Physical conditions and challenging behaviour in people with intellectual disability: a systematic review

Abstract

Medical conditions can play a role in challenging behaviour, and this should be evaluated in the clinical setting. So far, the level of evidence is generally low, and longitudinal studies are completely lacking. We recommend a systematic approach to research examining the role of physical conditions in challenging behaviour, the ultimate aim being to establish a basis for the development of clinical guidelines.

Systematic Reviews of the Health or Health care of People with Intellectual Disabilities: A Systematic Review to Identify Gaps in the Evidence Base

“…); determining physical conditions that may be associated with challenging behaviour (de Winter et al . ); the prevalence of mental disorders in children or adolescents and factors associated with prevalence (Einfeld et al . ); the clinical presentation of schizophrenia in people with mild or borderline intellectual disability compared to those with average or high IQ (Welch et al .…”

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

“…Epilepsy is another medical condition that may have a role in SIB, as patients with temporal lobe seizures can have associated irritability or aggression, and several case studies have reported improved SIB after treatment of seizures (Bear et al 1982;Blumer 2000;Davanzo and King 1996;Shakya et al 2010). Several recent studies have found no increased prevalence of aggression between groups with and without epilepsy (de Winter et al 2011;Matson et al 1999;Matthews et al 2008). However, a subgroup of individuals may exist that have epilepsy and SIB.…”

“…However, a subgroup of individuals may exist that have epilepsy and SIB. This subgroup that seems to be more at risk for behavioral issues may include individuals with prominent motor or vision deficits (de Winter et al 2011;Deb et al 2001;Espie et al 2003).…”

“…Catatonia, which is often treatable, can present as severe self-injury, with or without the coexistence of abnormal motor movements and ''freezing'' (Wachtel and Dhossche 2010). Sleep disturbances are also increased in individuals with SIB, but the nature of the association is unclear (Brylewski and Wiggs 1999;de Winter et al 2011;Quine 1991). Epilepsy is another medical condition that may have a role in SIB, as patients with temporal lobe seizures can have associated irritability or aggression, and several case studies have reported improved SIB after treatment of seizures (Bear et al 1982;Blumer 2000;Davanzo and King 1996;Shakya et al 2010).…”

Translation, adaptation, and preliminary validation of the Brazilian version of the Behavior Problems Inventory (BPI-01)

“…11 Notwithstanding, it does specifically assess behavioral repertoires associated with aggression, selfinjury, and stereotyped behaviors often observed in people with intellectual disability and requiring close monitoring. 14 The availability of standardized instruments focusing on these behavior problems could help identify and treat these problems. In contrast, the absence of such instruments poses difficulties to many healthcare and education professionals.…”