Challenging behaviors in adults with autism spectrum disorder and intellectual disability: a differential analysis from a transdiagnostic approach

Funding: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was partially financed by a predoctoral contract for trainee researchers from the Universidad Complutense de Madrid - Banco Santander Funding Program [CT63/19-CT64/19]. Referencias bibliográficas: • American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders (5a edición). https://doi.org/10.1176/appi.books.9780890425596 • Baio J.,Wiggins L., Christensen D. L., Maenner M. J., Daniels J.,Warren Z., Kurzius-Spencer M., Zahorodny W., Robinson Rosenberg C., White T., Durkin M. S., Imm P., Nikolaou L., Yeargin-Allsopp M., Lee L. C., Harrington R., Lopez M., Fitzgerald R. T., Hewitt A., Pettygrove S. and Dowling N. F. (2018). Prevalence of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network 11 sites, United States, 2014. Surveillance Summaries, 67(6), 1-23. http://dx.doi.org/10.15585/ mmwr.ss6706a1 • Bakker-Huvenaars M. J., Greve C. U., Herpers P., Wiegers E., Jansen, van der Steen R., van Herwaardend A. E., Baanders A. N., Nijhof K.S., Scheepers F., Rommelse N., Glennon J. C. and Buitelaar J. K. (2020). Saliva oxytocin, cortisol, and testosterone levels in adolescent boys with autism spectrum disorder, oppositional defiant disorder/conduct disorder and typically developing individuals. European Neuropsychopharmacology, 30, 87-101. https://doi.org/10.1016/j.euroneuro.2018.07.097 • Balboni G., Rebecchini G., Elisei S. and Tass´eM. J. (2020). Factors affecting the relationship between adaptive behavior and challenging behaviors in individuals with intellectual disability and co-occurring disorders. Research in Developmental Disabilities, 104, 103718. https://doi.org/10.1016/j.ridd.2020.103718 • Blanchard A., Chihuri S., DiGuiseppi C. G. and Li G. (2021). Risk of Self-harm in Children and Adults With Autism Spectrum Disorder: A
This study aimed at analyzing the differences in challenging behaviors between adults with intellectual disability and ASD and those who only had intellectual disability, as well as to explore associations between transdiagnostic and clinical variables to these differences. Therapists and educators of 163 adults with intellectual disability (83 with additional ASD diagnosis) completed the test battery. Mean difference analysis and univariate analyses of covariance were performed to determine the impact of clinical variables and transdiagnostic variables on the frequency and severity of challenging behaviors. Results showed that adults with ASD and intellectual disability presented higher frequency and severity of these behaviors. A significant effect of the diagnosis of ASD on the frequency and severity of self-injuries and stereotypies was found. Also, some transdiagnostic variables influencing the presence of these behaviors were highlighted. These factors should be considered when planning and designing interventions for behavioral problems in this population
Complutense de Madrid - Banco Santander Funding Program
Depto. de Personalidad, Evaluación y Psicología Clínica
Fac. de Educación
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