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Risk factors and topographies for self-injurious behaviour in a sample of adults with intellectual developmental disorders

Folch, A; Cortés, M.J; Salvador-Carulla, Luis; Vicens, p; Irazábal, Marcia; Muñoz-Lorente, Silvia; Rovira, L; Orejuela, C; Haro, J. M.; Vilella, E; Martínez-Leal, Rafael

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BACKGROUND: Self-injurious behaviour (SIB) is a prevalent form of challenging behaviour in people with intellectual developmental disorders (IDD). Existing research has yielded conflicting findings concerning the major risk factors involved, and in addition, SIB shows multiple topographies and presentations. Although presence of autism spectrum disorders (ASD) and severity of intellectual disability (ID) are known risk factors for SIB, there are no studies comparing SIB topographies by...[Show more]

dc.contributor.authorFolch, A
dc.contributor.authorCortés, M.J
dc.contributor.authorSalvador-Carulla, Luis
dc.contributor.authorVicens, p
dc.contributor.authorIrazábal, Marcia
dc.contributor.authorMuñoz-Lorente, Silvia
dc.contributor.authorRovira, L
dc.contributor.authorOrejuela, C
dc.contributor.authorHaro, J. M.
dc.contributor.authorVilella, E
dc.contributor.authorMartínez-Leal, Rafael
dc.date.accessioned2019-11-25T03:43:12Z
dc.identifier.issn0964-2633
dc.identifier.urihttp://hdl.handle.net/1885/186585
dc.description.abstractBACKGROUND: Self-injurious behaviour (SIB) is a prevalent form of challenging behaviour in people with intellectual developmental disorders (IDD). Existing research has yielded conflicting findings concerning the major risk factors involved, and in addition, SIB shows multiple topographies and presentations. Although presence of autism spectrum disorders (ASD) and severity of intellectual disability (ID) are known risk factors for SIB, there are no studies comparing SIB topographies by severity degrees of ID and ASD. The purpose of the present paper has been to identify risk factors and topographies for SIB in a representative, stratified and randomised sample of adults with IDD. METHOD: This study was conducted on the basis of data collected by the POMONA-ESP project, in a sample of 833 adults with IDD. Data concerning demographic and health information, ASD symptoms, psychopathology and ID, have been analysed to determine the presence of risk factors for SIB among participants and to explore the occurrence and topographies of SIB across different severity levels of ID and ASD symptoms. RESULTS: Self-injurious behaviour prevalence in the sample was 16.2%. Younger age, oral pain, greater severity of ID, presence of dual diagnosis, psychiatric medication intake and higher scores on Childhood Autism Rating Scale were risk factors for SIB among participants, whereas number of areas with functioning limitations, place of residence, diagnosis of epilepsy and sex were not. SIB was more frequent in participants with ASD symptoms regardless of its severity level, and they displayed a higher number of different topographies of SIB. People with profound ID without co-morbid ASD symptoms showed similar results concerning SIB prevalence and topographies. CONCLUSIONS: Knowledge on risk factors and topographies of SIB might play a vital role in the development of prevention strategies and management of SIB in people with IDD. The mere presence of ASD symptoms, regardless of its severity level, can be a crucial factor to be taken into account in assessing SIB. Accordingly, the presence of SIB in people with ID, especially when presented with a varied number of topographies, might provide guidance on ASD differential diagnosis.
dc.description.sponsorshipThe POMONA-ESP project is funded by the Fondo de Investigación Sanitaria (FIS) – Institute of Health Carlos III (PI12/01237) (2012–2015) and partially funded by Fundació Port Aventura
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherBlackwell Publishing Ltd
dc.rights© 2018 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd
dc.sourceJournal of Intellectual Disability Research
dc.titleRisk factors and topographies for self-injurious behaviour in a sample of adults with intellectual developmental disorders
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume62
dc.date.issued2018
local.identifier.absfor111714 - Mental Health
local.identifier.ariespublicationu4102339xPUB357
local.publisher.urlhttps://www.wiley.com/en-gb
local.type.statusPublished Version
local.contributor.affiliationFolch, A, Fundació Villablanca, IISPV, Universitat Rovira i Virgili
local.contributor.affiliationCortés, M.J, Fundació Villablanca, IISPV, Universitat Rovira i Virgili
local.contributor.affiliationSalvador-Carulla, Luis, College of Health and Medicine, ANU
local.contributor.affiliationVicens, p, Universitat Rovira i Virgili,
local.contributor.affiliationIrazábal, Marcia, Universitat de Barcelona
local.contributor.affiliationMuñoz-Lorente, Silvia, Plena Inclusión
local.contributor.affiliationRovira, L, Fundació Villablanca, IISPV, Universitat Rovira i Virgili
local.contributor.affiliationOrejuela, C, Fundació Villablanca, IISPV, Universitat Rovira i Virgili
local.contributor.affiliationHaro, J. M., Universitat de Barcelona
local.contributor.affiliationVilella, E, Centre of Biomedical Research Network on Mental Health
local.contributor.affiliationMartínez-Leal, Rafael, Intellectual Disabilities and Developmental Disorders Research Unit (UNIVIDD)
local.description.embargo2037-12-31
local.bibliographicCitation.issue12
local.bibliographicCitation.startpage1018
local.bibliographicCitation.lastpage1029
local.identifier.doi10.1111/jir.12487
local.identifier.absseo920410 - Mental Health
dc.date.updated2019-05-19T08:21:20Z
local.identifier.scopusID2-s2.0-85044789419
CollectionsANU Research Publications

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