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The association between repetitive behaviours, impulsivity and hyperactivity in people with intellectual disability
- Authors:
- BURBIDGE C., et al
- Journal article citation:
- Journal of Intellectual Disability Research, 54(12), December 2010, pp.1078-1092.
- Publisher:
- Wiley
There is a need for assessments of psychological difference and disorder in people who have more severe intellectual disability. The aim of this study was to develop and evaluate the psychometric properties of an informant-based questionnaire measure of hyperactivity and impulsivity for use in relation to people with all levels of intellectual disabilities. The additional aim was to evaluate the association between repetitive behaviour and hyperactivity and impulsivity to test the prediction that these phenomena should co-occur. The Activity Questionnaire (TAQ) was developed for this study. Three sub-scales with high levels of face validity were supported by factor analysis of the scoring of 755 intellectually disabled participants on the TAQ items. These sub-scales mapped onto the constructs of Overactivity, Impulsivity and Impulsive Speech. Test–retest, inter-rater reliability and internal consistency were robust. TAQ scores and scores on the Repetitive Behaviour Questionnaire were collected for a sample of 136 participants with varying degrees of intellectual disabilities. The results showed that there were significant positive associations between overactivity and stereotyped behaviour , impulsivity and restricted preferences , and impulsive speech and repetitive speech . The article concludes that the TAQ is a reliable assessment of hyperactivity and impulsivity for people with intellectual disabilities with robust factor structure. The relationship between impulsivity and restricted preferences may result from a common cognitive impairment in inhibition, which may underpin these two classes of behaviour.
Psychiatric service use and psychiatric disorders in adults with intellectual disability
- Author:
- BHAUMIK S.
- Journal article citation:
- Journal of Intellectual Disability Research, 52(11), November 2008, pp.986-995.
- Publisher:
- Wiley
UK policies aim to facilitate access to general psychiatric services for adults with intellectual disability (ID). If this is to be achieved, it is important to have a clear idea of the characteristics and proportion of people with ID who currently access specialist psychiatric services and the nature and extent of psychiatric disorders in this population. A cross-sectional study was carried out on all adults with ID using specialist services in Leicestershire and Rutland, UK, between 2001 and 2006. Characteristics of individuals seen by psychiatric services and the nature and prevalence of psychiatric disorders were investigated. Of 2,711 adults identified, 1,244 (45.9%) accessed specialist psychiatric services at least once during the study period. Individuals attending psychiatric services were more likely to be older and to live in residential settings; they were less likely to be south Asian or to have mild/moderate ID. The prevalence of psychiatric disorders among the total study population was 33.8%; the most common disorders were behaviour disorder (19.8%) and autistic spectrum disorders (8.8%). Epilepsy was highly prevalent (60.8%) among those attending psychiatric services without a mental health diagnosis. Behaviour disorders and autistic spectrum disorders were more common in men and in adults with severe/profound ID, whereas schizophrenia and organic disorders were more common in women and in adults with mild/moderate ID. Depression was also more common in women with ID. Psychiatric disorders and specialist health problems are common among adults with ID and the profile of psychiatric disorders differs from that found in general psychiatry. Close collaboration between general and specialist service providers is needed if the current move towards use of general psychiatric services in this population is to be achieved. The measures should include a clear care pathway for people with ID and mental health problems to facilitate the smooth transfer of patients between specialist and generic mental health services and arrangements for joint working where input from both services is required. The commissioning framework for such processes should be in place with appropriate pooling of resources.
An enquiry into children with emotional and behavioural difficulties in two schools in the southwest of England
- Authors:
- AVRAMIDIS Elias, BAYLISS Phil
- Journal article citation:
- Emotional and Behavioural Difficulties, 3(3), Winter 1998, pp.25-35.
- Publisher:
- Taylor and Francis
This study is concerned with investigating the problem of difficult behaviour in schools. This study investigated what constitutes 'disruptive' behaviour and explores teachers' perceptions in two schools in the Southwest of England. Recommendations provided are made on the grounds that schools can do a lot to improve their practice and that all students benefit from circumstances conducive to supporting pupils with disruptive behaviour.