Aggressive challenging behaviour and intellectual disability
Aggressive challenging behaviour and intellectual disability
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DOI：
10.1097/yco.0b013e328306a090
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发表时间：
2008-09-01
影响因子：
6.9
通讯作者：
Brooks, Whitney T.
中科院分区：
文献类型：
--
作者：
Benson, Betsey A.;Brooks, Whitney T.
综述目的本文旨在回顾2006年9月至2008年3月期间有关智障人士攻击性挑战行为的报告。最新研究结果继续表明，智障人士攻击性挑战行为的普遍性和重要性。一半以上的人口从事某种形式的侵略，但只有少数人对频繁或严重的行为负责。一份确定攻击特征的出版物提供了一种有希望的新方法。成年人的攻击性行为通常具有多种功能。最常研究的干预措施是行为干预或躯体干预。父母学会了有效地干预他们的攻击性学龄前儿童的技能。对药物疗效研究的审查得出结论，没有足够的证据推荐单一药物。精神科医生同意药物不应该是第一治疗选择。在一项研究中，发现一类药物可以减少攻击性，但不能减少伴有自伤或单独自伤的攻击性。摘要攻击性挑战行为的研究需要能够解决攻击性地形和严重程度的评估工具。识别攻击类型可以澄清以前研究的混合结果，并提高治疗效果。需要更多的有效的非药物治疗。
Purpose of reviewThe aim of this article is to review reports of aggressive challenging behaviour in individuals with intellectual disability from September 2006 to March 2008.Recent findingsStudies continued to demonstrate the prevalence and significance of aggressive challenging behaviour in persons with intellectual disability. Over half of the population engages in some form of aggression, but only a small number is responsible for frequent or severe acts. A publication that identified aggression profiles offered a promising new approach. Aggressive behaviour in adults often has multiple functions. The most frequently studied interventions were either behavioural or somatic. Parents learned skills to effectively intervene with their aggressive preschool child. Reviews of medication efficacy studies concluded that there was insufficient evidence to recommend a single medication. Psychiatrists agreed that medication should not be the first treatment option. In one study, a class of medication was found to reduce aggression, but not aggression with self-injury, or self-injury alone.SummaryResearch on aggressive challenging behaviour requires assessment instruments that address the topography and severity of aggression. Identifying aggression types may clarify mixed results of previous research and improve treatment effectiveness. Greater access to effective, nonmedication treatments is needed.