title: Bereavement and grief in adults with learning disabilities. A follow-up study.
abstract: BACKGROUND
  This paper reports on the follow-up of a cohort of parentally bereaved adults with learning disabilities.
  
  
  OBJECTIVE
  To investigate whether significant psychopathology, present up to 2.1 years after the death, had resolved five years later.
  
  
  METHODS
  Of an original sample of 50 adults with learning disabilities, 41 were reassessed. The Aberrant Behaviour Checklist and the Psychopathology Instrument for Mentally Retarded Adults were re-administered to carers.
  
  
  RESULTS
  At follow-up, there was a small increase in the measures of aberrant behaviour. Measures of psychopathology showed improvement, and in particular there was a reduction in anxiety.
  
  
  CONCLUSIONS
  The response to bereavement by adults with learning disabilities is similar in type, though not in expression, to that of the general population. Learning disability is a significant predictor of mental health problems following bereavement. Participants adapted more easily when basic emotional needs had been constructively met by carers.
authors.affiliation: Department of Psychiatry of Disability, St George's Hospital Medical School, London.
authors.forename: E
authors.initials: E
authors.lastname: Bonell-Pascual
authors.forename: S
authors.initials: S
authors.lastname: Huline-Dickens
authors.forename: S
authors.initials: S
authors.lastname: Hollins
authors.forename: A
authors.initials: A
authors.lastname: Esterhuyzen
authors.forename: P
authors.initials: P
authors.lastname: Sedgwick
authors.forename: A
authors.initials: A
authors.lastname: Abdelnoor
authors.forename: J
authors.initials: J
authors.lastname: Hubert
mesh_terms: D000328:Adult; D001601:Bereavement; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006117:Grief; D006801:Humans; D007859:Learning Disabilities / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D012944:Social Support