Journal of Autism and Developmental Disorders

, Volume 37, Issue 3, pp 413–424

Physical Illness, Pain, and Problem Behavior in Minimally Verbal People with Developmental Disabilities


DOI: 10.1007/s10803-006-0176-0

Cite this article as:
Carr, E.G. & Owen-DeSchryver, J.S. J Autism Dev Disord (2007) 37: 413. doi:10.1007/s10803-006-0176-0


There is growing interest in the role that physical illness and pain might play in exacerbating problem behavior in individuals with developmental disabilities. Assessment of these factors, however, is often difficult since many individuals have minimal verbal communication skills. In response to this difficulty, we developed a sequential method of assessment involving retrospective and prospective measurement strategies. We found that the frequency and intensity of problem behavior was greater on “sick” days than on “well” days. Further, the higher the level of pain, the greater was the frequency and intensity of problem behavior. We discuss the concept of pain as a setting event for problem behavior and the intervention strategies that follow from this conceptualization.


Developmental disabilities Problem behavior Physical illness Pain 

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  1. 1.Department of PsychologyState University of New York at Stony BrookStony BrookUSA
  2. 2.Department of PsychologyGrand Valley State UniversityAllendaleUSA

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