Persistence of self-injury, aggression and property destruction in children and adults with tuberous sclerosis complex.
J Intellect Disabil Res
; 62(12): 1058-1071, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-29417652
ABSTRACT
BACKGROUND:
Individuals with tuberous sclerosis complex (TSC) are at increased risk of developing self-injurious behaviour. The persistence of this deleterious behaviour over years is reported in aetiologically heterogeneous samples to be between 60% and 80% but is unknown for TSC.METHOD:
In this study, we determined the 3-year persistence of self-injury in a sample (n = 52) of children (with and without ID) and adults (with ID) with TSC and examined characteristics associated with persistence.RESULTS:
Findings for self-injury were contrasted to those for aggression and property destruction to examine the specificity of results to this behaviour. Self-injury was persistent in 84.6% of those with TSC who showed this behaviour, in contrast to 66.7% both for aggression and destruction. Persistent self-injury was associated with poor self-help skills, greater overactivity/impulsivity and more behavioural indicators of pain. These latter two characteristics were also associated with persistent aggression. No characteristics were associated with persistence of property destruction.CONCLUSION:
These findings suggest that self-injurious behaviours in individuals with TSC, together with aggressive and destructive behaviours, are highly persistent and would benefit from targeted intervention. Poor adaptive skills, overactivity/impulsivity and painful health conditions may differentiate those at most risk for persistent self-injury or aggression.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Esclerose Tuberosa
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Comportamento Autodestrutivo
/
Agressão
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Comportamento Problema
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Deficiência Intelectual
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article