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Behaviour problems have been found to be associated with poorer outcomes for young people with intellectual disability and to have a negative impact on social participation.
Those in whom more behaviour problems have been reported were more likely to have activity limitations in communication, self-care and community skills [ 9- 11].
The frequent co-occurring mental disorders and behaviour problems have been addressed particularly in another series of recent reviews with a strong emphasis on co-morbid conduct disorders or externalizing problems [ 13, 18- 20].
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In children with sickle cell disease, the risk of behaviour problems has been shown to decrease with higher levels of intellectual functioning [ 13].
Although not consistently reported, emotional problems have been found protective for delinquent behaviour in some studies [ 73, 74].
Use of the SDQ as an assessment of children's behaviour and emotional problems has been supported by the Chairman of the World Psychiatric Association Children's Mental Health Projects.
9 14 Prevalence rates of 16%30%and7% 31%31% for externalising behaviour problems and internalising behaviour problems, respectively, have been identified among preschool children in low-income families.
Nevertheless, women are more likely than men to visit a GP when a problem is serious; a close relationship between consultation behaviour and severity of the problem has been found in women but not in men [ 32].
In studies of well-defined groups, for example consisting only of the second generation and age relevant samples, the behaviour problems observed have been found to be similar to those in children of non-immigrants according to self- and parent-reports [ 10- 16].
Terrington's problem had been that the four landlords were individually battling estate management issues such as anti-social behaviour and fly tipping which was confusing and wasteful.
Although traditionally regarded as clustering very strongly, the three domains of ASD (deficits in social interaction, communication problems and restrictive/repetitive behaviours) have been suggested to dissociate, both in terms of clinical presentation and in terms of underlying genetic aetiology [ 34].
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