Reliability and validity of the Dutch Anxiety, Depression And Mood Scale in adults aged <50 years with intellectual disabilities

Background: Reliable and valid screening instruments for depression and anxiety are needed for adults with intellectual disabilities. Methods: Internal consistency (n = 198), inter-rater reliability (n = 41), test–retest reliability (n = 37) and criterion validity (n = 43) were studied in adults aged between 18 and 49 years. Internal consistency was also studied in a sample with epilepsy (n = 98). Results: Internal consistencies of the Dutch ADAMS total scale and subscales were satisfactory to good (α = 0.76–0.92), as well as in the subgroup with epilepsy (α = 0.74–0.88). Inter-rater reliability and test–retest reliability were fair to excellent for the total scale (ICC’s: 0.57–0.84) and subscales (ICC’s: 0.43–0.86). The criterion validity of the Dutch ADAMS Depressive Mood subscale was good with a sensitivity of 88% (95% CI: 53%–98%) and a specificity of 80% (95% CI: 64%–90%). Conclusions: Our study shows that the Dutch ADAMS is a reliable and valid instrument for adults aged between 18 and 49 years with intellectual disabilities (and comorbid epilepsy)

Epilepsy, anti-seizure medication, intellectual disability and challenging behaviour – Everyone’s business, no one’s priority

Purpose People with Intellectual Disability (ID) and epilepsy are more likely to experience psychiatric conditions, challenging behaviour (CB), treatment resistance and adverse effects of anti-seizure medications (ASM) than those without. This population receives care from various professionals, depending on local care pathways. This study evaluates the training status, confidence, reported assessment and management practices of different professional groups involved in caring for people with ID, epilepsy and CB. Methods A cross sectional survey using a questionnaire developed by expert consensus which measured self-reported training status, confidence, and approaches to assessment and management of CB in people with ID and epilepsy was distributed to practitioners involved in epilepsy and/or ID. Results Of the 83 respondents, the majority had either a psychiatry/ID (n = 39), or Neurology/epileptology background (n = 31). Psychiatry/ID and Neurology/epileptology had similar confidence in assessing CB in ID-epilepsy cases, but Psychiatry/ID exhibited higher self-rated confidence in the management of these cases. While assessing and managing CB, Psychiatry/ID appeared more likely to consider mental health aspects, while Neurology/epileptology typically focused on ASM. Conclusion Psychiatry/ID and Neurology/epileptology professionals had varying training levels in epilepsy, ID and CB, had differing confidence levels in managing this patient population, and considered different factors when approaching assessment and management. As such, training opportunities in ID should be offered to neurology professionals, and vice versa. Based on the findings, a best practice checklist is presented, which aims to provide clinicians with a structured framework to consider causal explanations for CB in this population

Mag een nachtegaal er ook zijn? Een beschouwing over natuur, cultuur en beschaving

In de loop van de vorige eeuw was het vanzelfsprekend geworden dat we als menselijke samenleving zorg dienen te dragen voor de natuur en dit had zijn neerslag gekregen in het werk van natuurorganisaties en in nationale bidgetten voor natuurbeheer. In de huidige schokgolf van financiële en economische crises wordt deze vanzelfsprekendheid weer ter discussie gesteld

Mag een nachtegaal er ook zijn? Een beschouwing over natuur, cultuur en beschaving

In de loop van de vorige eeuw was het vanzelfsprekend geworden dat we als menselijke samenleving zorg dienen te dragen voor de natuur en dit had zijn neerslag gekregen in het werk van natuurorganisaties en in nationale bidgetten voor natuurbeheer. In de huidige schokgolf van financiële en economische crises wordt deze vanzelfsprekendheid weer ter discussie gesteld

Zeeuws licht, Domburg en Mondriaan

Uitgave van Staatsbosbeheer, KNNV en Gemeentemuseum Den Haag. Het bevat drie delen. 1. Van Westkapelle tot Veerse Gat: Ontstaans- landschapsgeschiedenis; veranderend grondgebruik in de 14e en 15e eeuw; tuinaanleg in de 17e, 18e en 19e eeuw. 2. Domburgse badcultuur; 3. Mondriaan in Domburg. (samenstelling o.a. A.M.M. van Haperen en M.G.C. Schouten)

Veen, turf en Vincent van Gogh

Informatie Staatsbosbeheer over vervening en kuns

Veen, turf en Vincent van Gogh

Informatie Staatsbosbeheer over vervening en kuns