Physical aggression towards others in adults with learning disabilities: prevalence and associated factors

Tyrer, Freya; McGrother, Catherine W.; Thorp, C.; Donaldson, Malcolm; Bhaumik, Sabyasachi; Watson, Janet; Hollin, Clive R.

doi:10.1111/j.1365-2788.2005.00774.x

Cited by 137 publications

(158 citation statements)

References 25 publications

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“…For example, although physical aggression is a significant concern for up to 14% of adults with intellectual disabilities in general, adults with Down syndrome are much less likely than their counterparts to be physically aggressive [Tyrer et al, 2006]. Less aggression among adults is consistent with findings of diminished externalizing behaviors in the adolescent years.…”

Section: Adultssupporting

confidence: 69%

Psychiatric and behavioral disorders in persons with Down syndrome

Dykens

2007

Ment. Retard. Dev. Disabil. Res. Rev.

210

150

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Similar to the state of the broader intellectual disabilities field, many gaps exist in the research and treatment of mental health concerns in people with Down syndrome. This review summarizes key findings on the type and prevalence of behavior and emotional problems in children, adolescents, and adults with Down syndrome. Such findings include relatively low rates of severe problems in children, and well-documented risks of depression and Alzheimer's disease in older adults. The review also considers emerging data on autism, and the paucity of studies on adolescents. Three next steps for research are highlighted, including a need to: (1) connect research on psychiatric status and diagnoses across developmental periods, including adolescence, and to examine such associated processes as sociability, anxiety and attention; (2) unravel complicated biopsycho-social risk and protective factors that serve to increase or diminish psychopathology; and (3) identify evidence-based treatments that both reduce distressful symptoms and enhance well-being in individuals with Down syndrome.

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Section: Adultssupporting

confidence: 69%

Psychiatric and behavioral disorders in persons with Down syndrome

Dykens

2007

Ment. Retard. Dev. Disabil. Res. Rev.

210

150

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“…There have been a number of studies of aggressive challenging behaviour in relation to IQ but these are inconsistent: they include reports of an increase, 119,128,129 no change [130][131][132] or a decrease 120 in aggression as the degree of intellectual impairment increases. (We did not observe any relationship between challenging behaviour and IQ, perhaps because the IQ range was narrower than in previous studies, which, unlike the present study, also included people with severe and profound disabilities.)…”

Section: Intellectual Abilitymentioning

confidence: 99%

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

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This report should be referenced as follows:Willner P, Rose J, Jahoda A, Stenfert Kroese B, Felce D, MacMahon P, et al. A cluster randomised controlled trial of a manualised cognitive-behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities. Health Technol Assess 2013;17(21). This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). Health Technology Assessment is indexed and abstracted inEditorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 08/53/34. The contractual start date was in May 2009. The draft report began editorial review in May 2012 and was accepted for publication in August 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the ...

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“…Several different surveys of the prevalence of such challenging behaviors in this population have been reported (Crocker et al 2006;Lowe et al 2007;Sigafoos et al 1994;Tyrer et al 2006). However, as noted by Benson and Brooks (2008), they are difficult to compare because each used different methods, populations, and behavioral definitions.…”

Section: Introductionmentioning

confidence: 96%

A Large Scale Study of the Psychometric Characteristics of the IBR Modified Overt Aggression Scale: Findings and Evidence for Increased Self-Destructive Behaviors in Adult Females with Autism Spectrum Disorder

Cohen

Tsiouris

Flory

et al. 2009

J Autism Dev Disord

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The psychometric characteristics of the IBR Modified Overt Aggression Scale were studied in over 2,000 people with Intellectual Disability (ID). Reliability ranged from good to excellent. Aggression toward others and objects was highest in the youngest adults, in those in the moderate to severe range of ID, and in those with an autism spectrum diagnosis. Self-injury was highest in those in the severe to profound range of ID and in those with autism, particularly the females. Females with autism were also more likely to make the most self-deprecating statements. Our data suggest that adult females with autism are a unique group and support the notion that mood and anxiety disorders play a role in self-destructive behaviors in this population.

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Physical aggression towards others in adults with learning disabilities: prevalence and associated factors

Abstract: Physical aggression towards other people presents a significant challenge to carers of adults with LD. Further research is needed to identify aetiological factors with a view to finding effective interventions to reduce, and improve management of, this behaviour.

Cited by 137 publications

References 25 publications

Psychiatric and behavioral disorders in persons with Down syndrome

Psychiatric and behavioral disorders in persons with Down syndrome

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

A Large Scale Study of the Psychometric Characteristics of the IBR Modified Overt Aggression Scale: Findings and Evidence for Increased Self-Destructive Behaviors in Adult Females with Autism Spectrum Disorder

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