Using a Behavioral Approach to Decrease Self-Injurious Behavior in an Adolescent With Severe Autism: A Data-Based Case Study

Boesch, Miriam C.; Taber‐Doughty, Teresa; Wendt, Oliver; Smalts, Sherilyn S.

doi:10.1353/etc.2015.0012

Cited by 18 publications

(23 citation statements)

References 45 publications

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“…Studies report an agreement with these finding and indicate reduced ASD symptomology due to parental intervention. 21 , 22 The results of this study provide promising implications for parents as well as practitioners who work with young children with challenging behaviors. Parent involvement with their children with challenging behaviors is critical.…”

Section: Discussionmentioning

confidence: 84%

“…Other behavioral Intervention for autism spectrum disorder has found to be beneficial in terms of self-injurious behavior in other studies as well. 4 , 21 , 22 , 23 Studies report an improvement in cognition, communication and behavior of young children with ASD due to early intervention. 19 , 20 It was observed that children whose parents were got involved in the counseling session to deal with ASD showed less self-injurious behavior.…”

Section: Discussionmentioning

confidence: 99%

“…Parent involvement with their children with challenging behaviors is critical. 21 Since parents spend a significant amount of time with their children, collaborating with parents to design interventions is a promising approach to help reduce children’s challenging behaviors. 3 , 22 , 24 …”

Section: Discussionmentioning

confidence: 99%

“…The findings of regression analysis supported the above mentioned statements hence parental involvement in the process of counseling and provision of early intervention as protective factors as well as the severity of ASD is a major risk factor of NSSI among the children with ASD. 6 , 19 , 21 …”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Predictors of Non-Suicidal Self-Injury among Children with Autism Spectrum Disorder

Akram¹,

Batool²,

Rafi³

et al. 2017

Pak J Med Sci

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Objectives:To find the prevalence as well as to identify the predictors as protective and risk factors of Non-Suicidal Self-Injury (NSSI) among children with autism spectrum disorder (ASD).Methods:In this analytical cross sectional survey 83 children with ASD age range from 8 to 18 years were selected through convenient sampling technique from five special schools of Lahore city. The Urdu form of a standardized tool was used to assess NSSI.Results:Statistical analysis indicated overall point prevalence of NSSI was 33%. Moreover banging/self-beating (47%), scratching (38), pinching (35%), picking scabs (33%), self-biting (32%), pulling hair (30%) and rubbing skin (19%) emerged as common forms of challenging behavior. Further regression analysis showed that age B(1.68*, P<.05), gender B(3.72, P<.001) and severity level of ASD B(1.85***, p<.0001) as risk factors/positive predictors of NSSI. However early intervention (-0.66***, P<.0001) and involvement of parents in counselling (-2.66*, P<.05) emerged as protective factors/negative predictors of NSSI among children with ASD.Conclusion:Non-suicidal self-injury is a serious challenge among children with ASD. Early intervention, counselling and parental involvement in managing the children with ASD will not only prevent but reduce the challenging behaviors.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence and Predictors of Non-Suicidal Self-Injury among Children with Autism Spectrum Disorder

Akram¹,

Batool²,

Rafi³

et al. 2017

Pak J Med Sci

View full text Add to dashboard Cite

show abstract

“…For these patients, functional communication training may be beneficial and should be considered as a potential referral. 14 Self-injurious behavior is also directly correlated with the severity of a patient's intellectual disability and autism symptoms. Of patients with profound and severe intellectual disabilities, between 25% and 15.5% exhibit SIB.…”

Section: Self-injurious Behaviormentioning

confidence: 99%

Treacher Collins Syndrome, Intellectual Disability, and Self-Inflicted Bilateral Traumatic Cataracts: A Case Report

2017

VDR

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Introduction: Treacher Collins syndrome is a congenital craniofacial disorder with unique ocular signs and an increased risk of a variety of visual abnormalities, including strabismus and amblyopia. Although most patients with Treacher Collins syndrome are of average intelligence, it can also be present in patients with intellectual disabilities. Patients with autism spectrum disorder and/or intellectual disability are at risk for developing selfinjurious behavior, which is often directed at the head and face. Traumatic cataracts are one of the more serious injuries that can occur secondary to this behavior. When cataracts become visually significant, extraction is required. After cataract extraction, aphakia can be corrected with intraocular lenses, glasses, or contact lenses. Case Report: A 6-year-old African American male with Treacher Collins syndrome, intellectual disability, hearing impairment, and autism spectrum disorder presented with bilateral traumatic cataracts secondary to selfinjurious behavior. His vision declined rapidly as the cataracts progressed. His mobility became extremely limited and he was no longer able to fixate on faces. After cataract extraction, the patient was left aphakic due to an increased risk of complications from ongoing self-injurious behavior directed at the eyes and face. He was prescribed aphakic sports goggles due to these behaviors and his external ear malformation. He will be considered for secondary intraocular lens implantation in the future. Conclusion: Patients with Treacher Collins syndrome and those who exhibit self-injurious behavior are at an increased risk for developing ocular abnormalities and should be monitored closely. For pediatric patients with cataracts, the decision whether or not to proceed with an intraocular lens insertion should be based on the patient’s behaviors, visual demands, and age. When choosing a treatment approach, it is essential to evaluate the patient’s lifestyle and visual demands, not just the diagnosis.

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Systematic Review of Problem Behavior Interventions: Outcomes, Demographics, and Settings

Severini

Ledford

Robertson

2018

J Autism Dev Disord

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Interventions designed to decrease problem behavior for students with ASD are critical and may be differentially important for students from minority groups as those students tend to be assigned more negative outcomes related to problem behavior (e.g., suspensions). School-based interventions intended to decrease problem behavior for individuals with ASD were reviewed; 46 articles including 84 single case designs and 87 participants were analyzed regarding participant demographics, settings and implementers, intervention components, and study characteristics. We assessed outcomes for 55 demonstration designs with adequate rigor. Most research was conducted with students in segregated settings and, although race and ethnicity were rarely reported, proportions were different from other reviews in that children from some minority groups were overrepresented.

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Using a Behavioral Approach to Decrease Self-Injurious Behavior in an Adolescent With Severe Autism: A Data-Based Case Study

Cited by 18 publications

References 45 publications

Prevalence and Predictors of Non-Suicidal Self-Injury among Children with Autism Spectrum Disorder

Prevalence and Predictors of Non-Suicidal Self-Injury among Children with Autism Spectrum Disorder

Treacher Collins Syndrome, Intellectual Disability, and Self-Inflicted Bilateral Traumatic Cataracts: A Case Report

Systematic Review of Problem Behavior Interventions: Outcomes, Demographics, and Settings

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