European Child & Adolescent Psychiatry

, Volume 8, Supplement 4, pp S77–S82 | Cite as

Psychiatric symptoms in children with intellectual disability

  • S. L. Linna
  • I. Moilanen
  • H. Ebeling
  • J. Piha
  • K. Kumpulainen
  • T. Tamminen
  • F. Almqvist


In a sample of almost 6000 8-year-old children, we found that 1.5% attended special schools for the educationally subnormal, or training schools. Psychiatric symptoms were studied by means of three screening instruments: the Rutter Parent Questionnaire (RA2) for the parents, the Rutter Teacher Questionnaire (RB2) for the teachers, and the Children’s Depression Inventory (CDI) for the children. The prevalence rate of children identified as possibly suffering from a psychiatric disturbance was 32.2% according to the RA2. The corresponding prevalence rate for the RB2 was 34.2%. According to the CDI 11.0% had depressive disturbance. All types of disturbances were more frequent among the intellectually disabled children as compared to the nondisabled children. The differences were statistically significant for emotional and mixed types of disturbance on the RA2, and for emotional and conduct types of disturbance on the RB2.

Key words

Intellectual disability child psychiatric symptoms 


  1. 1.
    Almqvist F, Tamminen T, Piha J (1991) Experience for planning of further research. Reports of Psychiatrica Fennica, Report No 91:121–129Google Scholar
  2. 2.
    Almqvist F, Ikäheimo K, Kumpulainen K, Tuompo-Johansson E, Linna S-L, Puura K, Moilanen I, Räsänen E, Tamminen T, Piha J. Design and subjects of a Finnish Epidemiological Study on Psychiatric Disorders in Children. European Child & Adolescent Psychiatry 8: (Suppl. 1) (this issue)Google Scholar
  3. 3.
    Almqvist F, Kumpulainen K, Ikäheimo K, Linna S-L, Henttonen I, Huikko E, Tuompo-Johansson E, Aronen E, Puura K, Piha J, Tamminen T, Räsänen E, Moilanen I. Behavioral and emotional symptoms in 8–9 year-old children. European Child & Adolescent Psychiatry 8: (Suppl. 1) (this issue)Google Scholar
  4. 4.
    Abramowicz HK, Richardson SA (1975) Epidemiology of severe mental retardation in children: Community studies. American Journal of Mental Deficiency 80:18–39PubMedGoogle Scholar
  5. 5.
    Balthazar EE (1975) The emotionally disturbed retarded: emphasis upon program development. Proceedings of the Third Congress of the IAASMD. (Primrose DAA (Ed) Polish Medical Publishers. Volume 1, pp. 114–119Google Scholar
  6. 6.
    Central Statistical Office of Finland (1988) Proposal of grouping of communes 28.10.1988. TK 04-1843. Report No 1988:10Google Scholar
  7. 7.
    Dewan JK (1948) Intelligence and emotional stability. American Journal of Psychiatry 104:721–729Google Scholar
  8. 8.
    Eaton LF, Menolascino FJ (1982) Psychiatric disorders in the mentally retarded: types, problems, and challenges. American Journal of Psychiatry 139:1297–1303PubMedGoogle Scholar
  9. 9.
    Fraser WI, Leudar I, Gray J, Campbell I (1986) Psychiatric and behaviour disturbance in mental handicaps. Journal of Mental Deficiency Research 30:49–57PubMedGoogle Scholar
  10. 10.
    Graham P, Rutter M (1968) The reliability and validity of psychiatric assessment of the child. II. Interview with the parent. British Journal of Psychiatry 114:581–592CrossRefPubMedGoogle Scholar
  11. 11.
    Göstason R. (1985) Psychiatric illness among the mentally retarded. A Swedish population study. Acta Psychiatrica Scandinavica 71: Supplement No. 318Google Scholar
  12. 12.
    Kovacs M (1980) Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica 46:305–315Google Scholar
  13. 13.
    Linna S-L (1989) Prevalence, Aetiology, Associated Handicaps and Self-care Ability in 5–19 Year Old severely Mentally Retarded. (Dissertation). Oulu, Finland: University Printing CenterGoogle Scholar
  14. 14.
    Moilanen I, Isohanni M, Rantakallio P (1991) Incidence of psychiatric disorders in children and adolescents. Paper given at the XXIII Nordiska Psykiaterkongressen, Helsinki, Finland. 4–7 July 1991Google Scholar
  15. 15.
    Penrose LS (1938) (Colchester Survey). A clinical and genetic study of 1,280 cases of mental defect. Special Report Series. Medical. Research Council. No.229, London: H.M.S.O.Google Scholar
  16. 16.
    Rantakallio P, v. Wendt L (1986) Mental retardation and subnormality in a birth cohort of 12.000 children in Northern Finland. American Journal of Mental Deficiency 90:380–387PubMedGoogle Scholar
  17. 17.
    Rutter M (1965) Classification and categorization in child psychiatry. Journal of Child Psychology and Psychiatry 6:71–83CrossRefPubMedGoogle Scholar
  18. 18.
    Rutter M (1967) A children’s behaviour questionnaire for completion by teachers. Preliminary findings. Journal of Child Psychology and Psychiatry 8:1–11CrossRefPubMedGoogle Scholar
  19. 19.
    Rutter M, Tizard J, Whitmore K (1970) (Eds) Education, Health and Behaviour. London: Longman.Google Scholar
  20. 20.
    Rutter M (1972) Psychiatric disorder and intellectual impairment in childhood. British Journal of Hospital Medicine 8:137–140Google Scholar
  21. 21.
    Rutter M, Tizard J, Yule W, Graham P, Whitmore K (1975) Isle of Wight Studies, 1964–1974. Psychological Medicine 6:313–33CrossRefGoogle Scholar
  22. 22.
    Rutter M (1976) Surveys to answer questions: some methodological considerations. In: Epidemiological Approaches in Child Psychiatry. Graham PJ (Ed) (pp. 1–30). London: Academic PressGoogle Scholar
  23. 23.
    Szymanski LS (1977) Psychiatric diagnostic evaluation of mentally retarded individuals. Journal of the American Academy of Child Psychiatry 16:67–87PubMedCrossRefGoogle Scholar
  24. 24.
    Szymanski L (1992) Mental Retardation and Mental Illness. Diagnosis and Treatment. Presentation outline — September 30, 1992. Helsinki. FinlandGoogle Scholar

Copyright information

© Steinkopff-Verlag 1999

Authors and Affiliations

  • S. L. Linna
    • 1
  • I. Moilanen
    • 1
  • H. Ebeling
    • 1
  • J. Piha
    • 2
  • K. Kumpulainen
    • 3
  • T. Tamminen
    • 4
  • F. Almqvist
    • 5
  1. 1.Clinic of Child PsychiatryUniversity and University Hospital of OuluOuluFinland
  2. 2.Department of Child PsychiatryUniversity of TurkuTurkuFinland
  3. 3.Department of Child PsychiatryUniversity of KuopioKuopioFinland
  4. 4.Department of Child PsychiatryUniversity of TampereTampereFinland
  5. 5.Department of Child PsychiatryUniversity of HelsinkiHelsinkiFinland

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