Challenging behavior in adults with epilepsy and intellectual disability: An analysis of epilepsy characteristics

Epilepsy & Behavior : E&B
Jans S van OolJos G M Hendriksen

Abstract

The study aimed to describe the frequency and severity of self-injurious, stereotyped, and aggressive/destructive behavior in adults with both epilepsy and intellectual disability (ID) who reside at a tertiary epilepsy center and to investigate the associations between challenging behavior and epilepsy and ID characteristics. The frequency and severity of self-injurious, (motoric) stereotyped, and aggressive/destructive behavior among 189 patients was assessed using the Behavior Problem Inventory. Comparisons were made with an adult reference population with ID, based on gender, to determine whether the behavior was clinically deviant. Epilepsy characteristics, including age at onset, epilepsy type, seizure types, seizure frequency, and use of antiepileptic drugs (AEDs), were retrieved from patient files. The level of ID was classified using the Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5) and an ID domain discrepancy was allocated if there was a substantial difference between two domains of adaptive behavior within a subject. Self-injurious behavior was present in 35% of subjects, stereotyped behavior in 60%, and aggressive/destructive behavior in 63%. The behavior exceeded clinical norms in 7%...Continue Reading

Citations

Mar 2, 2019·Acta Neurologica Scandinavica·Francesca M Snoeijen-SchouwenaarsJos G M Hendriksen
Oct 13, 2020·Seizure : the Journal of the British Epilepsy Association·Serafino BuonoRaffaele Ferri

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