Self-injury among a community cohort of young children at risk for intellectual and developmental disabilities

The Journal of Pediatrics
William E MaCleanFrank J Symons

Abstract

To identify risk factors for self-injurious behavior in young children with developmental delay and to determine whether that group is also more likely to exhibit other challenging behaviors. A retrospective chart review of 196 children < 6 years of age referred for comprehensive neurodevelopmental evaluations. We analyzed child developmental level, receptive and expressive communication level, mobility, visual and auditory impairment, and co-morbid diagnoses of cerebral palsy, seizure disorders, and autism. Sixty-three children (32%; mean age = 42.7 mo, 63% male) were reported to engage in self-injurious behavior at the time of the evaluation. Children with and without self-injurious behavior did not differ on overall developmental level, expressive or receptive language level, mobility status or sensory functioning, or in rates of identification with cerebral palsy, seizure disorders, or autism. However, the self-injurious behavior group was rated significantly higher by parents on destructive behavior, hurting others, and unusual habits. Although self-injurious behavior was reported to occur in 32% of the cohort, the modal frequency was monthly/weekly and the severity was low. No significant differences were found for risk m...Continue Reading

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Citations

Mar 17, 2012·Journal of Autism and Developmental Disorders·Emma G DuerdenS Wendy Roberts
Sep 11, 2012·Journal of Mental Health Research in Intellectual Disabilities·Liliana Mayo-OrtegaJanet Marquis
Nov 10, 2012·Journal of Mental Health Research in Intellectual Disabilities·Stephen R Schroeder, Andrea Courtemanche
Jul 31, 2012·Journal of Mental Health Research in Intellectual Disabilities·Patricia F KurtzMichael F Cataldo
Jul 10, 2014·American Journal on Intellectual and Developmental Disabilities·Stephen R SchroederLinda Lawrence
Oct 2, 2015·Neuroscience and Biobehavioral Reviews·Melinda Westlund SchreinerKathryn R Cullen
Apr 28, 2016·American Journal on Intellectual and Developmental Disabilities·Andrea B CourtemancheR Matthew Reese
Dec 7, 2019·Current Psychiatry Reports·Melanie D SchafflerIshmail Abdus-Saboor
Nov 3, 2012·The Journal of Trauma and Acute Care Surgery·Chien-Chang LiaoTa-Liang Chen
Jul 10, 2020·Journal of Intellectual Disability Research : JIDR·W E MacLeanF J Symons
Feb 15, 2020·Journal of Autism and Developmental Disorders·Jacqueline FlowersRune J Simeonsson
Feb 22, 2017·Journal of Autism and Developmental Disorders·Adele F DimianUNKNOWN IBIS Network
Feb 9, 2020·Journal of Autism and Developmental Disorders·Michelle C HunscheConnor M Kerns

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