Observing signs of pain in relation to self‐injurious behaviour among individuals with intellectual and developmental disabilities

Courtemanche, Andrea B.; Schroeder, Stephen R.; Sheldon, Jan B.; Sherman, James A.; Fowler, Ann

doi:10.1111/j.1365-2788.2011.01492.x

Cited by 22 publications

(20 citation statements)

References 29 publications

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“…In our sample, oral pain was linked with the risk for SIB, and this does concur with the findings of previous studies, where pain‐related conditions might contribute to SIB (Symons ; Peebles & Price ; Courtemanche et al . ). This fact needs to be taken account of in the establishment of preventive measures to detect and manage presence of pain when a person with IDD develops SIB.…”

Section: Discussionmentioning

confidence: 97%

“…; Symons ; Courtemanche et al . ). SIB may also indicate the presence of pain related to an undiagnosed medical condition (Gunsett et al .…”

Section: Introductionmentioning

confidence: 97%

“…Besides, some studies have linked SIB with abnormalities in nociceptive mechanisms, and individuals who engage in self-injury may have an increased sensitivity to pain (Symons et al 2009;Symons 2011;Courtemanche et al 2012). SIB may also indicate the presence of pain related to an undiagnosed medical condition (Gunsett et al 1989), and orofacial pain is a potential cause for SIB in ASD population (Edelson & Botsford Johnson 2016).…”

mentioning

confidence: 99%

See 2 more Smart Citations

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

Folch

Cortés

Salvador‐Carulla

et al. 2018

J intellect Disabil Res

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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.

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Section: Discussionmentioning

confidence: 97%

“…; Symons ; Courtemanche et al . ). SIB may also indicate the presence of pain related to an undiagnosed medical condition (Gunsett et al .…”

Section: Introductionmentioning

confidence: 97%

mentioning

confidence: 99%

See 1 more Smart Citation

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

Folch

Cortés

Salvador‐Carulla

et al. 2018

J intellect Disabil Res

View full text Add to dashboard Cite

show abstract

“…Other studies have used the revised Non-Communicating Children's Pain Checklist (NCCPC-r) and shown a relationship between pain ratings and SIB, but were unable to define the exact parameters of the relationship. The authors did acknowledge the limitations of this scale, including the inability to differentiate between events of pain or stress (Breau et al 2000;Courtemanche et al 2012;Lotan et al 2009;Symons and Danov 2005).…”

Section: Opioid Systemmentioning

confidence: 99%

Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach

Minshawi

Hurwitz

Morriss

et al. 2014

J Autism Dev Disord

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The objective of this review is to consider the psychological (largely behavioral) and biological [neurochemical, medical (including genetic), and pharmacological] theories and approaches that contribute to current thinking about the etiology and treatment of self-injurious behavior (SIB) in individuals with autism spectrum disorder and/or intellectual disability. Algorithms for the assessment and treatment of SIB in this context, respectively, from a multidisciplinary, integrative perspective are proposed and challenges and opportunities that exist in clinical and research settings are discussed.

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“…Pain, and behavioural indicators of pain, have been shown to be associated with a higher frequency of self-injurious and aggressive behaviour in people with ID [18-22]. In some individuals, behavioural indicators of pain temporally precede episodes of self-injury, suggesting that pain may cause, rather than result from, self-injury [23]. Given the association between pain and challenging behaviour, the increased likelihood of individuals with TSC experiencing pain suggests that this would be a high-risk group for self-injurious and aggressive behaviours.…”

Section: Introductionmentioning

confidence: 99%

Self-injury and aggression in tuberous sclerosis complex: cross syndrome comparison and associated risk markers

Eden

Vries

Moss

et al. 2014

J Neurodevelop Disord

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BackgroundResearch reporting prevalence rates of self-injurious and aggressive behaviour in people with tuberous sclerosis complex (TSC) is limited. No studies have compared rates of these behaviours in TSC with those in other syndrome groups matched for degree of disability or investigated risk markers for these behaviours in TSC.MethodsData from the Challenging Behaviour Questionnaire were collected for 37 children, aged 4 to 15 years, with TSC. Odds ratios were used to compare rates of self-injury and aggression in children with TSC with children with idiopathic autism spectrum disorder (ASD), fragile X, Cornelia de Lange and Down syndromes. Characteristics were measured using the Mood Interest and Pleasure Questionnaire, the Activity Questionnaire, the Social Communication Questionnaire, the Repetitive Behaviour Questionnaire, the Wessex Behaviour Schedule and the revised Non-communicating Children Pain Checklist. Mann-Whitney U analyses were used to compare characteristics between individuals with self-injury and aggression and those not showing these behaviours.ResultsRates of self-injury and aggression in TSC were 27% and 50%, respectively. These are high but not significantly different from rates in children with Down syndrome or other syndrome groups. Both self-injury and aggression were associated with stereotyped and pain-related behaviours, low mood, hyperactivity, impulsivity and repetitive use of language. Children who engaged in self-injury also had lower levels of interest and pleasure and showed a greater degree of ‘insistence on sameness’ than children who did not self-injure. Aggression was associated with repetitive behaviour. The majority of these associations remained significant when the association with level of adaptive functioning was controlled for.ConclusionsBehavioural profiles can be used to identify those most at risk of developing self-injury and aggression. Further research is warranted to understand the influence of such internal factors as mood, ASD symptomatology and pain on challenging behaviour in people with intellectual disability.

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Observing signs of pain in relation to self‐injurious behaviour among individuals with intellectual and developmental disabilities

Abstract: These results support some of the findings of Symons et al. and they raise questions about the blunted nociception hypothesis of self-injury.

Cited by 22 publications

References 29 publications

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

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

Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach

Self-injury and aggression in tuberous sclerosis complex: cross syndrome comparison and associated risk markers

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