Systematic review on the application and effectiveness of treatments based on mindfulness in people with intellectual disabilities
Abstract
The aim of this work was to carry out a systematic review of scientific studies that have applied psychological mindfulness-based treatments on people with intellectual disabilities to delve into the available evidence regarding their applicability and efficiency. Therefore, a bibliographic research was carried out for the different data bases from July 2015 to May 2016 and different references were taken between 2000 and 2015. Thirteen relevant articles were chosen and analyzed. The reported findings suggested that the mindfulness-based therapies seems to have a positive influence on the behavior and emotions of people over sixteen with borderline, medium and moderate intellectual disabilities. However, these findings should be carefully interpreted due to the methodological limitations identified in the reviewed studies, and it is necessary to continue investigating and improving research designs in order that they can confirm the initial results.References
Adkins, A. D. et al. (2010): “Using a mindfulness-based procedure in the community: translating research to practice”. Journal of Child and Family Studies, 19 (2): 175-183.
Allen, D. (2000): “Recent research on physical aggression in persons with intellectual disability: an overview”. Journal of Intellectual and Developmental Disability, 25 (1): 41-57.
American Psychiatric Association, APA (2013): Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5ª ed.). Washington DC: American Psychiatric Publising.
Baer, R. A. (2003): “Mindfulness as a clinical intervention: A conceptual and empirical review”. Clinical Psychology: Science and Practice, 10 (2): 125-143.
Bhaumik, S. et al. (2011): “Psychological treatments in intellectual disability: the challenges of building a good evidence base”. The British Journal of Psychiatry, 198 (6): 428-430.
Bouras, N. et al. (1999): “Mental health in mental retardation: The ABC for mental health, primary care and other professionals”. Londres: WPA Section of Mental Retardation.
Brylewski, J. y Duggan, L. (1999): “Antipsychotic medication for challenging behaviour in people with learning disability”. Journal of Intellectual Disability Research, 43: 360-371.
Canal, R. y Martín, M. V. (2003): Apoyo conductual positivo. Valladolid: Junta de Castilla y León.
Carr, J. E. et al. (2009): “Noncontingent reinforcement is an empirically supported treatment for problem behavior exhibited by individuals with developmental disabilities”. Research in Developmental Disabilities, 30 (1): 44-57.
Chapman, M. J. y Mitchell, D. (2013): “Mindfully valuing people now: an evaluation of introduction to mindfulness workshops for people with intellectual disabilities”. Mindfulness, 4 (2): 168-178.
Chaplin, R. (2004): “General psychiatry services for adults with intellectual disabilities and mental illness”. Journal of Intellectual Disability Research. 48 (1): 1-10.
Chiesa, A. y Serretti, A. (2010): “A systematic review of neurobiological and clinical features of mindfulness meditations”. Psychological Medicine, 40 (08): 1239-1252.
Chowdhury, M. y Benson, B. A. (2011): “Use of differential reinforcement to reduce behavior problems in adults with intellectual disabilities: a methodological review”. Research in Developmental Disabilities, 32 (2): 383-394.
Clarke, D. J. et al. (1990): “Psychotropic drugs and mental retardation: 1. Disabilities and the prescription of drugs for behaviour and for epilepsy in three residential settings”. Journal of Intellectual Disability Research, 34 (5): 385-395.
Cooper, S. A. et al. (2007): “Mental ill-health in adults with intellectual disabilities: prevalence and associated factors”. The British Journal of Psychiatry, 190 (1): 27-35.
Deb, S. et al. (2007): “The effectiveness of antipsychotic medication in the management of behaviour problems in adults with intellectual disabilities”. Journal of Intellectual Disability Research, 51 (10): 766-777.
Del Vecchio, T. y O’Leary, K. D. (2004): “Effectiveness of anger treatments for specific anger problems: a metaanalytic review”. Clinical Psychology Review, 24 (1): 15-34.
Dunlap, G. y Kern, L. (1993): “Assessment and intervention for children within the instructional curriculum”, en J. Reichle., y D. Wacker. (eds.): Communicative approaches to the management of challenging behavior. Baltimore: Paul H. Brookes.
Emerson, E. (1995): Challenging behaviour: analysis and intervention in people with learning difficulties. Cambrigde: Cambrigde University Press.
Esparza, C. y Abellán, A. (2008): Encuesta de Discapacidad, Autonomía personal y situaciones de Dependencia (EDAD) 2008. Madrid: Instituto Nacional de Estadística.
Fjorback, L. O. et al. (2011): “Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy: a systematic review of randomized controlled trials”. Acta Psychiatrica Scandinavica, 124 (2): 102-119.
Flynn, A. G. (2012): “Fact or faith?: on the evidence for psychotherapy for adults with intellectual disability and mental health needs”. Current Opinion in Psychiatry, 25 (5): 342-347.
Hayes, S. C. (2004): “Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies”. Behavior therapy, 35 (4): 639-665.
Hayes, S. C. et al. (eds.) (2001): Relational frame theory: A post-Skinnerian account of human language and cognition. Nueva York: Kluwer Academic/Plenum Publishers.
Hayes, S. C. et al. (1999): Acceptance and Commitment Therapy: An experiential approach to behavior change. Nueva York: Guilford Press.
Idusohan‐Moizer, H. et al. (2015): “Mindfulness‐Based Cognitive Therapy for adults with intellectual disabilities: an evaluation of the effectiveness of mindfulness in reducing symptoms of depression and anxiety”. Journal of Intellectual Disability Research, 59 (2): 93-104.
Kabat‐Zinn, J. (2003): “Mindfulness‐based interventions in context: past, present, and future”. Clinical Psychology: Science and Practice, 10 (2): 144-156.
Kurtz, P. F. et al. (2011): “An analysis of functional communication training as an empirically supported treatment for problem behavior displayed by individuals with intellectual disabilities”. Research in Developmental Disabilities, 32 (6): 2935-2942.
Linehan, M. (1993): Cognitive-Behavioral Treatment of Borderline Personality Disorder. Nueva York: Guilford Press.
Matson, J. L. et al. (2000): “Psychopharmacology and mental retardation: a 10 year review (1990–1999)”. Research in Developmental Disabilities, 21 (4): 263-296.
McClintock, K. et al. (2003): “Risk markers associated with challenging behaviours in people with intellectual disabilities: a meta‐analytic study”. Journal of Intellectual Disability Research, 47 (6): 405-416.
Miodrag, N. et al. (2013): “A pilot study of a mindfulness intervention for individuals with Williams Syndrome: physiological outcomes”. Mindfulness, 4 (2): 137-147.
Novaco, R. W. (2010): “Anger and psychopathology”, en Potegal, M. et al. (eds.): International handbook of anger: constitutent and concomitant biological, psychological and social proceses. Nueva York: Springer.
Perestelo-Pérez, L. (2013): “Standard son how to develop and report systematic reviews in Psychology and Health”. International Journal of Clinical and Health Psychology, 13: 49-57.
Reid, K. A. et al. (2011): “Prevalence and associations of anxiety disorders in adults with intellectual disabilities”. Journal of Intellectual Disability Research, 55 (2): 172-181.
Reiss, S. (2000): “A mindful approach to mental retardation”. Journal of Social Issues, 56(1), 65-80.
Rojahn, J. (1986): “Self-injurious and stereotypic behavior of noninstitutionalized mentally retarded people: prevalence and classification”. American Journal of Mental Deficiency, 91 (3): 268-276.
Saloviita, T. (2000): “The structure and correlates of self-injurious behavior in an institutional setting”. Research in Developmental Disabilities, 21 (6): 501-511.
Schalock, R. L. et al. (2010): Intellectual Disability. Definition, classification and systems of supports. (11.a ed.). Washington, DC: American Association on Intellectual and Developmental Disabilities.
Segal, Z. V. et al. (2002): Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Nueva York: Guilford Press.
Shapiro, S. L. y Carlson, L. E. (2009): The Art and Science of Mindfulness: Integrating Mindfulness into Psychology and the Helping Professions. Washington, DC: American Psychological Association.
Singh, N. N. et al. (2013a): “Mindfulness-based treatment of aggression in individuals with mild intellectual disabilities: a waiting list control study”. Mindfulness, 4 (2): 158-167.
Singh, N. N. et al. (2013b): “A Mindfulness-based smoking cessation program for individuals with mild intellectual disability”. Mindfulness, 4 (2): 148-157.
Singh, N. N. et al. (2013c). Mindfulness‐Based Approaches, en Taylor, J. L. et al. (eds.): Psychological Therapies for Adults With Intellectectual Disabilities. Chichester, Reino Unido: John Wiley & Sons, Ltd.
Singh, N. N. et al. (2011a): “A Mindfulness-Based Health Wellness Program for Individuals With Prader-Willi Syndrome”. Journal of Mental Health Research in Intellectual Disabilities, 4 (2), 90-106.
Singh, N. N. et al. (2011b): “Peer with intellectual disabilities as a Mindfulness-based anger and aggression management therapist”. Research in Developmental Disabilities, 32 (6): 2690-2696.
Singh, N. N. et al. (2011c): “Effects of a Mindfulness-based smoking cessation program for an adult with mild intellectual disability”. Research in Developmental Disabilities, 32 (3): 1180-1185.
Singh, N. N. et al. (2008): “Clinical and benefit–cost outcomes of teaching a Mindfulness-based procedure to adult offenders with intellectual disabilities”. Behavior Modification, 32 (5): 622-637.
Singh, N. N. et al. (2007): “Mindfulness training assists individuals with moderate mental retardation to maintain their community placements”. Behavior Modification, 31 (6): 800-814.
Singh, N. N. et al. (2003): “Soles of the feet: a Mindfulness-based self-control intervention for aggression by an individual with mild mental retardation and mental illness”. Research in Developmental Disabilities, 24 (3): 158-169.
Taylor, J. L. (2002): “A review of the assessment and treatment of anger and aggression in offenders with intellectual disability”. Journal of Intellectual Disability Research, 46 (s1): 57-73.
Tyrer, F. et al. (2006): “Physical aggression towards others in adults with learning disabilities: prevalence and associated factors”. Journal of Intellectual Disability Research, 50 (Pt 4): 295-304.
Verdugo, M. A. et al. (2014): “Discapacidad intelectual”, en Expeleta, L. y Toro, J. (eds.): Psicopatología del desarrollo. Madrid: Pirámide.
Vereenooghe, L., y Langdon, P. E. (2013): “Psychological therapies for people with intellectual disabilities: a systematic review and meta-analysis”. Research in Developmental Disabilities, 34 (11): 4085-4102.
Whitaker, S. y Read. S. (2006): “The prevalence of psychiatric disorders among people with intellectual disabilities: an analysis of the literature”. Journal of Applied Research in Intellectual Disabilities. 19 (4): 330-345.
Willner, P. (2007): “Cognitive behavioural therapy for people with learning disabilities: focus on anger”. Advances in Mental Health and Learning Disabilities, 1 (2): 14-21.
Yildiran, H. y Holt, R. R. (2015): “Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intelectual disabilities”. British Journal of Learning Disabilities, 43 (1): 49-54.
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