ArticleJournal of intellectual disabilities : JOID2024
Bias in assessment of co-occurring mental disorder in individuals with intellectual disabilities: Theoretical perspectives and implications for clinical practice.
Article in Journal of intellectual disabilities : JOID, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Applicability and Psychometric Properties of General Mental Health Assessment Tools in Autistic People: A Systematic Review.Journal of autism and developmental disorders · 2025Pooled it
- Effectiveness of deep brain stimulation on refractory aggression in pediatric patients with autism and severe intellectual disability: meta-analytic review.BMC pediatrics · 2024Pooled it
- Self-Help App for Depression in People With Intellectual Disabilities: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Characteristics associated with the use of specialized mental healthcare by Norwegian adults with intellectual disability: a cross-sectional study.BMC health services research · 2026Article
- Factor Structure and Longitudinal Measurement Invariance of the Psychopathology in Autism Checklist.Journal of autism and developmental disorders · 2026Article
- The Aberrant Behavior Checklist in a Clinical Sample of Autistic Individuals with Intellectual Disabilities and Co-Occurring Mental Health Problems: Psychometric Properties, Factor Structure, and Longitudinal Measurement Invariance.Journal of autism and developmental disorders · 2026Article
- Effect of Specialized Psychiatric Assessment and Precision Diagnosis on Pharmacotherapy in Adults with Intellectual Disability.Journal of clinical medicine · 2026Article
- Elevated psychiatric and substance use disorders in people with intellectual disabilities in a Swedish National Sample.Psychological medicine · 2025Article
- Neurological findings in a cohort of adults with down syndrome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Article
- Schizophrenia in Autistic People with Intellectual Disabilities. Treatment and Interventions.Journal of autism and developmental disorders · 2025Article
- Psychiatric Comorbidities in Autistic Adolescents Without Intellectual Impairment: A Focus on Parent- and Self-Reported Psychopathological Assessment.Brain sciences · 2025Article
- Post-traumatic stress disorder and experiences involving violence or sexual abuse in a clinical sample of autistic adults with intellectual disabilities: Prevalence and clinical correlates.Autism : the international journal of research and practice · 2024Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Influence from bias is unavoidable in clinical decision-making, and mental health assessment seems particularly vulnerable. Individuals with intellectual disabilities have increased risk of developing co-occurring mental disorder. Due to the inherent difficulties associated with intellectual disabilities, assessment of mental health in this population often relies on a different set of strategies, and it is unclear how these may affect risk of bias. In this theoretical paper, we apply recent conceptualisations of bias in clinical decision-making to the specific challenges and strategies in mental health assessment in intellectual disabilities. We suggest that clinical decision-making in these assessments is particularly vulnerable to bias, including sources of bias present in mental health assessment in the general population, as well as potential sources of bias which may be specific to assessments in this population. It follows that to manage potential bias, triangulating information from multi-informant, multi-method, interdisciplinary assessment strategies is likely to be necessary.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.