A review of how psychotropic medication can affect the motivation of challenging behavior.

Self-injury, aggression, stereotypy, and other forms of challenging behavior are highly prevalent among people with intellectual disabilities (ID). Psychopharmacological and behavioral interventions, often in combination, are common interventions for challenging behavior. However, little is known ab...

Descripción completa

Detalles Bibliográficos
Publicado en:International Journal of Developmental Disabilities Vol. 62; no. 3; pp. 192 - 200
Autores principales: Cox, Alison D., Virués-Ortega, Javier
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2016
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116623518&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 116623518
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        20473869
        F2SP
      jtl: International Journal of Developmental Disabilities
      issn: 20473869
      maglogo: N
    pubinfo:
      dt: Jul2016
      vid: 62
      iid: 3
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        116623518
        116623518
        116623518
        10.1080/20473869.2016.1175157
        116623518
      ppf: 192
      ppct: 8
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: A review of how psychotropic medication can affect the motivation of challenging behavior.
      aug:
        au:
          Cox, Alison D.
          Virués-Ortega, Javier
        affil: Department of Psychology, University of Manitoba, Winnipeg, Canada
      sug:
        subj:
          Psychotropic Drugs
          Motivation
          Behavior
          Intellectual Disability
          Analysis of Variance
          Peer Review
          Systematic Review
          Human
      ab: Self-injury, aggression, stereotypy, and other forms of challenging behavior are highly prevalent among people with intellectual disabilities (ID). Psychopharmacological and behavioral interventions, often in combination, are common interventions for challenging behavior. However, little is known about the interaction between psychopharmacological treatment and the motivation or, more precisely, the function of challenging behavior. A better understanding of these processes may be critical to optimize treatment efficacy. Objectives: An overall review of the literature on the interaction between behavior function and psychotropic medication in people with ID, and directly related variables (e.g. motivating operations) was conducted. As a result, we discuss the behavioral processes involved in medication–behavior function interaction and the methodological and clinical implications of this research area. Methods: A comprehensive literature review was conducted of current peer-reviewed publications. Results and Conclusion: Evidence suggests medication can affect the function of challenging behavior in several ways (i.e. add new functions, decrease the number of functions, and/or change the function). Moreover, medication–function interaction was a relatively infrequent occurrence. We found the analysis of variables that alter the effectiveness of a reinforcing or punishing stimulus, called motivating operations (e.g. satiation, deprivation, illness) provides an experimental model for the analysis of the behavioral mechanisms associated with medication–function interactions. Further, single-subject designs and functional analysis methodology can be combined to evaluate medication–function interactions.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N