Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00034916.xml
Nervenheilkunde 2025; 44(09): 608-621
DOI: 10.1055/a-2625-5624
DOI: 10.1055/a-2625-5624
Schwerpunkt
Akutpsychiatrie für Menschen mit Intelligenzminderung und psychischen Störungen
Ein Überblick zum Modell der heilpädagogischen Station H
Zusammenfassung
Der Beitrag analysiert die komplexen klinischen, pharmakologischen und milieutherapeutischen Anforderungen an die Behandlung von Menschen mit Intelligenzminderung (IM) und komorbiden psychischen Störungen anhand zweier Fallberichte der spezialisierten heilpädagogischen Station H des Bezirkskrankenhauses Bayreuth.
Publication History
Article published online:
12 September 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
Literatur
- 1 Maulik PK, Mascarenhas MN, Mathers CD. et al. Prevalence of intellectual disability: a meta-analysis of population-based studies. Res Dev Disabil 2011; 32: 419-436
- 2 Brugha TS, McManus S, Bankart J. et al. Epidemiology of autism spectrum disorders in adults in the community in England. Arch Gen Psychiatry 2011; 68: 459-465
- 3 Dunn K, Rydzewska E, MacIntyre C. et al. The prevalence and general health status of people with intellectual disabilities and autism co-occurring together: a total population study. J Intellect Disabil Res 2019; 63: 277-285
- 4 Buckles J, Luckasson R, Keefe E. A systematic review of the prevalence of psychiatric disorders in adults with intellectual disability, 2003–2010. J Ment Health Res Intellect Disabil 2013; 6: 181-207
- 5 Koslowski N, Klein K, Arnold K. et al. Effectiveness of interventions for adults with mild to moderate intellectual disabilities and mental health problems: systematic review and meta-analysis. Br J Psychiatry 2016; 209: 469-474
- 6 Bigby C. Social inclusion and people with intellectual disability and challenging behaviour: a systematic review. J Intellect Dev Disabil 2012; 37: 360-374
- 7 Pinals DA, Hovermale L, Mauch D. et al. Persons with intellectual and developmental disabilities in the mental health system: part 1. Clinical considerations. Psychiatr Serv 2022; 73: 313-320
- 8 Wellkamp R, de Cruppé W, Schwalen S. et al. Menschen mit geistiger Behinderung (MmgB) in der ambulanten medizinischen Versorgung: Barrieren beim Zugang und im Untersuchungsablauf. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz 2023; 66: 184-198
- 9 Moss S, Emerson E, Kiernan C. et al. Psychiatric symptoms in adults with learning disability and challenging behaviour. Br J Psychiatry 2000; 177: 452-456
- 10 Martin P. Medical treatment for people with intellectual impairment. Dtsch Arztebl Int 2019; 116: 807-808
- 11 Glover G, Bernard S, Branford D. et al. Use of medication for challenging behaviour in people with intellectual disability. Br J Psychiatry 2014; 205: 6-7
- 12 McDermott S, Durkin MS, Schupf N. et al. Epidemiology and etiology of mental retardation. In Jacobson JW, Mulick JA, Rojahn J. editors. Handbook of intellectual and developmental disabilities. Boston, MA: Springer US; 2007: 3-40
- 13 Plomin R. Commentary: the origins of intellectual disability. J Child Psychol Psychiatry 2022; 63: 1103-1105
- 14 Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme 10. Revision German Modification Version 2025. 2025 Accessed July 31, 2025 at: https://klassifikationen.bfarm.de/icd-10-gm/kode-suche/htmlgm2025/index.htm
- 15 Schützwohl M, Sappok T. Psychische Gesundheit bei Personen mit Intelligenzminderung. Nervenarzt 2020; 91: 271-281
- 16 Mazza MG, Rossetti A, Crespi G. et al. Prevalence of co-occurring psychiatric disorders in adults and adolescents with intellectual disability: a systematic review and meta-analysis. J Appl Res Intellect Disabil 2020; 33: 126-138
- 17 Morgan VA, Leonard H, Bourke J. et al. Intellectual disability co-occurring with schizophrenia and other psychiatric illness: population-based study. British Journal of Psychiatry 2008; 193 (5) 364-372
- 18 Cooper SA, Smiley E. Prevalence of intellectual disabilities and epidemiology of mental ill-health in adults with intellectual disabilities. 2nd edn. Oxford: Oxford University Press;
- 19 Deb S, Thomas M, Bright C. Mental disorders in adults with intellectual disability: 2. The rate of behaviour disorder among a community-based population aged between 16–64 years. J Intellect Disabil Res 2001; 45: 506-514
- 20 Davies LE, Oliver C. The purported association between depression, aggression, and self-injury in people with intellectual disability: a critical review of the literature. Am J Intellect Dev Disabil 2014; 119: 452-457
- 21 Cordeiro L, Ballinger E, Hagerman R, Hessl D. Clinical assessment of DSM-IV anxiety disorders in fragile X syndrome: prevalence and characterization. J Neurodev Disord 03/2011; 3 (1) 57-67
- 22 Mefford HC, Batshaw ML, Hoffman EP. Genomics, intellectual disability, and autism. N Engl J Med 23.02.2012; 366 (8) 733-43
- 23 Strydom A, Hassiotis A, King M. et al. The relationship of dementia prevalence in older adults with intellectual disability (ID) to age and severity of ID. Psychol Med 01/2009; 39 (1) 13-21
- 24 Simonoff E, Pine DS. et al. Intellectual disability. In Rutter’s Child and Adolescent Psychiatry. Chichester: John Wiley & Sons; 2015: 719-737
- 25 Robertson J, Hatton C, Emerson E. et al. Prevalence of epilepsy among people with intellectual disabilities: A systematic review. Seizure 08/2015; 29: 46-62
- 26 Weih M, Köhler S, Schöll N. et al. Mental, neurological, and somatic comorbidities and their treatment in persons with intellectual disability. Dtsch Arztebl Int 2022; 119: 418-414
- 27 Bruinsma E, van den Hoofdakker BJ, Groenman AP. et al. Non-pharmacological interventions for challenging behaviours of adults with intellectual disabilities: a meta-analysis. J Intellect Disabil Res 2020; 64: 561-578
- 28 Lee AH, DiGiuseppe R. Anger and aggression treatments: a review of meta-analyses. Curr Opin Psychol 2018; 19: 65-74
- 29 Didden R, Duker PC, Korzilius H. Meta-analytic study on treatment effectiveness for problem behaviors with individuals who have mental retardation. Am J Ment Retard 1997; 101: 387-399
- 30 Bundesministerium der Justiz. Bürgerliches Gesetzbuch (BGB). 2025 Accessed July 31, 2025 at: https://www.gesetze-im-internet.de/bgb/
- 31 Zúñiga Mouret R, Greenbaum JP, Doll HM. et al. The adaptor protein 2 (AP2) complex modulates habituation and behavioral selection across multiple pathways and time windows. iScience 2024; 27: 109455
- 32 Chinoy A, Nicholson J, Skae M. et al. Neurodevelopmental abnormalities in patients with familial hypocalciuric hypercalcemia type 3. J Pediatr 2023; 257: 113367
- 33 Stevenson M, Bayliss AL, Stokes VJ. et al. Adaptor protein 2 sigma subunit (AP2S1) variants associated with neurodevelopmental disorders. medRxiv 2024 Verfügbar unter: Accessed July 31, 2025 at: http://medrxiv.org/lookup/doi/10.1101/2024.07.22.24310683
- 34 Aashiq M, Malallah AJ, Khan F. et al. Clinical and biochemical features in a case of familial hypocalciuric hypercalcemia type 3 with AP2S1 gene mutation in codon Arg15His. Case Rep Pediatr 2020; 2020: 7312894
- 35 Tsiouris JA. Pharmacotherapy for aggressive behaviours in persons with intellectual disabilities: treatment or mistreatment?. J Intellect Disabil Res 2010; 54: 1-16
- 36 Matson JL, Wilkins J. Antipsychotic drugs for aggression in intellectual disability. Lancet 2008; 371: 9-10
- 37 Lunsky Y, Khuu W, Tadrous M. et al. Antipsychotic use with and without comorbid psychiatric diagnosis among adults with intellectual and developmental disabilities. Can J Psychiatry 2018; 63: 361-369
- 38 Frogley C, Taylor D, Dickens G. et al. A systematic review of the evidence of clozapine’s anti-aggressive effects. Int J Neuropsychopharmacol 2012; 15: 1351-1371
- 39 Andreea T, Petru I, Miron AA. et al. Clozapine for treatment-refractory aggressive behavior. Psychiatr Q 2021; 92: 721-733
- 40 De Deyn PP, Buitelaar J. Risperidone in the management of agitation and aggression associated with psychiatric disorders. Eur Psychiatry 2006; 21: 21-28
- 41 Bak M, Weltens I, Bervoets C. et al. The pharmacological management of agitated and aggressive behaviour: A systematic review and meta-analysis. Eur Psychiatry 2019; 57: 78-100
- 42 Komenda-Schned S, Moritz PC, Zeilinger Dr EL. Rezension von Skala der emotionalen Entwicklung – Diagnostik 2 (SEED-2). Z Klin Psychol Psychother 2024; 53: 149-154
- 43 Vereinte Nationen (United Nations). Convention on the Rights of Persons with Disabilities (CRPD). 2006 Accessed July 31, 2025 at: https://documents.un.org/doc/undoc/gen/n06/500/79/pdf/n0650079.pdf?OpenElement
- 44 Wolfmayr F. Mein neues Auto macht mir viel Freude – In Norwegen ist Leben mit Behinderung normal. Z Menschen Anderswo 2024 6
- 45 Deutscher Bundestag. Ausschuss für Arbeit und Soziales besucht Norwegen und Schweden. Berlin: Deutscher Bundestag; 09.06.2022. Accessed July 31, 2025 at: https://www.bundestag.de/webarchiv/presse/pressemitteilungen/2022/pm-220609-delegationsreise-afarbsoz-norwegen-schweden-898842