Characteristics of aggressive behavior in people with mild to borderline intellectual disability and co-occurring psychopathology

K.J.H.M. van den Bogaard, H. Nijman, T. Palmstierna, P.J.C.M. Embregts

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Abstract

People with intellectual disabilities and co-occurring psychopathology have a relatively high likelihood to engage in aggressive behavior. Nevertheless, structured clinical assessment of aggressive behavior, including when and where it occurs, is scarce in this population. Methods: On three wards specializing in the care for people with mild to borderline intellectual disability and co-occurring psychopathology, staff members completed the Staff Observation Aggression Scale–Revised adapted for people with intellectual disabilities (SOAS-R-ID) during a nine-month period, every time they witnessed aggressive behavior. Results: Based on 236 SOAS-R-ID forms, it was found that aggressive incidents were most common on Thursdays, and on two specific moments of the day (between 9–11 a.m. and 7–9 p.m.). The aggressive behavior was often exclusively of a verbal nature and was usually targeted against staff members (77.1% of the incidents). The Interclass (Pearson) Correlation Coefficient agreement between observers on the total score of the SOAS-R-ID was 0.72. Correlation between the judgment of the severity of aggressive behavior made by the staff members and the SOAS-R-ID severity scores was moderate (r = .40), but significant. Conclusions: Because aggressive behavior appeared to result often from interactions between the client and staff member or other clients, these interactions might be an important starting point for interventions. Structured clinical assessment of aggressive behavior can help to devise and test the effects of interventions. The SOAS-R-ID seems to be a clinically useful instrument and could therefore help to reduce the frequency of these incidents in the future.
Original languageEnglish
Pages (from-to)124-142
JournalJournal of Mental Health Research in Intellectual Disabilities
Volume11
Issue number2
DOIs
Publication statusPublished - 2018

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Keywords

  • ADULTS
  • DISORDERS
  • MENTAL-HEALTH
  • PREVALENCE
  • PSYCHIATRIC-PATIENTS
  • RESIDENTIAL FACILITY
  • REVISED SOAS-R
  • SCALE
  • SEVERE CHALLENGING BEHAVIOR
  • STAFF
  • Scale-Revised
  • Staff Observation Aggression
  • intellectual disabilities
  • psychopathology
  • structured clinical assessment

Cite this

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title = "Characteristics of aggressive behavior in people with mild to borderline intellectual disability and co-occurring psychopathology",
abstract = "People with intellectual disabilities and co-occurring psychopathology have a relatively high likelihood to engage in aggressive behavior. Nevertheless, structured clinical assessment of aggressive behavior, including when and where it occurs, is scarce in this population. Methods: On three wards specializing in the care for people with mild to borderline intellectual disability and co-occurring psychopathology, staff members completed the Staff Observation Aggression Scale–Revised adapted for people with intellectual disabilities (SOAS-R-ID) during a nine-month period, every time they witnessed aggressive behavior. Results: Based on 236 SOAS-R-ID forms, it was found that aggressive incidents were most common on Thursdays, and on two specific moments of the day (between 9–11 a.m. and 7–9 p.m.). The aggressive behavior was often exclusively of a verbal nature and was usually targeted against staff members (77.1{\%} of the incidents). The Interclass (Pearson) Correlation Coefficient agreement between observers on the total score of the SOAS-R-ID was 0.72. Correlation between the judgment of the severity of aggressive behavior made by the staff members and the SOAS-R-ID severity scores was moderate (r = .40), but significant. Conclusions: Because aggressive behavior appeared to result often from interactions between the client and staff member or other clients, these interactions might be an important starting point for interventions. Structured clinical assessment of aggressive behavior can help to devise and test the effects of interventions. The SOAS-R-ID seems to be a clinically useful instrument and could therefore help to reduce the frequency of these incidents in the future.",
keywords = "ADULTS, DISORDERS, MENTAL-HEALTH, PREVALENCE, PSYCHIATRIC-PATIENTS, RESIDENTIAL FACILITY, REVISED SOAS-R, SCALE, SEVERE CHALLENGING BEHAVIOR, STAFF, Scale-Revised, Staff Observation Aggression, intellectual disabilities, psychopathology, structured clinical assessment",
author = "{van den Bogaard}, K.J.H.M. and H. Nijman and T. Palmstierna and P.J.C.M. Embregts",
year = "2018",
doi = "10.1080/19315864.2017.1408726",
language = "English",
volume = "11",
pages = "124--142",
journal = "Journal of Mental Health Research in Intellectual Disabilities",
issn = "1931-5864",
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}

TY - JOUR

T1 - Characteristics of aggressive behavior in people with mild to borderline intellectual disability and co-occurring psychopathology

AU - van den Bogaard, K.J.H.M.

AU - Nijman, H.

AU - Palmstierna, T.

AU - Embregts, P.J.C.M.

PY - 2018

Y1 - 2018

N2 - People with intellectual disabilities and co-occurring psychopathology have a relatively high likelihood to engage in aggressive behavior. Nevertheless, structured clinical assessment of aggressive behavior, including when and where it occurs, is scarce in this population. Methods: On three wards specializing in the care for people with mild to borderline intellectual disability and co-occurring psychopathology, staff members completed the Staff Observation Aggression Scale–Revised adapted for people with intellectual disabilities (SOAS-R-ID) during a nine-month period, every time they witnessed aggressive behavior. Results: Based on 236 SOAS-R-ID forms, it was found that aggressive incidents were most common on Thursdays, and on two specific moments of the day (between 9–11 a.m. and 7–9 p.m.). The aggressive behavior was often exclusively of a verbal nature and was usually targeted against staff members (77.1% of the incidents). The Interclass (Pearson) Correlation Coefficient agreement between observers on the total score of the SOAS-R-ID was 0.72. Correlation between the judgment of the severity of aggressive behavior made by the staff members and the SOAS-R-ID severity scores was moderate (r = .40), but significant. Conclusions: Because aggressive behavior appeared to result often from interactions between the client and staff member or other clients, these interactions might be an important starting point for interventions. Structured clinical assessment of aggressive behavior can help to devise and test the effects of interventions. The SOAS-R-ID seems to be a clinically useful instrument and could therefore help to reduce the frequency of these incidents in the future.

AB - People with intellectual disabilities and co-occurring psychopathology have a relatively high likelihood to engage in aggressive behavior. Nevertheless, structured clinical assessment of aggressive behavior, including when and where it occurs, is scarce in this population. Methods: On three wards specializing in the care for people with mild to borderline intellectual disability and co-occurring psychopathology, staff members completed the Staff Observation Aggression Scale–Revised adapted for people with intellectual disabilities (SOAS-R-ID) during a nine-month period, every time they witnessed aggressive behavior. Results: Based on 236 SOAS-R-ID forms, it was found that aggressive incidents were most common on Thursdays, and on two specific moments of the day (between 9–11 a.m. and 7–9 p.m.). The aggressive behavior was often exclusively of a verbal nature and was usually targeted against staff members (77.1% of the incidents). The Interclass (Pearson) Correlation Coefficient agreement between observers on the total score of the SOAS-R-ID was 0.72. Correlation between the judgment of the severity of aggressive behavior made by the staff members and the SOAS-R-ID severity scores was moderate (r = .40), but significant. Conclusions: Because aggressive behavior appeared to result often from interactions between the client and staff member or other clients, these interactions might be an important starting point for interventions. Structured clinical assessment of aggressive behavior can help to devise and test the effects of interventions. The SOAS-R-ID seems to be a clinically useful instrument and could therefore help to reduce the frequency of these incidents in the future.

KW - ADULTS

KW - DISORDERS

KW - MENTAL-HEALTH

KW - PREVALENCE

KW - PSYCHIATRIC-PATIENTS

KW - RESIDENTIAL FACILITY

KW - REVISED SOAS-R

KW - SCALE

KW - SEVERE CHALLENGING BEHAVIOR

KW - STAFF

KW - Scale-Revised

KW - Staff Observation Aggression

KW - intellectual disabilities

KW - psychopathology

KW - structured clinical assessment

U2 - 10.1080/19315864.2017.1408726

DO - 10.1080/19315864.2017.1408726

M3 - Article

VL - 11

SP - 124

EP - 142

JO - Journal of Mental Health Research in Intellectual Disabilities

JF - Journal of Mental Health Research in Intellectual Disabilities

SN - 1931-5864

IS - 2

ER -