Comorbidities in Developmental Disorders – Chapter 1: Intellectual Disabilities and their Comorbidities (free ebook)
Chapter 1 – Intellectual Disabilities and their Comorbidities from Comorbidities in Developmental Disorders
Both intellectual disabilities and the comorbidities discussed in this chapter are common final clinical pathways with multiple possible causes and multiple possible combinations and permutations. These multiple causes and their combinations in any one individual contribute significantly to the nature of the developmental difficulties experienced and hence have substantial implications for intervention, as witnessed by publications focusing on the educational needs of students with particular genetic conditions. These multiple interactions of the biological, psychological and social are common and important diagnostically, therapeutically and amelioratively.
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In the last decade the term ’comorbidity’ has gained popularity in the field of paediatric neurodisability, with the increasing recognition that many conditions are rarely present in isolation. Within this field, the term is often used to refer to the co-occurrence of conditions more frequently than would be expected by chance, which can include instances where one condition causes the other, where they share a common cause (for example, genetic), or where they are in fact manifestations of a single condition.
Whether it is valid to use the term ’comorbidity’ in all these situations, and how precisely it should be used, is something that the contributors to this book grapple with in their own fields of interest. The contributors, all world experts in their fields, also discuss what we can learn from the presence of comorbidities, however defined, about the aetiology and treatment of neurodevelopmental disabilities. In particular, they demonstrate how our increasing understanding of the mechanisms underlying the common association of many ‘comorbidities’ is helping us to understand the natural history of these conditions and improve our management of them.
Paediatricians, paediatric neurologists, child psychiatrists, neurodevelopmentalists, and physical, occupational and speech therapists working with children with developmental disabilities.
Clinics in Developmental Medicine No. 187