Ida Lindblad disputerar den 20 december 2013 på avhandlingen "Mild intellectual disability: diagnostic and outcome aspects"
Plats: Hörsal Arvid Carlsson, Medicinaregatan 3, Gothenburg
The aim of the thesis was to describe mild intellectual disability (ID) from various neurodevelopmental and neuropsychiatric perspectives in children and young adults. A general population cohort of children with mild ID showed high rates of problems in areas of motor skills, executive function/attention, social interaction and in terms of behaviour and emotions more generally. These “comorbid” problems need to be taken into account whenever a child is assessed for mild ID. Another diagnostic concern is everyday adaptive functioning in mild ID. The children with mild ID have clearly reduced adaptive functioning compared to age norms, but a comparision group of children with ADHD had even lower adaptive functioning. The findings indicate that both children with mild ID and children with ADHD (and perhaps particularly those affected by both types of problems) are in need of comprehensive work-up covering not only general cognitive abilities, but also many other areas including adaptive functioning, which, incidentally, cannot be used as an arbiter between mild ID and ADHD. Findings from the thesis are also relevant for individuals with mild ID becoming parents. Children born to mothers with ID were at risk of many problems. These included an increased risk of neglect and abuse in the family, a much increased risk for the child to have mild ID, and for other neurodevelopmental problems, particularly ADHD. Individuals with ID who become parents need tailored support from social services and their children should be surveyed/assessed early from infancy onwards so as to guarantee their right to develop physically, mentally and socially in a supporting, and safe environment.