[Psychiatric disorders and neurological comorbidity in children with intellectual disability].
BACKGROUND
This article gives an overview of the consultant child and adolescent psychiatric services in the region of Upper Bavaria (Germany).


METHODS
The data of 257 children and adolescents with intellectual disability and psychiatric disorders were evaluated.


RESULTS
About 14% of the children with ID in special schools or day care centers, and 40% of the children with ID in residential care showed a definite psychiatric disorder. The most frequently diagnosed disorders were adjustment disorders, hyperkinetic disorders and conduct disorders, as well as emotional problems and pervasive developmental disorders. Children with severe intellectual disability had more additional somatic disorders and were more impaired in their psychosocial functions.


CONCLUSIONS
The results show the need for psychiatric services for children and adolescents with intellectual disability and psychiatric disorders. The development and implementation of integrative and interdisciplinary models is necessary to allow for adequate medical care for these patients.
Wriedt
Elke
E
Heckscher Klinikum für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik, München. elke.wriedt@heckscher-klinik.de
Wiberg
Anja
A
Sakar
Vehbi
V
Noterdaeme
Michele
M
D000293:Adolescent; D000296:Adolescent Psychiatry; D002648:Child; D002665:Child Psychiatry; D002675:Child, Preschool; D015897:Comorbidity; D003430:Cross-Sectional Studies; D004519:Education, Special; D005260:Female; D005858:Germany; D006801:Humans; D008607:Intellectual Disability / Q000453:epidemiology*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D009422:Nervous System Diseases / Q000453:epidemiology*; D012017:Referral and Consultation; D012114:Residential Treatment; D055815:Young Adult