Physical Illness, Pain, and Problem Behavior in Minimally Verbal People with Developmental Disabilities

Carr, Edward G.; Owen-DeSchryver, Jamie

doi:10.1007/s10803-006-0176-0

Cited by 110 publications

(68 citation statements)

References 25 publications

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“…Perhaps this variability should be viewed in light of the fact that that the valence of social reinforcers may be highly affected by contextual variables such as setting events (mood, fatigue, illness, etc. ; Carr, Magito McLaughlin, Giacobbe-Grieco, & Smith, 2003;Carr & Owen-DeSchryver, 2007). Although these events were not addressed in the present study, it is possible that all children experience events that make them more or less motivated to engage in social interactions on any given day.…”

Section: Discussionmentioning

confidence: 96%

Promoting Social Interactions Between Students With Autism Spectrum Disorders and Their Peers in Inclusive School Settings

Owen-DeSchryver

Carr

Cale

et al. 2008

Focus Autism Other Dev Disabl

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165

113

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This study evaluated the impact of a peer training intervention on social interactions among three students with autism spectrum disorders (ASD) and their typical peers. Two second graders and one fourth grader with ASD participated. For each student with ASD, two to four typical peers participated in training sessions that targeted increased social interactions. Data collected during lunchtime and recess showed that the peer training intervention generally resulted in increased initiations by trained peers as well as increased initiations and responses by students with ASD. Unexpectedly, untrained peers also showed increased initiations. Future research directions are discussed, including characteristics of the peers selected for training (e.g., gender, popularity) and measurement of qualitative changes in social relationships and opportunities.

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Section: Discussionmentioning

confidence: 96%

Promoting Social Interactions Between Students With Autism Spectrum Disorders and Their Peers in Inclusive School Settings

Owen-DeSchryver

Carr

Cale

et al. 2008

Focus Autism Other Dev Disabl

Self Cite

165

113

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“…13 Behaviors, including problem behavior, may be markers of abdominal pain or discomfort in individuals with ASDs. 14,15 Table 2 identifies some vocal and motor behaviors, as well as changes in overall state, that may indicate abdominal pain or discomfort.…”

Section: Gastrointestinal Conditions That Are Reported To Be Common Imentioning

confidence: 99%

“…15 First, time-consuming behavioral treatments that address only psychosocial triggers and consequences for problem behavior may likely be ineffective. Behavioral treatments that promote means of communication in the affected individual may be more effective.…”

Section: Statementmentioning

confidence: 99%

Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals With ASDs: A Consensus Report

et al. 2010

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Autism spectrum disorders (ASDs) are common and clinically heterogeneous neurodevelopmental disorders. Gastrointestinal disorders and associated symptoms are commonly reported in individuals with ASDs, but key issues such as the prevalence and best treatment of these conditions are incompletely understood. A central difficulty in recognizing and characterizing gastrointestinal dysfunction with ASDs is the communication difficulties experienced by many affected individuals. A multidisciplinary panel reviewed the medical literature with the aim of generating evidence-based recommendations for diagnostic evaluation and management of gastrointestinal problems in this patient population. The panel concluded that evidence-based recommendations are not yet available. The consensus expert opinion of the panel was that individuals with ASDs deserve the same thoroughness and standard of care in the diagnostic workup and treatment of gastrointestinal concerns as should occur for patients without ASDs. Care providers should be aware that problem behavior in patients with ASDs may be the primary or sole symptom of the underlying medical condition, including some gastrointestinal disorders. For these patients, integration of behavioral and medical care may be most beneficial. Priorities for future research are identified to advance our understanding and management of gastrointestinal disorders in persons with ASDs. Pediatrics 2010;125:S1-S18

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“…Therefore, all medical providers should obtain a thorough history from caregivers about recent changes in amount, type, pattern, and intensity of CBs, as well as any previous history of CBs associated with discomfort. 4 Pica is the most notable CB in the patient we have described, and it is common in patients with intellectual disability. The prevalence Figure 2.…”

Section: Discussionmentioning

confidence: 81%

A Complication of Pica in an 18-Year-Old with Autism

Clark¹,

Wener²

2016

Psychiatric Annals

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A nonverbal18-year-old with a history of autism, seizures, and profound intellectual disability presented to the emergency department with difficulty walking, emesis, chills, decreased energy, and decreased activity as described by his family. His white blood cell count was 22,070 cells/mcL, serum aspartate aminotransferase was 65 mmol/L, and serum alanine aminotransferase was 63 mmol/L. A computed tomography (CT) scan of the head and a lumbar puncture were normal.Upon arrival to the general medical floor, the patient's physical examination was notable for a temperature of 100.8°F and agitation. He had active bowel sounds, and his abdomen was soft, nondistended, and nontender to palpation. The remainder of his examination was unremarkable. By hospital day 1, initial blood and urine cultures showed no growth. Abdominal ultrasound showed focal nodular hyperplasia of the liver without biliary disease. Rapid plasma reagin, monospot, human immunodeficiency virus, hepatitis B virus, and hepatitis C virus serologies were negative. The epilepsy service did not feel that the increase in his serum aminotransferases was due to his antiepileptic medications. The patient remained persistently febrile up to 102.5°F in the absence of an obvious infectious source. On hospital day 3, the infectious disease service was consulted and recommended abdominal and pelvic CT, which showed an abscess of 9.7 by 8.3 cm in the right hepatic lobe and a long metallic foreign object in the cecum and ascending colon (Figure 1)

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Physical Illness, Pain, and Problem Behavior in Minimally Verbal People with Developmental Disabilities

Cited by 110 publications

References 25 publications

Promoting Social Interactions Between Students With Autism Spectrum Disorders and Their Peers in Inclusive School Settings

Promoting Social Interactions Between Students With Autism Spectrum Disorders and Their Peers in Inclusive School Settings

Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals With ASDs: A Consensus Report

A Complication of Pica in an 18-Year-Old with Autism

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