Multiple and Single Functions of Self-Injurious Behavior in Autistic Adults with an Intellectual Disability

IF 1.6 4区医学 Q2 EDUCATION, SPECIAL

Journal of Mental Health Research in Intellectual Disabilities Pub Date : 2022-11-30 DOI:10.1080/19315864.2022.2149909

Natalie Werner, Pia Bienstein

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Abstract

ABSTRACT Background Understanding the operant function of self-injurious behavior in autistic individuals is imperative to understanding its etiology and designing effective prevention strategies. Methods We conducted a postal survey of residential care facilities including two functional assessment tools: QABF and IfES. Questionnaires for N = 178 residents were returned. Results For 21.2% a single, and for 62.9% multiple functions were identified by the QABF, with the most frequent function being escape (51.8%). The IfES identified unable to cope with a situation as primary antecedent for 39.8% of the residents. Non-vocal individuals presented a higher number of functions and had overall higher subscale scores. Conclusion The study was the first to investigate single and multiple functions of SIB within a large sample of autistic adults. Results suggest that multiple functions of SIB are common with negative reinforcement contingencies being most important. Results have to be interpreted with caution due to psychometric limitations of the instruments used.

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成人孤独症伴智力障碍患者自伤行为的多重与单一功能

背景了解自闭症患者自伤行为的操作功能，对了解其病因和制定有效的预防策略至关重要。方法采用邮政调查的方法，采用QABF和IfES两种功能评估工具进行调查。对N = 178名居民进行问卷调查。结果QABF识别出单一功能的占21.2%，识别出多种功能的占62.9%，其中以逃逸功能最多(51.8%)。调查结果显示，39.8%的居民认为“无法应对”是首要原因。非发声个体表现出更多的功能，并且总体得分更高。该研究首次在大量自闭症成人样本中调查SIB的单一和多种功能。结果表明，SIB的多种功能是普遍的，负强化偶发是最重要的。由于所用仪器的心理测量限制，必须谨慎解释结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Mental Health Research in Intellectual Disabilities Multiple-

CiteScore

3.30

自引率

8.00%

发文量