Antecedents of problem behaviours of adults with intellectual disability who exhibit different behavioural syndromes

1999 ◽  
Vol 24 (2) ◽  
pp. 139-146
Author(s):  
R. Don Tustin ◽  
Paivi Forsaith ◽  
Malcolm J. Bond
1997 ◽  
Vol 14 (3) ◽  
pp. 155-165 ◽  
Author(s):  
R. Don Tustin ◽  
Malcolm J. Bond ◽  
Paivi Forsaith

The study examined associations reported by carers between problem behaviour of 92 adults with intellectual disability and 169 antecedent events, which were either environmental situations or prior behaviours of the client. Factor analyses were used to identify groupings of antecedents, providing a basis for constructing 19 sets of antecedents of problem behaviours. Assessments were made of the psychometric properties of these sets of items or scales. Of the 19 scales, 18 were associated with an increased likelihood of problem behaviour, showing that carers reported that the problem behaviours of this sample occurred in a wide range of defined situations. The preliminary analysis suggests that the scales may be useful for inquiring more systematically about antecedents, for developing descriptions of situations where problems occur, and for identifying situations that warrant further analysis in individual cases.


2018 ◽  
Vol 270 ◽  
pp. 769-774 ◽  
Author(s):  
Linda Baudewijns ◽  
Els Ronsse ◽  
Valerie Verstraete ◽  
Bernard Sabbe ◽  
Manuel Morrens ◽  
...  

2017 ◽  
Vol 25 (5) ◽  
pp. 481-485 ◽  
Author(s):  
Oreste Theodoratos ◽  
Lyn McPherson ◽  
Catherine Franklin ◽  
Bruce Tonge ◽  
Stewart Einfeld ◽  
...  

Objective: Adolescents with intellectual disability have increased rates of psychopathology compared with their typically developing peers and present to hospital more frequently for ambulant conditions. The aim of this study is to describe the psychopathology and related characteristics of a sample of adolescents with intellectual disability who presented to general hospital services. Method: We investigated a cohort of adolescents with intellectual disability in South East Queensland, Australia between January 2006 and June 2010. Demographic and clinical data were obtained via mailed questionnaires and from general practice notes. Psychopathology was measured with the Short Form of the Developmental Behaviour Checklist. Results: Of 98 individuals presenting to hospital, 71 (72.5%) had significant levels of psychopathology. Unknown aetiology for the intellectual disability was associated with presence of problem behaviours. Adolescents with more severe intellectual disability were more likely to have major problem behaviours. Co-morbid physical health issues were not associated with psychopathology. Only 12 (12.1%) adolescents had undergone specialized mental health intervention. Conclusions: The general hospital environment may offer opportunities for liaison psychiatry services to screen and provide management expertise for adolescent individuals with intellectual disability presenting for physical health issues.


1993 ◽  
Vol 10 (1) ◽  
pp. 39-46 ◽  
Author(s):  
R. Don Tustin

Carers observed problem behaviours of two people with intellectual disability in natural settings. Data recorded on Antecedent-Behaviour-Consequence (A-B-C) charts were analysed quantitatively by calculating the relative likelihoods of each target behaviour occurring in different situations. Functional analyses were conducted, and individualised interventions were based on these. In one case, a client behaved differently in different situations. Interventions were introduced to teach the client to emit a different prosocial behaviour in each situation. The second client behaved similarly in two situations, suggesting that the behaviours were functionally equivalent for the client. The behaviours of both clients were interpreted as attention seeking behaviours as both antecedents and consequences involved the provision of attention by carers. However different interventions were used in the two cases, and were effective in reducing target behaviours both immediately and in follow-ups.


2007 ◽  
Vol 13 (5) ◽  
pp. 241-245 ◽  
Author(s):  
Serafino Buono ◽  
Santina Città

We conducted a trial of multidisciplinary tele-assistance to support 20 families of patients with intellectual disability. Psychological, educational, social and medical support was provided by videoconferencing, email and on-line sharing of diagnostic and rehabilitation tools. The main topics dealt with were self-care, learning processes, adaptation skills, management of problem behaviours and health problems. A computer network was developed which connected workstations at the patients' houses and two main sites at the Oasi Institute. It was based on ISDN transmission. During the study, 840 videoconference sessions and 805 programme planning and case discussions took place. After one year of tele-assistance, most families (84%) stated that they were satisfied with the experience, underlining, among various advantages, the availability of professional and continuous support, the reduction of inconvenient travelling to specialized centres and the increase in adaptation skills of their children. Although the present study was empirical, our experience suggests that tele-assistance can satisfy some of the main needs of persons with intellectual disability and their families.


1995 ◽  
Vol 12 (4) ◽  
pp. 201-208
Author(s):  
B. Pennington ◽  
R.D. Tustin

The study examined the reliability with which experienced psychologists assigned functions to behaviours of people with intellectual disability using information about sets of problem behaviours and sets of antecedent situations. The study found good consistency in assigning functions, showing that reliable judgments about functions of behaviours can be made even when information is not available about consequences of the behaviours. The approach enabled reliable distinctions to be made between functions that have not previously been examined in the literature.


1996 ◽  
Vol 168 (5) ◽  
pp. 562-570 ◽  
Author(s):  
Carol A. Harvey ◽  
David A. Curson ◽  
Christos Panteus ◽  
Jason Taylor ◽  
Thomas R. E. Barnes

BackgroundA complementary approach to defining symptomatic subtypes of schizophrenia is to identify characteristic patterns of ‘problem behaviours’ associated with the capacity of patients to function in the community.MethodIn a large epidemiological survey, patients fulfilling Feighner criteria for schizophrenia were identified by key informants and assessed using the MRC Social Behaviour Schedule (SBS) and the Manchester Scale. An exploratory factor analysis was used to extract behavioural syndromes from the SBS data in order to compare the syndrome profiles in community, acute and long-stay subgroups and to examine their associations with symptoms and social functioning.ResultsFour behavioural syndromes were identified: Thought disturbance, ‘Social withdrawal’, ‘Depressed behaviour’ and ‘Anti-social behaviour’, which distinguished between the patient subgroups and had significant differential relationships to symptoms and social functioning variables.ConclusionsThe evaluation of disability in schizophrenia and effectiveness of treatment interventions is incomplete without an assessment of problem behaviours.


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