Comorbidities in Developmental Disorders – Chapter 9: Increased Longevity and the Comorbidities Associated with Intellectual and Developmental Disability (ebook)
Chapter 9 of the book – Increased Longevity and the Comorbidities Associated with Intellectual and Developmental Disability
The health and survival of people with intellectual and developmental disabilities (IDD) have increased signifi cantly during the past century, aided by deinstitutionalisation and improved access to health care. In high-income countries, life expectancy estimates are now approximately 70 years for people with mild IDD and 60 years for those with more severe levels of IDD. The increasing survival of people with IDD will result in a greater risk of age-related morbidity, and both adult-onset cancers and non-malignant disorders, especially since age-related comorbidities generally appear at younger ages than in the general population.
About the complete book
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