Self-injurious behaviour in individuals with intellectual disabilities

Current Opinion in Psychiatry
Jane Petty, Chris Oliver

Abstract

In this paper we review literature published in 2004 on self-injurious behaviour in individuals with intellectual disabilities. Reviewed studies examine phenomenology and comorbidity, pharmacological and other interventions, genetic syndromes, and behavioural assessment and treatment. Key findings include the possible association between self-injury and impulse control and stereotyped behaviours. Reports on the use of pharmacological interventions provide little evidence for the use such interventions, although the findings of studies on naltrexone seem stronger. In the behavioural phenotype literature the predictors of self-injury in Prader-Willi syndrome are becoming more refined. The behaviour analysis literature reports further development of assessment methodology to cater for idiosyncratic functions and low-rate behaviours. Developments in the fields of applied behaviour analysis and genetic syndromes highlight the importance of tailored assessments and interventions. Evidence from the pharmacological literature suggests that although significant numbers of individuals are prescribed such interventions, the research evidence for their efficacy is, at best, weak.

References

Dec 4, 2003·American Journal of Mental Retardation : AJMR·Johannes RojahnErik Mayville
Dec 4, 2003·American Journal of Mental Retardation : AJMR·Rose KroekerCurt A Sandman
Dec 17, 2003·Journal of Intellectual Disability Research : JIDR·H-C SteinhausenZ Malin
Jan 22, 2004·Research in Developmental Disabilities·Carie L English, Cynthia M Anderson
Feb 5, 2004·The Journal of Pediatrics·Dimitrios I ZafeiriouNikolaos Gombakis
Mar 6, 2004·American Journal of Mental Retardation : AJMR·Elisabeth M Dykens
Mar 18, 2004·Research in Developmental Disabilities·Richard P HastingsAnna K H Tombs
May 25, 2004·Journal of Applied Behavior Analysis·James W MooreAngela Pennington
Jun 5, 2004·American Journal of Mental Retardation : AJMR·Jennifer R ZarconeStephen R Schroeder
Jun 5, 2004·American Journal of Mental Retardation : AJMR·Nathan A ShapiraDaniel J Driscoll
Aug 18, 2004·Journal of Intellectual Disability Research : JIDR·S ThalayasingamI Singh
Dec 14, 2004·Research in Developmental Disabilities·Ethan S LongDawn Resau
Dec 22, 2004·Mental Retardation and Developmental Disabilities Research Reviews·Frank J SymonsMichael C Rodriguez
Jan 7, 2005·Journal of Intellectual Disability Research : JIDR·J RobertsonA Hallam
Jan 7, 2005·Journal of Intellectual Disability Research : JIDR·F J SymonsJ W Bodfish

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Citations

Nov 28, 2008·Journal of Autism and Developmental Disorders·Joanna MossKaty Berg
Jul 2, 2011·Journal of Autism and Developmental Disorders·Chris OliverMonique Bacarese-Hamilton
May 6, 2010·American Journal on Intellectual and Developmental Disabilities·Paul WillnerSimon Dymond
May 14, 2014·Journal of Neurodevelopmental Disorders·Kate E EdenChris Oliver
Jun 16, 2009·Journal of Intellectual Disability Research : JIDR·C OliverK Arron
Oct 28, 2010·Journal of Intellectual Disability Research : JIDR·K ArronC Burbidge
Oct 28, 2010·Journal of Intellectual Disability Research : JIDR·C BurbidgeK Woodock
Jan 5, 2011·Journal of Intellectual Disability Research : JIDR·J SloneemK A Woodcock
May 2, 2013·The Cochrane Database of Systematic Reviews·Fareez RanaSusan Varghese

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