young Child. 2003;16:88-95.
So SA, Urbano RC, Hodapp RM. Hospitalizations for infants and young children with Down Syndrome: evidence from person-records from a statewide administrative database. J Intellect Disabil Res. 2007; 51:1030-8.
Zigman WB, Silverman W, Wisniewski HM. Aging and Alzheimer’s disease in Down syndrome: clinical and pathological changes. Ment Retard Dev Dis Res Rev. 1996;2:73-9.
Szymanski LS, King BH, Goldberg B, et al. Diagnosis of Mental Disorders in People with Mental Retardation. In: Reiss S, Aman MG, editors. Psychotropic Medications and Developmental Disabilities: The International Consensus Handbook. Columbus, OH: Ohio State University Press; 1998. p. 3-17.
