Frequency and severity of challenging behaviour in people with profound intellectual and multiple disabilities

Poppes, Petra; Putten, van der Annette; Vlaskamp, Carla

doi:10.1016/j.ridd.2010.07.017

Cited by 182 publications

(160 citation statements)

References 29 publications

Supporting

Mentioning

145

Contrasting

Unclassified

Order By: Relevance

“…The activities offered mainly consist of lying on a water mattress, watching television, listening to music, or just being present when cooking activities are being carried out by others, without being engaged in an active way. This inactivity may negatively influence physical health problems (e.g., sleeping problems) as well as mental health problems (e.g., challenging behaviour); both are seen frequently in people with PIMD (Hylkema, Petitiaux, & Vlaskamp, 2011;Poppes, van der Putten, & Vlaskamp, 2010). All of these problems negatively affect the quality of life of persons with PIMD.…”

Section: Introductionmentioning

confidence: 99%

Motor activation in people with profound intellectual and multiple disabilities in daily practice

Putten

Bossink

Frans

et al. 2016

Journal of Intellectual & Developmental Disability

View full text Add to dashboard Cite

Background People with profound intellectual and multiple disabilities (PIMD) are at risk of being motorically inactive. This study investigated the degree and type of motor activation in daily practice and its relationship to personal and contextual factors. Method A total of 58 participants with PIMD participated in the study. Data concerning the motor activation were collected by means of a diary over a period of 14 days. Relationships to personal and contextual factors were analysed using multilevel analyses. Results The mean number of transfers was 3.1 times per day (range: 0-9, SD = 1.4), the mean number of relocations was 7.7 times per day (range: 2-13, SD = 2.5), and the mean number of motor activities offered was 1.5 per day (range: 0-10, SD = 1.9). Relationships to age, gender, location, and day of week were found. Conclusion Motor activation seems to be a minor part of the support provided to people with PIMD.

show abstract

Section: Introductionmentioning

confidence: 99%

Motor activation in people with profound intellectual and multiple disabilities in daily practice

Putten

Bossink

Frans

et al. 2016

Journal of Intellectual & Developmental Disability

View full text Add to dashboard Cite

show abstract

“…22 Persons with severe and profound levels of IDD have a higher overall risk of developing health problems and medical complications, as well as a high prevalence of sensory impairments, and most of them require long-term pharmacological treatments. [23][24][25] As they age, the risk of health problems increases and their life expectancy drops as the severity of the intellectual disability increases. 26,27 Similarly, subjects with more severe levels of IDD often dwell at residence institutions and have a higher risk of diseases like epilepsy, mobility issues, mental health problems and behaviour disorders.…”

Section: Health In Intellectual Developmental Disordersmentioning

confidence: 99%

Health profiles in people with intellectual developmental disorders

et al. 2017

View full text Add to dashboard Cite

Objective. To better understand the health profiles of people with intellectual disability (ID), focusing on the variables that are associated with a poorer health status. Materials and methods. Data were collected from the Survey on Disability, Personal Autonomy and Dependency (EDAD 2008) of the Spanish National Statistics Institute (INE). The health data of 2 840 subjects with IDD were analyzed in order to verify the impact of different variables on their health profiles. Results. People with severe and profound levels of IDD presented a higher number of medical diagnoses. At residence centers there was a larger proportion of individuals with a higher prevalence of chronic diseases and more severe conditions; age also was an important factor. Conclusion. The health profiles of individuals with IDD differ depending on the severity level of their IDD and their degree of institutionalization. Further research is needed to provide better health care for people with IDD.

show abstract

“…A community-based epidemiological study found a prevalence of 4.9% for self-injurious behaviour (Cooper 2009a) and of 9.8% for aggression (Cooper 2009b). Challenging behaviour appears to be even more pervasive in individuals with profound intellectual disability and multiple disabilities, with a prevalence of 82% for self-injurious and stereotypical behaviour and 45% for aggressive/destructive behaviour (Poppes 2010).…”

Section: Epidemiologymentioning

confidence: 99%

Interventions for challenging behaviour in intellectual disability

Ali¹,

Blickwedel²,

Hassiotis³

2014

Adv. psychiatr. treat

View full text Add to dashboard Cite

articleChallenging behaviour in individuals with intellectual disability is a complex but common problem that can present diagnostic and management challenges for healthcare professionals. All behaviour serves a purpose, has an origin and meaning, and is therefore produced by an interaction between an individual and their environment. Challenging behaviour is a socially constructed, dynamic concept in that for a displayed behaviour to be considered challenging another person will have interpreted it as being dangerous, frightening, distressing or annoying (Royal College of Psychiatrists 2007). Consequently, what is defined as challenging may vary across cultures or settings.Clinically, challenging behaviour refers to persistent and pervasive maladaptive behaviour(s) that has a significant adverse effect on the quality of life and/or health and safety of the individual or others. The term can include a range of behaviours, for example physical aggression towards objects or people, self-injury, sexually inappropriate behaviour, offending behaviour (such as arson or stealing), mannerisms or rituals (Royal College of Psychiatrists 2007). If the behaviour threatens the quality of life or physical safety of others, it can result in the individual's exclusion from services or community activities or provoke restrictive and aversive responses that may be socially or morally unacceptable. Hence, trying to understand and, where appropriate, reduce the occurrence of challenging behaviour is of utmost importance. Challenging behaviour can be an attempt to communicate unmet needs, so strategies that are proactive and flexible in addressing these should be put in place, positive behavioural development should be promoted and the response of professionals and carers to challenging behaviour should be socially enabling rather than restricting (Royal College of Psychiatrists 2007). EpidemiologyReported prevalence of challenging behaviour in adults with intellectual disability varies depending on the definition used for ascertainment, study methodology, settings and populations. It has previously been reported to range between 6.1% in the community and 40% in long-stay hospitals (Emerson 1995). In the total intellectual disability population the incidence of 'serious challenging behaviour' was found to be around 10% (Lowe 2007) and that of any type of challenging behaviour was 10-15% (Emerson 2001a). A community-based epidemiological study found a prevalence of 4.9% for self-injurious behaviour (Cooper 2009a) and of 9.8% for aggression (Cooper 2009b). Challenging behaviour appears to be even more pervasive in individuals with profound intellectual disability and multiple disabilities, with a prevalence of 82% for self-injurious and stereotypical behaviour and 45% for aggressive/destructive behaviour (Poppes 2010).In a meta-analytic study of markers of challenging behaviour in people with intellectual Interventions for challenging behaviour in intellectual disabilityAfia Ali, Jessica Blickwedel & Angela Hassiotis SummAryChallengin...

show abstract

Frequency and severity of challenging behaviour in people with profound intellectual and multiple disabilities

Cited by 182 publications

References 29 publications

Motor activation in people with profound intellectual and multiple disabilities in daily practice

Motor activation in people with profound intellectual and multiple disabilities in daily practice

Health profiles in people with intellectual developmental disorders

Interventions for challenging behaviour in intellectual disability

Contact Info

Product

Resources

About