Elita Smiley is a specialist registrar in learning disability and general adult psychiatry on the West of Scotland Higher Training Scheme and an honorary clinical teacher at the University of Glasgow (Department of Learning Disability Psychiatry, West House, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XH, UK. Tel: 0141 211 3878; e-mail: ElitaSmiley{at}tinyonline.co.uk). Her main research interest is the epidemiology of mental health in adults with learning disability. She is currently involved in a large population-based study measuring the prevalence and incidence of mental ill-health in adults with learning disability in Glasgow.
Epidemiological studies measuring prevalence rates and factors associated with mental health problems in adults with learning disability have produced very different and sometimes contradictory results, mainly because of methodological problems. Consequently, much of the epidemiology of mental health problems in this population is still unknown, although improved methodology and additional information are emerging. This article describes the methodological difficulties of studies, the reported prevalence rates in the context of these difficulties and what is currently known about the factors associated with mental health problems in this population.
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