Risk markers associated with challenging behaviours in people with intellectual disabilities: a meta-analytic study
Risk markers associated with challenging behaviours in people with intellectual disabilities: a meta-analytic study
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DOI：
10.1046/j.1365-2788.2003.00517.x
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发表时间：
2003-09-01
影响因子：
3.6
通讯作者：
Oliver, C
中科院分区：
文献类型：
--
作者：
McClintock, K;Hall, S;Oliver, C
对过去30年进行的患病率和队列研究进行了荟萃分析，以确定智障人士（IDS）表现出的挑战性行为的风险标志。从综述中共确定了86项潜在研究，其中22项（25.6%）包含足够的数据，可以进行统计分析。结果表明，男性比女性更容易表现出攻击性，并且具有严重/深度ID的个体比具有轻度/中度ID的个体更容易表现出自我伤害和刻板印象。攻击性和破坏环境，而在接受和表达沟通方面有缺陷的人更有可能表现出自我伤害。在大多数情况下，异质性检验具有统计学显著性，正如预期。荟萃分析强调，缺乏对挑战性行为风险标志的方法学上可靠的研究，缺乏关于这一人群中挑战性行为发生率、流行率和慢性化的数据。
A meta-analysis of prevalence and cohort studies conducted over the last 30 years was carried out to identify risk markers for challenging behaviour shown by individuals with intellectual disabilities (IDS). A total of 86 potential studies was identified from the review, with 22 (25.6%) containing sufficient data to enable a statistical analysis to be conducted. Results indicated that males were significantly more likely to show aggression than females, and that individuals with a severe/profound degree of ID were significantly more likely to show self-injury and stereotypy than individuals with a mild/moderate degree of ID. Individuals with a diagnosis of autism were significantly more likely to show self-injury, aggression and disruption to the environment whilst individuals with deficits in receptive and expressive communication were significantly more likely to show self-injury. In most cases, tests for heterogeneity were statistically significant, as expected. The meta-analysis highlighted the paucity of methodologically robust studies of risk markers for challenging behaviours and the lack of data on incidence, prevalence and chronicity of challenging behaviour in this population.