Functional Assessment and Behavioral Treatment of Skin Picking in a Teenage Girl With Prader-Willi Syndrome

Individuals with Prader-Willi syndrome manifest severe skin picking behavior. We report three patients with this syndrome in whom an extension of this behavior to rectal picking resulted in significant lower gastrointestinal bleeding and anorectal disease. The recognition of this behavior is important to avoid misdiagnosing inflammatory bowel disease in this group of patients.

Download Full-text

Examining the Relationship Between Heart Rate and Problem Behavior: A Case Study of Severe Skin Picking in Prader-Willi Syndrome

American Journal on Intellectual and Developmental Disabilities ◽

10.1352/1944.7558-118.6.460 ◽

2013 ◽

Vol 118 (6) ◽

pp. 460-474 ◽

Cited By ~ 9

Author(s):

Scott S. Hall ◽

Jennifer L. Hammond ◽

Kristin M. Hustyi

Keyword(s):

Heart Rate ◽

Functional Analysis ◽

Single Case ◽

Automatic Reinforcement ◽

Activity Level ◽

Prader Willi Syndrome ◽

Activity Levels ◽

Skin Picking ◽

The Relationship

Abstract Few studies have examined the relationship between heart rate and self-injurious behavior (SIB) shown by individuals with IDD (intellectual and developmental disabilities). In this single-case study, we simultaneously monitored heart rate and activity levels during a functional analysis of severe skin picking behavior exhibited by a young man with Prader-Willi syndrome (PWS). Results of the functional analysis indicated that the participant's skin picking was maintained by automatic reinforcement. A within-session analysis of the data indicated that skin picking bouts resulted in an increase in heart rate, suggesting a positive- automatic reinforcement function. These data indicate that inclusion of heart rate and activity-level monitoring during a functional analysis may provide important additional information concerning the determinants of SIB.

Download Full-text

Experimental functional analysis of severe skin-picking behavior in Prader–Willi syndrome

Research in Developmental Disabilities ◽

10.1016/j.ridd.2014.05.025 ◽

2014 ◽

Vol 35 (10) ◽

pp. 2284-2292 ◽

Cited By ~ 11

Author(s):

Scott S. Hall ◽

Kristin M. Hustyi ◽

Clara Chui ◽

Jennifer L. Hammond

Keyword(s):

Functional Analysis ◽

Prader Willi Syndrome ◽

Skin Picking

Download Full-text

Behavioral Treatment of Self-Injury: 2001 to 2016

American Journal on Intellectual and Developmental Disabilities ◽

10.1352/1944-7558-124.5.450 ◽

2019 ◽

Vol 124 (5) ◽

pp. 450-469 ◽

Cited By ~ 2

Author(s):

Lesley A. Shawler ◽

Samantha R. Russo ◽

Jennifer L. Hilton ◽

SungWoo Kahng ◽

Cheryl J. Davis ◽

...

Keyword(s):

Developmental Disabilities ◽

Functional Assessment ◽

Behavioral Treatment ◽

Intellectual And Developmental Disabilities ◽

Future Directions ◽

Self Injury ◽

Previous Review ◽

Assessment And Treatment ◽

Behavioral Treatments

Abstract Individuals diagnosed with intellectual and developmental disabilities (IDD) frequently exhibit self-injurious behavior (SIB). Previous research has examined the published literature on behavioral treatments of SIB from 1964–2000. Results suggested that these treatments were highly efficacious at decreasing SIB, particularly when based on the results of a functional assessment. The purpose of this review is to update, replicate, and extend the previous research. The current findings indicate an increase in studies reporting automatically maintained SIB as well as less efficacious treatments overall. Discussion of our conclusions and methods of SIB assessment and treatment are discussed, both as they relate to the previous review and for future directions.

Download Full-text