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Cited by 119Behavioral and Psychological StudiesAutism Spectrum Disorder ResearchChild Nutrition and Feeding Issues

Treatment of severe problem behaviour in children with autism spectrum disorder and intellectual disabilities

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Newcomb, Eli T., Hagopian, Louis P.·2018·International Review of Psychiatry
DOI 10.1080/09540261.2018.1435513PMC PMC8793042
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Abstract

Children with autism spectrum disorder (ASD) and intellectual disabilities (ID) present with problem behaviour at rates disproportionately higher than their typically-developing peers. Problem behaviour, such as self-injury, aggression, pica, disruption, and elopement result in a diminished quality-of-life for the individual and family. Applied behaviour analysis has a well-established research base, detailing a number of assessment and treatment methods designed to address behaviour problems in children with ASD and ID. Although the variables that lead to the emergence of problem behaviour are not precisely known, those that are currently responsible for the maintenance of these problems can be identified via functional behaviour assessment, which is designed to identify events that occasion problem behaviour, consequences that maintain it, as well as other environmental factors that exert influence on the behaviour. Corresponding function-based treatment is implemented when environmental determinants are identified, with the aim of decreasing or eliminating problem behaviour, as well as teaching the individual to engage in more appropriate, alternative behaviour. In some cases, when problem behaviour is under the control of both environmental and biological variables, including psychiatric conditions, combining behavioural and pharmacological interventions is viewed as optimal, although there is limited empirical support for integrating these approaches.

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Research works printed but not linked: 3

  1. Hagopian LP, & Caruso-Anderson ME (2010). Integrating behavioral and pharmacological interventions for severe problem behavior displayed by children with neurogenetic and developmental disorders. In: Shapiro BK, & Accardo PJ (Eds.), Neurogenetic syndromes: Behavioral issues and their treatment (p. 217– 239). Baltimore, MD: Paul H. Brookes Publishing.
  2. Kalachnik JE, Leventhal BL, James DH, Sovner R, Kastner TA, Walsh K, … Klitzke MG (1998). Guidelines for the use of psychotropic medication. Psychotropic medications and developmental disabilities: The international handbook (pp. 45– 72). Columbus, Ohio: Ohio State University Nisonger Center.
  3. Wong C, Odom S, Hume K, Cox A, Fettig A, Kucharczyk S, … Schultz T (2013). Evidence- based practices for children, youth, and young adults with Autism spectrum disorder. Chapel Hill: The University of North Carolina, Frank Porter Graham Child Development Institute, Autism Evidence-Based Practice Review Group.

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Authors
Newcomb, E. T., & Hagopian, L. P.
Affiliations
  • The Faison Center, Richmond, VA, USA;
  • Kennedy Krieger Institute (US)
Corresponding author
Newcomb, Eli T.
ORCID
Venue
International Review of Psychiatry
Publisher
Informa UK Limited
Published
2018-01-02
Volume
30
Issue
1
Pages
96-109
ISSN
  • 0954-0261 (ISSN-L)
  • 1369-1627
DOI
10.1080/09540261.2018.1435513
PMC
PMC8793042
OpenAlex
W2789737492
Cited by
119
References
89
Citations by year
2026: 19 · 2025: 22 · 2024: 24 · 2023: 16 · 2022: 15 · 2021: 10 · 2020: 8 · 2019: 5
FWCI
1.23
Type
journal article
Language
en
Open access
Locations
  • International Review of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Developmental Disabilities Research Center (U54 HD079123)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD076653)
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
behavioral problems, autism spectrum disorder, intellectual disability, applied behaviour analysis, function-based treatment, self-harm, aggression, pica, elopement, behavioral interventions, pharmacological interventions, children
MeSH terms
Problem Behavior, Autism Spectrum Disorder, Behavior Therapy, Child, Child Behavior Disorders, Humans, Intellectual Disability

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