The Relationship Between Challenging Behavior and Symptoms of Depression in Intellectually Disabled Adults with and without Autism Spectrum Disorders

Authors: Turygin, Nicole1; Matson, Johnny2; MacMillan, Katherine3; Konst, Matthew4

Source: Journal of Developmental and Physical Disabilities, Volume 25, Number 4, August 2013 , pp. 475-484(10)

Publisher: Springer

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Abstract:

The presence of an intellectual disability (ID) is associated with the presence of co-occurring psychiatric diagnoses, and challenging behavior. Autism spectrum disorders (ASDs) and other comorbid psychopathologies are also commonly–observed in this population. Behavioral profiles of depression may help clinicians to detect depression in individuals with ID. In this study of 332 adults with intellectual disability, we found a significant association between symptoms of depression in those with ASD, PDD-NOS, and those with an ID and no ASD. Aggressive/destructive behavior and stereotyped behavior was significantly predictive in all conditions, but self-injurious behavior appears to be a useful predictor only in those with an ASD. Diagnosticians should consider the possibility of a depressive disorder when individuals with an ID present with challenging behavior.

Keywords: Autism spectrum disorders; Challenging behavior; Co-occurring conditions; Comorbidity; Developmental disability; Dual diagnosis; Intellectual disability; Major depressive disorder

Document Type: Research Article

DOI: http://dx.doi.org/10.1007/s10882-012-9321-1

Affiliations: 1: Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA, Email: nturyg1@tigers.lsu.edu 2: Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA, Email: johnmatson@aol.com 3: Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA, Email: Macmillan.katherine@gmail.com 4: Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA, Email: Mkonst1@tigers.lsu.edu

Publication date: August 1, 2013

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