- Through diagnostic overshadowing, signs and symptoms of pain may be attributed to a person’s disability.

- Providers and secondary caregivers can utilize personal profiles, like hospital passports, to recognize typical pain behaviors of the individual. 

- Personal Profiles contain data that describes the individual’s typical presentation of pain.

Diagnostic Overshadowing and Pain

When an emotional or behavioral problem is misattributed to an intellectual disability rather than a comorbid condition

Cedarville University

In comparison to the general population, People with ID:
- Experience a different pattern of chronic diseases
- Higher prevalence of mental health conditions and neurological conditions
 - Higher rates of multimorbidity
   - Two or more chronic conditions

Comorbid Health Conditions in Individuals with ID

O'Dwyer, M., McCallion, P., McCarron, M., & Henman, M. (2018). Medication use and potentially inappropriate prescribing in older adults with intellectual disabilities: a neglected area of research. Therapeutic advances in drug safety, 9(9), 535–557. https://doi.org/10.1177/2042098618782785

Medication use and potentially inappropriate prescribing in older adults with intellectual disabilities: a neglected area of research

Diagnostic Overshadowing

Table: Conditions Associated with Intellectual Disability (ID)

The rate of Psychiatric Diagnosis in Children with IDD is about 40%. The most common diagnoses are anxiety, depression, and ADHD.

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