Long‐term functional stability of problem behavior exposed to psychotropic medications
Psychopharmacological and behavioral interventions are often combined in the treatment of problem behavior in people with intellectual and developmental disability (IDD). However, little is known about the interaction between medication pharmacodynamics and behavior function. A better understanding...
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Published in | Journal of applied behavior analysis Vol. 55; no. 1; pp. 214 - 229 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Hoboken, USA
Wiley Subscription Services, Inc
01.02.2022
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Subjects | |
Online Access | Get full text |
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Summary: | Psychopharmacological and behavioral interventions are often combined in the treatment of problem behavior in people with intellectual and developmental disability (IDD). However, little is known about the interaction between medication pharmacodynamics and behavior function. A better understanding of these mechanisms could serve as the conceptual foundation for combined interventions. The current analysis is a systematic replication of Valdovinos et al. (2009). We conducted continuous functional analyses within analogue reversal and parametric analyses monitoring the impact of various dosages of primarily antipsychotic medications on problem behavior and its function. Four individuals with IDD and problem behavior who were also receiving psychotropic medications participated. Medication adjustments produced small to negligible decreases in problem behavior, and behavior function remained largely unchanged through the 14 medication adjustments evaluated. The continuous functional analysis helped to identify what could be delayed medication effects on problem behavior. The clinical and methodological implications of this replication are discussed. |
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Bibliography: | Alison Cox is now at the Department of Applied Disability Studies, Brock University, Canada. The authors would like to show their appreciation to Michael Martins, Lisa Hunter, Amy Brown, Dr. Vicki Isler, Dr. Toby L. Martin, and Dr. Dickie Yu. This study was partially funded by a grant from the Manitoba Health Research Council awarded to the second author. ABA España supported the second author through a research contract granted to The University of Auckland (project no. CON02739). This manuscript is based on the dissertation of the first author conducted in partial fulfillment of the requirements for the Ph.D. degree at the University of Manitoba. |
ISSN: | 0021-8855 1938-3703 |
DOI: | 10.1002/jaba.873 |