Exploring the relationship between challenging behaviour and mental health disorder in autistic individuals with intellectual disabilities / Arvid Nikolai KILDAHL in Research in Autism Spectrum Disorders, 104 (June 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 104 (June 2023) . - 102147 Titre : Exploring the relationship between challenging behaviour and mental health disorder in autistic individuals with intellectual disabilities Type de document : texte imprimé Auteurs : Arvid Nikolai KILDAHL, Auteur ; Linn Beate LUDVIGSEN, Auteur ; Oddbjørn HOVE, Auteur ; Sissel Berge HELVERSCHOU, Auteur Article en page(s) : 102147 Langues : Anglais (eng) Mots-clés : Autism  Intellectual disability  Mental health  Challenging behaviour  Aberrant Behavior Checklist  Psychopathology in Autism Checklist Index. décimale : PER Périodiques Résumé : Background Few studies have explored the relationship between challenging behaviour and mental health symptoms in autistic individuals with intellectual disabilities, and findings have been mixed. While the prevalence of mental health disorder in this population is high, recognition and identification of these disorders may be challenging. No previous study of the relationship with challenging behaviour has used mental health measures specifically developed for this population. Method Using a standardised tool for challenging behaviour (Aberrant Behavior Checklist, ABC), differences between participants were explored according to whether they were diagnosed with a mental health disorder, in a clinical sample of 175 autistic individuals with co-occurring intellectual disabilities (ages 14-68) referred for mental health assessment. The relationship between severity of challenging behaviour and severity of mental health symptoms reported on the Psychopathology in Autism Checklist (PAC) was also explored. Results Few group differences were identified for challenging behaviour according to diagnosis, but clear associations were identified between PAC and ABC scales. These included general/non-specific associations and more specific associations that remained significant when controlling for the underlying conditions. Potential interactions were found involving different PAC scales and age, gender, autism-related characteristics, level of intellectual disability, and communication skills, respectively, but these varied for each ABC scale. Conclusions The relationship between challenging behaviour and mental health disorder appears to be complex and multifaceted. The lack of specificity of challenging behaviour indicates that these cannot reliably be used to identify specific mental health disorders, even if these behaviours may constitute atypical expressions of mental health symptoms. En ligne : http://dx.doi.org/https://doi.org/10.1016/j.rasd.2023.102147 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=504 [article] Exploring the relationship between challenging behaviour and mental health disorder in autistic individuals with intellectual disabilities [texte imprimé] / Arvid Nikolai KILDAHL, Auteur ; Linn Beate LUDVIGSEN, Auteur ; Oddbjørn HOVE, Auteur ; Sissel Berge HELVERSCHOU, Auteur . - 102147. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 104 (June 2023) . - 102147 Mots-clés : Autism  Intellectual disability  Mental health  Challenging behaviour  Aberrant Behavior Checklist  Psychopathology in Autism Checklist Index. décimale : PER Périodiques Résumé : Background Few studies have explored the relationship between challenging behaviour and mental health symptoms in autistic individuals with intellectual disabilities, and findings have been mixed. While the prevalence of mental health disorder in this population is high, recognition and identification of these disorders may be challenging. No previous study of the relationship with challenging behaviour has used mental health measures specifically developed for this population. Method Using a standardised tool for challenging behaviour (Aberrant Behavior Checklist, ABC), differences between participants were explored according to whether they were diagnosed with a mental health disorder, in a clinical sample of 175 autistic individuals with co-occurring intellectual disabilities (ages 14-68) referred for mental health assessment. The relationship between severity of challenging behaviour and severity of mental health symptoms reported on the Psychopathology in Autism Checklist (PAC) was also explored. Results Few group differences were identified for challenging behaviour according to diagnosis, but clear associations were identified between PAC and ABC scales. These included general/non-specific associations and more specific associations that remained significant when controlling for the underlying conditions. Potential interactions were found involving different PAC scales and age, gender, autism-related characteristics, level of intellectual disability, and communication skills, respectively, but these varied for each ABC scale. Conclusions The relationship between challenging behaviour and mental health disorder appears to be complex and multifaceted. The lack of specificity of challenging behaviour indicates that these cannot reliably be used to identify specific mental health disorders, even if these behaviours may constitute atypical expressions of mental health symptoms. En ligne : http://dx.doi.org/https://doi.org/10.1016/j.rasd.2023.102147 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=504

Pathological demand avoidance in children and adolescents: A systematic review / Arvid N. KILDAHL in Autism, 25-8 (November 2021)  

Public ISBD [article]  inAutism > 25-8 (November 2021) . - p.2162-2176 Titre : Pathological demand avoidance in children and adolescents: A systematic review Type de document : texte imprimé Auteurs : Arvid N. KILDAHL, Auteur ; Sissel Berge HELVERSCHOU, Auteur ; Anne Langseth RYSSTAD, Auteur ; Elisabeth WIGAARD, Auteur ; Jane Ma HELLERUD, Auteur ; Linn B. LUDVIGSEN, Auteur ; Patricia HOWLIN, Auteur Article en page(s) : p.2162-2176 Langues : Anglais (eng) Mots-clés : Adolescent  Anxiety  Anxiety Disorders  Autism Spectrum Disorder  Autistic Disorder  Child  Child Development Disorders, Pervasive  Humans  anxiety  autism  pathological demand avoidance Index. décimale : PER Périodiques Résumé : Requests for diagnoses of pathological demand avoidance have increased over recent years, but pathological demand avoidance remains a controversial issue. The concept of pathological demand avoidance has been criticised for undermining the self-advocacy of autistic people and neglecting the potential role of anxiety as a possible underlying or contributing cause. The current study was undertaken to summarise and review the methodological quality and findings from current research into pathological demand avoidance in children and adolescents. Further aims were to describe how pathological demand avoidance has been identified and to explore the relationships with autism and other developmental and psychiatric disorders. After a comprehensive search, 13 relevant studies using a wide range of methods were identified and systematic quality assessments were undertaken. All the studies had based the identification of pathological demand avoidance, directly or indirectly, on descriptions from the original study by Newson and colleagues. However, the methods used to develop these criteria were not clearly described. Most studies relied exclusively on parental report for data, and there was a general failure to take account of alternative explanations for the behaviours under study. No studies explored the views of individuals with pathological demand avoidance themselves. Problems concerning definition and measurement in the reviewed studies currently limit any conclusions regarding the uniformity or stability of the behaviours described, or the characteristics of individuals displaying them. Relationships between pathological demand avoidance and other emotional and behavioural difficulties should be explored in future research, as should the perspectives of individuals with pathological demand avoidance themselves. En ligne : http://dx.doi.org/10.1177/13623613211034382 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451 [article] Pathological demand avoidance in children and adolescents: A systematic review [texte imprimé] / Arvid N. KILDAHL, Auteur ; Sissel Berge HELVERSCHOU, Auteur ; Anne Langseth RYSSTAD, Auteur ; Elisabeth WIGAARD, Auteur ; Jane Ma HELLERUD, Auteur ; Linn B. LUDVIGSEN, Auteur ; Patricia HOWLIN, Auteur . - p.2162-2176. Langues : Anglais (eng) in Autism > 25-8 (November 2021) . - p.2162-2176 Mots-clés : Adolescent  Anxiety  Anxiety Disorders  Autism Spectrum Disorder  Autistic Disorder  Child  Child Development Disorders, Pervasive  Humans  anxiety  autism  pathological demand avoidance Index. décimale : PER Périodiques Résumé : Requests for diagnoses of pathological demand avoidance have increased over recent years, but pathological demand avoidance remains a controversial issue. The concept of pathological demand avoidance has been criticised for undermining the self-advocacy of autistic people and neglecting the potential role of anxiety as a possible underlying or contributing cause. The current study was undertaken to summarise and review the methodological quality and findings from current research into pathological demand avoidance in children and adolescents. Further aims were to describe how pathological demand avoidance has been identified and to explore the relationships with autism and other developmental and psychiatric disorders. After a comprehensive search, 13 relevant studies using a wide range of methods were identified and systematic quality assessments were undertaken. All the studies had based the identification of pathological demand avoidance, directly or indirectly, on descriptions from the original study by Newson and colleagues. However, the methods used to develop these criteria were not clearly described. Most studies relied exclusively on parental report for data, and there was a general failure to take account of alternative explanations for the behaviours under study. No studies explored the views of individuals with pathological demand avoidance themselves. Problems concerning definition and measurement in the reviewed studies currently limit any conclusions regarding the uniformity or stability of the behaviours described, or the characteristics of individuals displaying them. Relationships between pathological demand avoidance and other emotional and behavioural difficulties should be explored in future research, as should the perspectives of individuals with pathological demand avoidance themselves. En ligne : http://dx.doi.org/10.1177/13623613211034382 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451

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