A Preliminary Study on the Prevalence of Challenging Behaviours

1996 ◽  
Vol 79 (3_suppl) ◽  
pp. 1427-1430 ◽  
Author(s):  
Man Cheung Chung ◽  
Wai-Ling Bickerton ◽  
Stuart Cumella ◽  
Caroline Winchester
Keyword(s):  
Learning Disabilities ◽  
Psychiatric Disorders ◽  
Affective Disorder ◽  
Communication Skills ◽  
Adjustment Disorder ◽  
Challenging Behaviour ◽  
Physical Impairments ◽  
Preliminary Study ◽  
Challenging Behaviours ◽  
Severe Anxiety

The purpose of this study was to estimate the prevalence of challenging behaviour among subjects with learning disabilities in an English health district. Subjects' disabilities included incontinence, lack of communication skills, and need of assistance with domestic activities, feeding, washing, and dressing. Some also had physical impairments. The most common behaviours were hyperactivity and irritability and the most common psychiatric disorders included severe anxiety, affective disorder, and adjustment disorder.

MANAGING CHALLENGING BEHAVIOUR IN AN ADULT WITH LEARNING DISABILITIES: THE USE OF LOW AROUSAL APPROACH

1998 ◽  
Vol 26 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Andrew McDonnell ◽  
Simon Reeves ◽  
Amanda Johnson ◽  
Alan Lane
Keyword(s):  
Learning Disabilities ◽  
Behaviour Change ◽  
Single Case ◽  
Challenging Behaviour ◽  
Single Case Study ◽  
Short Term ◽  
One Year ◽  
Challenging Behaviours

Behaviour change is often a desired outcome for carers and professionals who work with people with learning disabilities and challenging behaviours. Managing these behaviours in the short term is an important step towards this goal. This single case study presents the use of a low arousal approach in managing challenging behaviours in a young man labelled with severe challenging behaviour. This strategy focuses on the interaction of the carers with the client and how their approach has an important impact on the behaviour of the client. The study documents the incidents of challenging behaviour and shows a decline in their frequency from baseline over a one-year period. These gains were maintained at five-month follow-up. The implications for services of these findings are discussed.

scholarly journals Evaluation of Psychiatric Disorders in Spouse of Patients with Alcohol Dependence Syndrome

2021 ◽  
pp. 1-5
Author(s):  
Mahesh Tilwani
Keyword(s):  
Alcohol Dependence ◽  
Psychiatric Disorders ◽  
Affective Disorder ◽  
Depressive Episode ◽  
Bipolar Affective Disorder ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
International Classification Of Diseases ◽  
Psychiatric Research ◽  
Alcohol Dependence Syndrome

Background and Aim: Alcohol Dependence Syndrome has deleterious consequences not only on the patient with Alcohol Dependence Syndrome but also on the members of his family. The psychopathology in wives of patients with Alcohol Dependence Syndrome is a largely neglected area in psychiatric research. Aim of the present study was to evaluate the frequency and nature of psychiatric disorders in wives of patients with Alcohol Dependence Syndrome. Materials and Methods: A total of 177 wives, 100 wives of patients with Alcohol Dependence Syndrome and 77 wives of patients with Bipolar Affective Disorder- current episode mania were evaluated. Tools used were ICD-10 AM symptom checklist and modules for assessment of psychiatric morbidity and diagnosis was made based on The International Classification of Diseases – (Diagnostic Research Criteria DCR-10). Results: Psychiatric disorders are diagnosed in 75% of the wives of patients with alcohol dependence syndrome out of which 45% have dysthymia, 12% have mild depressive episode, 8% have adjustment disorder- prolonged depressive reaction, 5% have moderate depressive episode and 5% have anxiety disorder unspecified. Conclusion: The present study concludes that the wives of patients with Alcohol Dependence Syndrome have significant psychiatric morbidity when compared to wives of patients with Bipolar Affective Disorder-current episode mania. The most common psychiatric disorder is dysthymia.

FC28-05 - Prevalence of psychiatric diagnoses and challenging behaviours in a community based population of individuals with intellectual disability

2011 ◽  
Vol 26 (S2) ◽  
pp. 1975-1975 ◽  
Author(s):  
I. Grey ◽  
B. McClean ◽  
N. MacAuley
Keyword(s):  
Intellectual Disability ◽  
Psychiatric Disorder ◽  
Intellectual Disabilities ◽  
Psychiatric Disorders ◽  
Prevalence Rate ◽  
Behaviour Problem ◽  
Challenging Behaviour ◽  
Community Based ◽  
Diagnostic Categories ◽  
Challenging Behaviours

IntroductionPrevious research has suggested substantial variation in prevalence rates of psychiatric disorders in individuals with intellectual disability and also differential patterns of associations between psychiatric disorders and challenging behaviours in people with intellectual disabilities. The aim of this study was to determine with the prevalence rate of specific psychiatric disorders and challenging behaviours and the relationship between them in a community based sample of individuals with intellectual disability.MethodA community based sample of 159 adults primarily with mild and moderate intellectual disabilities was surveyed for the presence of psychiatric disorders and challenging behaviour using the Behaviour Problem Inventory (BPI) and the Psychiatric Assessment Schedule (PAS-ADD). Individuals who met threshold on the PAS-ADD were subsequently evaluated using the Mini- PAS-ADD Interview.ResultsScreening for psychiatric disorder using the PAS-ADD indicated a prevalence rate of 10%. There was a large discrepancy between the overall rate of challenging behaviour (45%) and the rate of psychiatric disorders identified by the Mini PAS-ADD Interview (6%). However, the rate of more severe behaviour problems (8%) was closer to the rate of psychiatric disorders (6%). Thirty one percent of people with severe challenging behaviours also were rated as having psychiatric disorders and odd ratio analysis indicates that individuals with severe challenging behaviour are substantially more likely to present with a psychiatric disorder. However, there does not appear to be a relationship between different topographies of challenging behaviour and discrete diagnostic categories of psychiatric disorder.

Behaviour disorders in adults with learning disabilities: Effect of age and differentiation from other psychiatric disorders

1998 ◽  
Vol 15 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Sally-Ann Cooper
Keyword(s):  
Learning Disabilities ◽  
Psychiatric Disorders ◽  
Psychiatric Illness ◽  
Challenging Behaviour ◽  
Behaviour Disorder ◽  
Younger Adults ◽  
Behavioural Assessment ◽  
Adults With Learning Disabilities ◽  
Maladaptive Behaviours ◽  
Effect Of Age

AbstractObjective: To clarify the effect of age on behaviour disorders in adults with learning disabilities, and the differentiation of behaviour disorders from other psychiatric disorders.Method: Detailed assessments, measuring maladaptive behaviours, psychiatric disorders and demographic factors were completed on 93.7% of all people with learning disabilities aged 65 years and over, living in Leicestershire, UK (n = 134), and also a random sample of adults with learning disabilities aged 20-64 years (n = 73). Behaviour disorders were distinguished from other psychiatric disorders. Descriptive and inferential statistics were calculated.Result: Equal rates (15%) and types of behaviour disorder were found in the two groups. The presence of behaviour disorder was associated with the severity of learning disabilities, but age was not associated, and nor was presence of epilepsy or gender. In many cases, positive scores on the behavioural assessment, which carers attributed to challenging behaviour/ behaviour disorder, were actually symptoms of psychiatric illness.Conclusion: Behaviour disorders persist into old age, and therefore require management from the appropriate services. This need will increase, due to increasing lifespan. The accurate interpretation of behaviour scales requires that a comprehensive psychiatric assessment is also undertaken, particularly in elderly people where rates of psychiatric disorders are higher than for younger adults.

scholarly journals Episodic psychiatric disorders in teenagers with learning disabilities with and without autism

2006 ◽  
Vol 189 (4) ◽  
pp. 361-366 ◽  
Author(s):  
Elspeth Bradley ◽  
Patrick Bolton
Keyword(s):  
Mental Health ◽  
Learning Disabilities ◽  
Major Depression ◽  
Psychiatric Disorders ◽  
Affective Disorder ◽  
Diagnostic Criteria ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Bipolar Affective Disorder ◽  
Geographical Area

BackgroundMental health problems in people with learning disabilities and autism are poorly understood.AimsTo investigate the prevalence of episodic psychiatric disorders in a sample of teenagers with learning disabilities with and without autism.MethodTeenagers with learning disabilities living in one geographical area were identified. Those with autism were matched to those without. A semi– structured investigator-based interview linked to Research Diagnostic Criteria was used to assess prevalence and type of episodic disorders.ResultsSignificantly more individuals with autism had a lifetime episodic disorder, most commonly major depression. Two individuals with autism had bipolar affective disorder. Other episodic disorders with mood components and behaviour change were also evident, as were un classifiable disorders characterised by complex psychiatric symptoms, chronicity and general deterioration. Antipsychotics and stimulants were most frequently prescribed; the former associated with episodic disorder, the latter with autism.ConclusionsTeenagers with learning disabilities and autism have higher rates of episodic psychiatric disorders than those with learning disabilities alone.

Underdiagnosis of psychiatric disorders in people with intellectual disabilities: Differences between psychiatric disorders and challenging behaviour

2018 ◽  
Vol 24 (3) ◽  
pp. 326-338 ◽  
Author(s):  
Carlos Peña-Salazar ◽  
Francesc Arrufat ◽  
Josep Manel Santos ◽  
Abel Fontanet ◽  
Gretel González-Castro ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Psychiatric Disorders ◽  
Psychiatric Diagnosis ◽  
Cross Sectional Study ◽  
Assessment Tools ◽  
Challenging Behaviour ◽  
Cross Sectional ◽  
Intelligence Scale ◽  
Severely Handicapped ◽  
People With Intellectual Disabilities

Background and purpose: The purpose of this study was to assess the level of mental disorders and challenging behaviour in individuals with intellectual disability (ID) supported by specialized services, but without a prior psychiatric diagnosis, and to compare the levels of different disorders depending on the severity of ID. Methods: This is a cross-sectional study ( N = 142) of population with ID. Inclusion criteria were the following: adult patients with ID and with no previous psychiatric diagnosis prior to this survey. The Wechsler Adults Intelligence Scale-II, the Psychiatric Assessment Schedule for Adults with Developmental Disability checklist and clinical interview, the Diagnostic Assessment for the Severely Handicapped scale and the Inventory for Client and Agency Planning were the assessment tools. Results: A previously undiagnosed mental disorder was found in 29.6% of the sample. The most prevalent mental disorders were major depressive and anxiety disorders. An association between psychiatric comorbidity and challenging behaviour was found only for mild/moderate ID, especially for affective disorders. Conclusions: The presence of a psychiatric as well as a medical comorbidity is associated with severe ID, unlike challenging behaviour. Clinical limitations of the study have been discussed.

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