Risk factors and topographies for self-injurious behaviour in a sample of adults with intellectual developmental disorders

Autor: Folch A, Cortés MJ, Salvador-Carulla L, Vicens P, Irazábal M, Muñoz S, Rovira L, Orejuela C, Haro JM, Vilella E, Martínez-Leal R
Přispěvatelé: Universitat Rovira i Virgili
Rok vydání: 2018
Předmět:
Male
autism
Medicina ii
Autism Spectrum Disorder
Autism
intellectual developmental disorders
Intellectual disability
Comorbidity
Severity of Illness Index
Pedagogical & educational research
Educação física
Residence Characteristics
Prevalence
risk factors
Psychology
Arts and humanities (miscellaneous)
Ciencias sociales
intellectual disability
Psychiatry
Rehabilitation
Genetics & heredity
Middle Aged
Autism spectrum disorders
Intellectual developmental disorder
Arts and Humanities (Miscellaneous)
Clinical Neurology
Education
Special
Genetics & Heredity
Neurology
Neurology (Clinical)
Psychiatry
Psychiatry and Mental Health
Rehabilitation
topographies
Psychiatry and mental health
Neurology
Clinical neurology
Topographies
Female
Adult
Adolescent
Medicina i
self-injurious behaviour
Young Adult
Humans
Self-injurious behaviour
Education
special
Aged
Interdisciplinar
Ciencias humanas
Psicología
Spain
Ciências biológicas ii
Neurology (clinical)
Educació
Self-Injurious Behavior
Zdroj: Journal Of Intellectual Disability Research
Journal Of Intellectual Disability Research. 62 (12): 1018-1029
J INTELL DISABIL RES
r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname
r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
Fundació Sant Joan de Déu
ISSN: 0964-2633
DOI: 10.1111/jir.12487
Popis: BACKGROUND: Self-injurious behaviour (SIB) is a prevalent form of challenging behaviour in people with intellectual developmental disorders (IDD). Existing research has yielded conflicting findings concerning the major risk factors involved, and in addition, SIB shows multiple topographies and presentations. Although presence of autism spectrum disorders (ASD) and severity of intellectual disability (ID) are known risk factors for SIB, there are no studies comparing SIB topographies by severity degrees of ID and ASD. The purpose of the present paper has been to identify risk factors and topographies for SIB in a representative, stratified and randomised sample of adults with IDD. METHOD: This study was conducted on the basis of data collected by the POMONA-ESP project, in a sample of 833 adults with IDD. Data concerning demographic and health information, ASD symptoms, psychopathology and ID, have been analysed to determine the presence of risk factors for SIB among participants and to explore the occurrence and topographies of SIB across different severity levels of ID and ASD symptoms. RESULTS: Self-injurious behaviour prevalence in the sample was 16.2%. Younger age, oral pain, greater severity of ID, presence of dual diagnosis, psychiatric medication intake and higher scores on Childhood Autism Rating Scale were risk factors for SIB among participants, whereas number of areas with functioning limitations, place of residence, diagnosis of epilepsy and sex were not. SIB was more frequent in participants with ASD symptoms regardless of its severity level, and they displayed a higher number of different topographies of SIB. People with profound ID without co-morbid ASD symptoms showed similar results concerning SIB prevalence and topographies. CONCLUSIONS: Knowledge on risk factors and topographies of SIB might play a vital role in the development of prevention strategies and management of SIB in people with IDD. The mere presence of ASD symptoms, regardless of its severity level, can be a crucial factor to be taken into account in assessing SIB. Accordingly, the presence of SIB in people with ID, especially when presented with a varied number of topographies, might provide guidance on ASD differential diagnosis.
Databáze: OpenAIRE
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