Associations between Mental Health Problems and Challenging Behavior in Adults with Intellectual Disabilities: A Test of the Behavioral Equivalents Hypothesis

Autor/inn/en	Painter, Jon; Hastings, Richard; Ingham, Barry; Trevithick, Liam; Roy, Ashok
Titel	Associations between Mental Health Problems and Challenging Behavior in Adults with Intellectual Disabilities: A Test of the Behavioral Equivalents Hypothesis
Quelle	In: Journal of Mental Health Research in Intellectual Disabilities, 11 (2018) 2, S.157-172 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Painter, Jon)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1931-5864
DOI	10.1080/19315864.2018.1431747
Schlagwörter	Mental Health; Mental Disorders; Adults; Intellectual Disability; Pervasive Developmental Disorders; Autism; Health Services; Severity (of Disability); Physical Health; Multiple Regression Analysis; Aggression; Self Destructive Behavior; Foreign Countries; Correlation; Questionnaires; Measures (Individuals); Statistical Analysis; United Kingdom + Suchen Sie Ihr Suchwort? Psychohygiene; Mental illness; Geisteskrankheit; Intellect; Disability; Disabilities; Verstand; Behinderung; Autismus; Health service; Gesundheitsdienst; Gesundheitswesen; Schweregrad; Gesundheitszustand; Self destrucive behaviour; Selbstzerstörung; Ausland; Korrelation; Fragebogen; Messdaten; Statistische Analyse; Großbritannien
Abstract	Introduction: Current research findings in the field of intellectual disabilities (ID) regarding the relationship between mental health problems and challenging behavior are inconclusive and/or contradictory. The aim of this study was to further investigate the putative association between these two highly prevalent phenomena in people with ID, and specifically to explore the hypothesis that challenging behaviors may be behavioral equivalents of mental health problems. Methods: A sample of 160 adults accessing secondary care ID health services was assessed using five validated measures. These included ratings of severity of disability, mental health problems, autism behaviors, physical health problems, and four different aspects of challenging behavior. In conjunction with demographic information, four multiple regression analyses were undertaken to examine the interaction between mental health problems (moderated by severity of disability) and ratings of overall challenging behavior, aggression, self-injurious behavior, and stereotypy. In each case, age, gender, autism, and physical health problems were included as covariates. Results: There was a statistically significant association between mental health problems and ratings of overall challenging behavior, as well as the moderating effect of severity of disability. Importantly, the positive association between mental health problems and challenging behavior was only significant at more severe levels of disability. Conclusions: These findings support the "behavioral equivalents" hypothesis for mental health problems and challenging behaviors. However, further longitudinal research is required before this hypothesis can be considered unequivocally supported. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01