Background The aim of this study was to reevaluate the reliability (internal consistency, inter-rater and re-test) and the factor structure of the Behavior Problems Inventory (BPI-01) with adults with intellectual disabilities who resided in a state-run developmental centre. Methods BPI-01 was administered to informants who had known participants for a minimum of 6 months. For study 1, data were collected in two samples: 100 residents who were selected based on the challenging behaviour targeted in their behaviour treatment plan and 325 randomly selected residents. Results The internal consistencies of the BPI-01 subscales were in the good to excellent range. Overall, the interrater and test-re-test reliability of the subscales and
Problems of sleep and psychomotor agitation should alert clinicians that further assessment of bipolar symptomatology is warranted. Focusing on observable behaviours based on Diagnostic and Statistical Manual of Mental Disorder-IV criteria can be useful in formulating a diagnosis of bipolar disorder in persons with ID.
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