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Psychiatric morbidity and social functioning among adults with borderline intelligence living in private households
A. Hassiotis, 1 A. Strydom, 1 I. Hall, 2 A. Ali, 2 G. Lawrence-Smith, 3 H. Meltzer 4 , J. Head 5 &P. Bebbington 1
  1 UCL, Department of Mental Health Sciences, (Bloomsbury Campus), Charles Bell House, London, UK
  2 Community Learning Disability Service, Mile End Hospital, London, UK
  3 Adamson Centre for Mental Health, St Thomas' Hospital, London, UK
  4 Department of Health Sciences, University of Leicester, Leicester, UK
  5 UCL, Department of Epidemiology and Public Health, London, UK
Correspondence to  Dr Angela Hassiotis, UCL, Department of Mental Health Sciences, (Bloomsbury Campus), 67-73 Riding House Street, 2nd Floor, Charles Bell House, London W1W 7EJ, UK (e-mail: a.hassiotis@ucl.ac.uk).
Copyright © 2007 The Authors. Journal Compilation © 2007 Blackwell Publishing Ltd
KEYWORDS
borderline • health services • intelligence • mental disorders • psychosis • survey

ABSTRACT

AbstractIntroductionMethodsResultsDiscussionReferences

Background  Approximately one-eighth of the population will have DSM-IV borderline intelligence. Various mental disorders and social disability are associated with it.

Method  The paper uses data (secondary analysis) from a UK-wide cross-sectional survey of 8450 adults living in private households. Data were collected on psychiatric disorders, intellectual level, social functioning and service use.

Results  In total, 12.3% of the sample had borderline intelligence. The prevalence of psychotic disorder was not significantly increased, but the group showed significant social disadvantage and increased rates of neurotic disorders, substance misuse and personality disorders when compared with their counterparts of normal intelligence. The borderline group was more likely to receive psychiatric medication, but not talking therapies. They appear to use significantly more services, including emergency services.

Conclusion  Adults with borderline intelligence are more likely to suffer from treatable mental disorders and an excess of substance misuse. Services should be aware of hidden morbidity in this group.


Accepted 23 August 2007

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1365-2788.2007.01001.x About DOI

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