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Schizophrenia and Down's syndrome

Published online by Cambridge University Press:  13 June 2014

Chandrudu Duggirala
Affiliation:
Frith Hospital, Leicester, England
Sally-Ann Cooper
Affiliation:
St Mary's Hospital, Kettering, England
Richard Anthony Collacott
Affiliation:
Department of Psychiatry, University of Leicester, Leicester, England

Abstract

There are few reports in the literature of schizophrenia in individuals with Down's syndrome, but a suggestion that such individuals may be protected from schizophrenia. We report six cases of schizophrenia fulfilling ICD-10 guidelines, occurring in people with Down's syndrome. In one case, hypothyroidism was associated. Response to neuroleptic treatment was good. Reasons for the paucity of previous reports on this association are discussed.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1995

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References

1.Menolascino, FL. Psychiatric aspects of mongolism. Am Journal Ment Def 1965; 69: 653–60.Google ScholarPubMed
2.Gath, A, Gumley, D. Behaviour problems in retarded children with special reference to Down's syndrome. Br J Psychiatry 1986; 149:156161CrossRefGoogle ScholarPubMed
3.Menolascino, FL. Down's syndrome: clinical and psychiatric finding in an institutionalised sample. In Menolascino, FJ, editor. Psychiatric Approaches to Mental Retardation. New York:Basic Books, 1970.Google Scholar
4.Lund, J. Psychiatric aspects of Down's syndrome. Acta Psychiatrica Scand 1988; 78: 369–74.CrossRefGoogle ScholarPubMed
5.Myers, BA, Pueschel, SM. Psychiatric disorders in persons with Down's syndrome. J Nerv Ment Dis 1991;179: 609–13.CrossRefGoogle Scholar
6.Collacott, RA, Cooper, S-A, McGrother, C. Differential rates of psychiatric disorders in adults with Down's syndrome compared to other mentally handicapped adults. Br J Psychiatry 1992; 161:671–4.CrossRefGoogle ScholarPubMed
7.Coope, S-A, Duggirala, C, Collacott, RA. Adaptive behaviour after schizophrenia in people with Down's syndrome. Journal of Intellectual Disability Research (in Press). Accepted 9.11.93.Google Scholar
8.Reid, AH. Psychosis in adult mental defectives: II Schizophrenic and paranoid psychoses. Br J Psychiatry 1972; 120:213–6.CrossRefGoogle Scholar
9.Hucker, SJ, Day, KA, George, S, Roth, M. Psychosis in mentally handicapped adults. In: Psychiatric illness and Mental Handicap. James, FE, Snaith, RP, editors. London: Gaskell Press 1979.Google Scholar
10.Thase, ME. Basal ganglia calcification and psychosis in Down's syndrome. Postgrad Med J 1984;60: 137–9.CrossRefGoogle ScholarPubMed
11.Lund, J. Epilepsy and psychiatric disorder in the mentally retarded adults. Acta Psychiatrica Scand 1985; 72: 557–62.CrossRefGoogle Scholar
12.Wright, EC. The presentation of mental illness in mentally retarded adults. Br J Psychiatry 1982; 141: 496502.CrossRefGoogle ScholarPubMed
13.Eaton, LF, Menolascino, FJ. Psychiatric disorders in the mentally retarded: types, problems and challenges. Am J Psychiatry 1982; 139: 12971303.Google ScholarPubMed
14.Menolascino, FS. Mental illness in the mentally retarded: diagnostic and treatment issues. In: Stark, JA, Menolascino, FJ, Albarelli, MH, Gray, VC, editors. Mental retardation and mental health, New York: Springer-Verlag, 1988; 109–23.CrossRefGoogle Scholar
15.Deb, S, Hunter, D. Psychopathology of people with mental handicap and epilepsy: II: psychiatric illness. Br J Psychiatry 1991; 159: 826–30.CrossRefGoogle ScholarPubMed
16.Heaton-Ward, A. Psychosis in mental handicap. Br J Psychiatry 1977; 159:525–33.CrossRefGoogle Scholar
17.Corbett, JA. Psychiatric morbidity and mental retardation. In: Snaith, P, Jones, RE, editors. Mental illness and mental retardation. Gaskell, London 1979; 1125.Google Scholar
18.Day, K. Psychiatric disorder in the middle aged and elderly mentally handicapped. Br J Psychiatry 1985; 147: 660–7.CrossRefGoogle ScholarPubMed
19.Gostason, R. Psychiatric illness among the mentally retarded: a Swedish population study. Acta Psychiatrica Scand (Supple) 1985; 318: 17.Google ScholarPubMed
20.Singh, NN, Katz, RC. Differential diagnosis in chronic schizophrenia and adult autism. In: Matson, JL, editor. Chronic schizophrenia and adult autism. New York: Springer Verlag 1989; 147–80.Google Scholar
21.Reid, AH. Schizophrenia in mental retardation: clinical features. Research in developmental disabilities 1989; 10 (3): 241–9.CrossRefGoogle ScholarPubMed
22.Meadows, G, Turner, T, Campbell, L, Lewis, SW, Reveley, MA, Murray, RM. Assessing schizophrenia in adults with mental retardation: a comparative study. Br J Psychiatry 1991; 158: 103–5.CrossRefGoogle ScholarPubMed
23.Endicott, J, Spitzer, RL. A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 1978; 35: 837–44.CrossRefGoogle ScholarPubMed
24.Zigman, WB, Schupf, N, Lubin, RA, Silverman, WP. Premature regression of adults with Down's syndrome. Am J Men Def 1987; 92(2): 161–8.Google Scholar
25.Lai, F, Williams, RS. A prospective study of Alzheimer's disease in Down's syndrome. Arch Neurol 1989; 46: 849–53.CrossRefGoogle Scholar
26.Collacott, RA. The effect of age and residential placement on adaptive behaviour of adults with Down's syndrome. Br J Psychiatry 1992; 161: 675–79.CrossRefGoogle ScholarPubMed
27.American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. Fourth edition, Washington DC 1994.Google Scholar
28.World Health Organisation. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. World Health Organisation, Geneva 1992.Google Scholar