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Exploring good mental health for people with intellectual disabilities: a qualitative interview study with mental health experts

Authors: Komenda-Schned, Sophie; Moritz, Paula; Landskron, Sarah Jasmin; Herscovici, Alma Rosa; Schomburg, Charlotte; Lehner, Julia; Lueger-Schuster, Brigitte; +2 Authors

Exploring good mental health for people with intellectual disabilities: a qualitative interview study with mental health experts

Abstract

Abstract Background Most mental health research focuses on mental disorders, with a paucity of studies exploring good mental health. Widely used definitions of good mental health (e.g., WHO’s) include several aspects of positive human functioning as predisposing to mental health. According to diagnostic criteria, people with intellectual disabilities (ID) are impaired in their functioning levels (e.g., intellectual functioning, adaptive skills). Existing definitions of good mental health may therefore not be applicable to an ID population. Objective We aimed to explore the perspectives of experts on good mental health in people with ID to shed light on the constitutive factors of good mental health in this population. Methods Semi-structured expert interviews with open-ended questions (N = 12) were conducted with psychiatrists, psychologists, psychotherapists, and psychiatric nurses, working either academically or in practice with this population. Inductive, reflexive thematic analysis was applied to analyze and synthesize the data. Results Four themes regarding components of good mental health in people with ID were derived: (1) Absence of Mental Illness, (2) Physical Health, (3) Psychosocial Functioning, and (4) Social Environment. Psychosocial functioning was divided into five subthemes, namely: (1) Emotional Competence, (2) Self-Concept, (3) Experience of Meaning, (4) Self-Determination, and (5) Personal Growth. Conclusions According the participants of this study, the constitutive factors of good mental health are similar for people with and without ID. The importance of needs-based, individualized support and an appropriate social environment was particularly emphasized for people with ID, to facilitate positive human functioning and promote good mental health.

Country
Austria
Keywords

Intellectual disabilities, 501010 Klinische Psychologie, Good mental health, SDG 3 - Good Health and Well-being, SDG 3 – Gesundheit und Wohlergehen, Research, Public aspects of medicine, RA1-1270, 501010 Clinical psychology, Expert interviews, Reflexive thematic analysis, Psychosocial functioning

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Top 10%
Average
Green
gold