Skip to main content

Definition and Diagnosis

  • Chapter
  • First Online:
Handbook of Intellectual Disabilities

Abstract

Intellectual disability (ID) occurs in 1% of the population and is characterized by significant, lifelong intellectual and adaptive functioning deficits. Further, medical and psychiatric concerns as well as challenging behaviors frequently co-occur with ID. Individuals with ID may vary widely in their degree of impairment across these core and associated symptoms, making individualized, comprehensive evaluation key in establishing an appropriate conceptualization of impairment. Quality assessment and the development of a complete case conceptualization are also imperative in informing service provision. As such, the current chapter briefly reviews the historical context of ID, explains the current definition of ID, and addresses strategies for effective diagnosis of ID across the lifespan.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 449.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders (1st ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders. (3rd ed., Rev.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. (4th ed., Text rev.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Bayley, N. (2006). Bayley scales of infant and toddler development, Third Edition: Technical manual. San Antonio, TX: Harcourt.

    Google Scholar 

  • Bishop, S. L., Guthrie, W., Coffing, M., & Lord, C. (2011). Convergent validity of the mullen scales of early learning and the differential ability scales in children with autism spectrum disorders. American Journal on Intellectual and Developmental Disabilities; Washington, 116(5), 331–343.

    Article  Google Scholar 

  • Bowring, D. L., Totsika, V., Hastings, R. P., Toogood, S., & McMahon, M. (2017). Prevalence of psychotropic medication use and association with challenging behaviour in adults with an intellectual disability. A total population study. Journal of Intellectual Disability Research, 61(6), 604–617.

    Article  Google Scholar 

  • Brown, L., Sherbenou, R. J., & Johnsen, S. K. (2010). Test of Nonverbal Intelligence, Fourth Edition (TONI-4). Austin, TX: PRO-ED.

    Google Scholar 

  • Brue, A. W., & Wilmshurst, L. (2016). Essentials of intellectual disability assessment and identification. Hoboken, NJ: John Wiley & Sons.

    Google Scholar 

  • Buie, T., Campbell, D. B., Fuchs, G. J., Furuta, G. T., Levy, J., VandeWater, J., … Winter, H. (2010). Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with asds: A consensus report. Pediatrics, 125(Supplement), S1–S18.

    Article  Google Scholar 

  • Cardona, F. A. (1994). Milestones in the history of mental retardation. Journal of the South Carolina Medical Association (1975), 90(6), 285–288.

    Google Scholar 

  • Centers for Disease Control and Prevention (2017). Developmental disabilities definitions. Retrieved March 1, 2018, from https://ephtracking.cdc.gov/showDevelopmentalDisabilitiesDefinitions

  • Cervantes, P., & Jang, J. (2016). Methods and procedures for measuring comorbid disorders: medical. In J. Matson (Ed.), Comorbid conditions among children with autism spectrum disorders (pp. 65–90). Cham: Springer.

    Chapter  Google Scholar 

  • Costello, H., & Bouras, N. (2006). Assessment of mental health problems in people with intellectual disabilities. Israel Journal of Psychiatry and Related Sciences, 43(4), 241.

    Google Scholar 

  • Crnic, K. A., Neece, C. L., McIntyre, L. L., Blacher, J., & Baker, B. L. (2017). Intellectual disability and developmental risk: Promoting intervention to improve child and family well-being. Child Development, 88(2), 436–445.

    Article  Google Scholar 

  • Crocker, A. G., Mercier, C., Lachapelle, Y., Brunet, A., Morin, D., & Roy, M.-E. (2006). Prevalence and types of aggressive behaviour among adults with intellectual disabilities. Journal of Intellectual Disability Research, 50(9), 652–661.

    Article  Google Scholar 

  • de Jong, A., Dondorp, W. J., Frints, S. G. M., de Die-Smulders, C. E. M., & de Wert, G. M. W. R. (2011). Advances in prenatal screening: The ethical dimension. Nature Reviews Genetics, 12(9), 657–663.

    Article  Google Scholar 

  • Devlieger, J. P. (2003). From ‘idiot’ to ‘person with mental retardation’: Defining differences in an effort to dissolve it. In J. P. Devlieger, F. Rusch, & D. Pfeiffer (Eds.), Rethinking disability: The emergence of new definitions, concepts, and communities (pp. 169–188). Antwerp: Garant.

    Google Scholar 

  • Didden, R., Korzilius, H., van Aperlo, B., van Overloop, C., & de Vries, M. (2002). Sleep problems and daytime problem behaviours in children with intellectual disability. Journal of Intellectual Disability Research, 46(7), 537–547.

    Article  Google Scholar 

  • Doll, E. A. (1941). Notes on the concept of mental deficiency. The American Journal of Psychology, 54(1), 116–124.

    Article  Google Scholar 

  • Elliott, C. (2007). Differential Ability Scales (2nd ed.). San Antonio, TX: Harcourt Assessment.

    Google Scholar 

  • Emerson, E. (2003). Prevalence of psychiatric disorders in children and adolescents with and without intellectual disability. Journal of Intellectual Disability Research, 47(1), 51–58.

    Article  Google Scholar 

  • Genetic Alliance. (2009). Understanding genetics: A new york, mid-atlantic guide for patients and health professionals; the new york-mid-atlantic consortium for genetic and newborn screening services. Washington, DC: Genetic Alliance.

    Google Scholar 

  • Greenspan, S., & Switzky, H. S. (2003). Forty years of AAMR manuals. In H. S. Switzky & S. Greenspan (Eds.), What is mental retardation? Ideas for an evolving disability in the 21st century (pp. 3–28). Washington, DC: American Association on Mental Retardation.

    Google Scholar 

  • Hammill, D. D., Pearson, N. A., & Weiderholt, J. L. (2009). Comprehensive Test of Nonverbal Intelligence, Second Edition (CTONI-2). Austin, TX: PRO-ED.

    Google Scholar 

  • Harris, J. C. (2006). Intellectual disability: Understanding its development, causes, classification, evaluation, and treatment. USA: Oxford University Press.

    Google Scholar 

  • Harris, J. C. (2010). Advances in understanding behavioral phenotypes in neurogenetic syndromes. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 154C(4), 389–399.

    Article  Google Scholar 

  • Harrison, P., & Oakland, T. (2015). Adaptive behavior assessment system, Third Edition (ABAS). San Antonio, TX: Pearson.

    Google Scholar 

  • Hessl, D., Nguyen, D. V., Green, C., Chavez, A., Tassone, F., Hagerman, R. J., … Hall, S. (2009). A solution to limitations of cognitive testing in children with intellectual disabilities: The case of fragile X syndrome. Journal of Neurodevelopmental Disorders, 1(1), 33–45.

    Article  Google Scholar 

  • Kuriakose, S. (2014). Concurrent validity of the WISC-IV and DAS-II in children with autism spectrum disorder. Journal of Psychoeducational Assessment, 32(4), 283–294.

    Article  Google Scholar 

  • La Malfa, G., Lassi, S., Bertelli, M., Salvini, R., & Placidi, G. F. (2004). Autism and intellectual disability: A study of prevalence on a sample of the Italian population. Journal of Intellectual Disability Research, 48(3), 262–267.

    Article  Google Scholar 

  • Lloyd, B. P., & Kennedy, C. H. (2014). Assessment and treatment of challenging behaviour for individuals with intellectual disability: A research review. Journal of Applied Research in Intellectual Disabilities, 27(3), 187–199.

    Article  Google Scholar 

  • Matson, J. L., & Cervantes, P. E. (2013). Current status of the matson evaluation of drug side effects (MEDS). Research in Developmental Disabilities, 34(5), 1849–1853.

    Article  Google Scholar 

  • Matson, J. L., & Cervantes, P. E. (2019). Intellectual disabilities. In T. H. Ollendick, S.W. White, & B. A. White (Eds.), The oxford handbook of clinical child psychology. (pp. 165–176). Oxford, UK: Oxford University Press.

    Google Scholar 

  • Matson, J. L., Mahan, S., Hess, J. A., & Fodstad, J. C. (2010). Effect of developmental quotient on symptoms of inattention and impulsivity among toddlers with Autism Spectrum Disorders. Research in Developmental Disabilities, 31(2), 464–469.

    Article  Google Scholar 

  • Matson, J. L., & Shoemaker, M. E. (2011). Psychopathology and intellectual disability. Current Opinion in Psychiatry, 24(5), 367–371.

    Article  Google Scholar 

  • Matson, J. L., & Vollmer, T. (1995). Questions about behavioral function (QABF). Baton Rouge, LA: Disability Consultants, LLC.

    Google Scholar 

  • Maulik, P. K., Mascarenhas, M. N., Mathers, C. D., Dua, T., & Saxena, S. (2011). Prevalence of intellectual disability: A meta-analysis of population-based studies. Research in Developmental Disabilities, 32(2), 419–436.

    Article  Google Scholar 

  • McDonald, L. (2006). Investigation of global developmental delay. Archives of Disease in Childhood, 91(8), 701–705.

    Article  Google Scholar 

  • Moeschler, J. B., Shevell, M., & Committee on Genetics. (2014). Comprehensive evaluation of the child with intellectual disability or global developmental delays. Pediatrics, 134(3), e903–e918.

    Article  Google Scholar 

  • Muhle, R., Trentacoste, S. V., & Rapin, I. (2004). The genetics of autism. Pediatrics, 113(5), e472–e486.

    Article  Google Scholar 

  • Mullen, E. M. (1995). Mullen scales of early learning: AGS edition. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • National Research Council. (2002). Mental retardation: Determining eligibility for social security benefits. Washington, DC: National Academies Press.

    Google Scholar 

  • Neece, C. L., Baker, B. L., Crnic, K., & Blacher, J. (2013). Examining the validity of ADHD as a diagnosis for adolescents with intellectual disabilities: Clinical presentation. Journal of Abnormal Child Psychology, 41(4), 597–612.

    Article  Google Scholar 

  • Newborg, J. (2005). Battelle developmental inventory (2nd ed.). Itasca, IL: Riverside.

    Google Scholar 

  • Nyhan, W. L., O’Neill, J. P., Jinnah, H. A., & Harris, J. C. (2014). Lesch-Nyhan syndrome. In M. P. Adam, H. H. Ardinger, R. A. Pagon, S. E. Wallace, L. J. Bean, K. Stephens, & A. Amemiya (Eds.), GeneReviews®. Seattle, WA: University of Washington, Seattle.

    Google Scholar 

  • Ozonoff, S., Goodlin-Jones, B. L., & Solomon, M. (2005). Evidence-based assessment of autism spectrum disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34(3), 523–540.

    Article  Google Scholar 

  • Patton, K. A., Ware, R., McPherson, L., Emerson, E., & Lennox, N. (2016). Parent-related stress of male and female carers of adolescents with intellectual disabilities and carers of children within the general population: A cross-sectional comparison. Journal of Applied Research in Intellectual Disabilities, 31(1), 51–61.

    Article  Google Scholar 

  • Peterson-Besse, J. J., O’Brien, M. S., Walsh, E. S., Monroe-Gulick, A., White, G., & Drum, C. E. (2014). Clinical preventive service use disparities among subgroups of people with disabilities: A scoping review. Disability and Health Journal, 7(4), 373–393.

    Article  Google Scholar 

  • Roid, G. H. (2003). Stanford-Binet Intelligence Scales, Fifth Edition: Examiner’s Manual. Itasca, IL: Riverside Publishing.

    Google Scholar 

  • Roid, G. H., Miller, L. J., Pomplun, M., & Koch, C. (2013). Leiter International performance scale, Third Edition (Leiter-3). Wood Dale, IL: Stoelting.

    Google Scholar 

  • Sattler, J. M. (2008). Assessment of children: cognitive foundations (5th ed.). San Diego, CA: Jerome M. Sattler, Publisher.

    Google Scholar 

  • Schalock, R. L., Borthwick-Duffy, S. A., Bradley, V. J., Buntinx, W. H. E., Coulter, D. L., Craig, E. M., … Yeager, M. H. (2010). Intellectual disability: Definition, classification, and systems of supports (11th ed.). American Association on Intellectual and Developmental Disabilities.

    Google Scholar 

  • Schalock, R. L., & Luckasson, R. (2004). American association on mental retardation’s definition, classification, and system of supports and its relation to international trends and issues in the field of intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities, 1(3–4), 136–146.

    Article  Google Scholar 

  • Schalock, R. L., Luckasson, R. A., & Shogren, K. A. (2007). The renaming of mental retardation: Understanding the change to the term intellectual disability. Intellectual and Developmental Disabilities, 45(2), 116–124.

    Article  Google Scholar 

  • Shevell, M. (2008). Global developmental delay and mental retardation or intellectual disability: Conceptualization, evaluation, and etiology. Pediatric Clinics of North America, 55(5), 1071–1084.

    Article  Google Scholar 

  • Silverman, W., Miezejeski, C., Ryan, R., Zigman, W., Krinsky-McHale, S., & Urv, T. (2010). Stanford-binet & WAIS IQ differences and their implications for adults with intellectual disability (aka mental retardation). Intelligence, 38(2), 242–248.

    Article  Google Scholar 

  • Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2016). Vineland adaptive behavior scales, Third Edition (Vineland-3). Minneapolis, MN: Pearson Assessments.

    Google Scholar 

  • Tirosh, E., & Jaffe, M. (2011). Global developmental Delay and mental retardation: A pediatric perspective. Developmental Disabilities Research Reviews, 17(2), 85–92.

    Article  Google Scholar 

  • Tonge, B., Torr, J., & Trollor, J. (2017). Mental health and wellbeing in people with intellectual disability. In S. Bloch, S. A. Green, A. Janca, P. B. Mitchell, & M. Robertson (Eds.), Foundations of clinical psychiatry (4th ed.). Melbourne: Melbourne University Publishing Limited.

    Google Scholar 

  • van Bokhoven, H. (2011). Genetic and epigenetic networks in intellectual disabilities. Annual Review of Genetics, 45(1), 81–104.

    Article  Google Scholar 

  • van Schrojenstein Lantman-de Valk, H. M., Metsemakers, J. F., Haveman, M. J., & Crebolder, H. F. (2000). Health problems in people with intellectual disability in general practice: a comparative study. Family Practice, 17(5), 405–407.

    Article  Google Scholar 

  • van Schrojenstein Lantman-de Valk, H. M. J., van den Akker, M., Maaskant, M. A., Haveman, M. J., Urlings, H. F. J., Kessels, A., & Crebolder, H. F. J. (1997). Prevalence and incidence of health problems in people with intellectual disability. Journal of Intellectual Disability Research, 41(1), 42–51.

    Article  Google Scholar 

  • Wallander, J. L., Dekker, M. C., & Koot, H. M. (2006). Risk factors for psychopathology in children with intellectual disability: A prospective longitudinal population-based study. Journal of Intellectual Disability Research, 50(4), 259–268.

    Article  Google Scholar 

  • Wechsler, D. (2008). Wechsler Adult Intelligence Scale–Fourth Edition (WAIS-IV). San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Wechsler, D. (2012). The Wechsler Preschool and Primary Scale of Intelligence, Fourth Edition (WPPSI-IV). San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Wechsler, D. (2014). Wechsler Intelligence Scale for Children-Fifth Edition. Bloomington, MN: Pearson.

    Google Scholar 

  • Wechsler, S. B., & McDonald, M. (2018). The dysmorphic newborn. In E. T. Alboliras, Z. M. Hijazi, C. Lopez, & D. J. Hagler (Eds.), Visual guide to neonatal cardiology. Hoboken, NJ: John Wiley and Sons, Inc..

    Google Scholar 

  • Witwer, A. N., Lawton, K., & Aman, M. G. (2014). Intellectual disability. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (3rd ed., pp. 593–624). New York, NY: Guilford Publications.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paige Cervantes .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cervantes, P., Shalev, R., Donnelly, L. (2019). Definition and Diagnosis. In: Matson, J.L. (eds) Handbook of Intellectual Disabilities. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-030-20843-1_3

Download citation

Publish with us

Policies and ethics