Risk factors associated with challenging behaviour in people with profound intellectual and multiple disabilities

Abstract

These findings are generally consistent with findings reported in other studies, especially concerning the personal characteristics of people with PIMD. Further research should focus on the effects of providing safe auditory environments and appropriate sleep schedules for people with PIMD on the occurrence of challenging behaviour.

Prevalence of Challenging Behaviour in Adults with Intellectual Disabilities, Correlates, and Association with Mental Health

“…Whilst this may vary according to the combination of specific type of CB and MH conditions examined [48], there is however, some consistent evidence that CB and MH globally are more strongly associated in those with more severe to profound ID. This pattern of findings is consistent with a hypothesis that CB may be indicators of underlying MH problems in those with more severe ID [45][46][47].…”

“…Replicating elements of this robust study in secondary care services, Painter et al [46] also found the severity of MH problems to be associated with measures of aggression, self-injurious behaviours, and overall ratings of CB, again finding the strongest associations in participants with more severe ID. Poppes et al [47] also found higher rates of CB in those participants already diagnosed with a MH condition when focusing solely on individuals with profound ID.…”

Relabelling behaviour. The effects of psycho‐education on the perceived severity and causes of challenging behaviour in people with profound intellectual and multiple disabilities

“…A study by Poppes et al () has shown that challenging behaviour is common in people with PIMD. According to this study, self‐injurious and stereotypical behaviour is observed in 82% of people with PIMD, withdrawn behaviour in 98% and aggressive/destructive behaviour in 45% (Poppes et al , ). Moreover, many of these behaviours are observed on a daily basis (Poppes et al ).…”

“…The prevalence and perceived severity of different types of challenging behaviour was identified using the adapted version of the Behaviour Problem Inventory (BPI) (Rojahn et al ), the BPI‐PIMD (Poppes et al ). The BPI‐PIMD is an informant‐based scale that addresses four types of challenging behaviour: self‐injurious, stereotypical, withdrawn and aggressive or destructive behaviour.…”

Improving the auditory environment for patients with intellectual disabilities and hearing loss

“…These behaviours can include self injury and being withdrawn 3. A challenging auditory environment can also mean that they do not pick up on important information and gain experience.…”