Page 70 - Post-traumatic stress disorder in adults with mild intellectual disability: Screening, assessment, and brief intensive EMDR therapy

Chapter 3
al., 2019). It is recommended that a standardised written procedure be
developed to address commonly misunderstood items. Future research
should explore how to implement such procedures to support better
understanding without biasing the results. This could include investigating
which items are well or less well understood across different samples,
examining whether comprehension is related to verbal IQ or language skills
and determining the most effective method for assisting clients during
completion, such as reading items aloud versus using self-administration.
Like adults with MID-BIF, children with MID-BIF also have an increased risk
of experiencing many life events compared with children without MID-BIF
(Dion et al., 2018; McDonnell et al., 2019; Mevissen et al., 2016; Vervoort-
Schel et al., 2021). However, a screening tool for PTSD is not yet available
in children with MID-BIF. Future studies should adapt and evaluate trauma
screeners for children with MID-BIF so that PTSD can be better recognised
in children with MID-BIF.
Conclusion
Although adults with MID-BIF have an increased risk of developing PTSD,
PTSD is often not well recognised in these individuals (de Vogel & Didden,
2022; Mevissen et al., 2020; Nieuwenhuis et al., 2019). The adult TS-ID
version appears to be a promising screening instrument for recognising
PTSD in people with MID-BIF. Applying the TS-ID adult version appears likely
to reduce the risk of under-diagnosing PTSD and provide adults with MID-
BIF with the trauma treatment they need, which ultimately improves their
quality of life.
Acknowledgements
The authors thank the master’s students of Radboud University and Vrije
Universiteit Amsterdam for their assistance in data collection and all the
participants, family members and caregivers who participated in the study.
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