Journal of autism and childhood schizophrenia

, Volume 8, Issue 3, pp 261–269 | Cite as

Prevalence of self-injurious behaviors in a large state facility for the retarded: A three-year follow-up study

  • Stephen R. Schroeder
  • Carolyn S. Schroeder
  • Becky Smith
  • Joanna Dalldorf
Articles

Abstract

A combined informant questionnaire and interview survey of self-injurious behavior (SIB) at a large state facility for the retarded was conducted independently three times over a 3-year period. Prevalence consistently was about 10% of the population. SIB cases tended to be younger and institutionalized longer than the rest of the population. Severe cases had a longer history of chronic SIB. SIB cases had more seizure disorders, severe language handicaps, visual impairments, and severe or profound retardation than the rest of the population. They appeared to fulfill most of the Rutter (1966) criteria for autism. But unlike the severely autistic, there was little relation of sex to incidence of SIB. Over 90% of SIB cases changed status over 3 years, suggesting that SIB was amenable to behavior modification in most cases (94%). Psychotropic behavior control medications helped in some intervention programs (52%). SIB remitted spontaneously in 27% of SIB cases where there had been no behavioral or drug intervention.

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Reference note

  1. 1.
    Cohen, M. N., & Sprague, R. L.Survey of drug usage in two midwestern institutions for the retarded. Paper presented at the Gatlingburg Conference on Research in Mental Retardation, Gatlingburg, Tennessee, March 1977.Google Scholar

References

  1. 2.
    Bachman, J. A. Self-injurious behavior: A behavioral analysis.Journal of Abnormal Psychology, 1972,80, 211–224.PubMedGoogle Scholar
  2. 3.
    Bartak, L., & Rutter, M. Differences between mentally retarded and normally intelligent autistic children.Journal of Autism and Childhood Schizophrenia, 1976,6, 109–120.PubMedGoogle Scholar
  3. 4.
    Baumeister, A. A., & Rollings, J. P. Self-injurious behavior. In N. Ellis (Ed.),International review of research in mental retardation (Vol. 8). New York: Academic Press, 1976.Google Scholar
  4. 5.
    Goldfarb, W.Childhood schizophrenia. Cambridge: Harvard University Press, 1961.Google Scholar
  5. 6.
    Green, A. H. Self-mutilation in schizophrenic children.Archives of General Psychiatry, 1967,17, 234–244.PubMedGoogle Scholar
  6. 7.
    Maisto, C. R., Baumeister, A. A., & Maisto, A. A. An analysis of variables related to selfinjurious behavior among institutionalized retarded persons.Journal of Mental Deficiency Research, in press.Google Scholar
  7. 8.
    McAndrew, J. B., Case, Q., & Treffert, D. A. Effects of prolonged phenothiazine intake on psychotic and other hospitalized children.Journal of Autism and Childhood Schizophrenia, 1972,2, 79–91.Google Scholar
  8. 9.
    Polizos, P., Engelhardt, D. M., Hoffman, S. P., & Waizer, J. Neurological consequences of psychotropic drug withdrawal in schizophrenic children.Journal of Autism and Childhood Schizophrenia, 1973,3, 247–253.PubMedGoogle Scholar
  9. 10.
    Romanczyk, R., & Goren, E. Severe self-injurious behavior: The problem of clinical control.Journal of Clinical Psychology, 1915,43, 730–739.Google Scholar
  10. 11.
    Ross, R. T. Behavioral correlates of levels of intelligence.American Journal of Mental Deficiency, 1972,76, 545–549.PubMedGoogle Scholar
  11. 12.
    Rutter, M. Behavioural and cognitive characteristics of a series of psychotic children. In J. K. Wing (Ed.),Early childhood autism: Clinical, educational and social aspects. London: Pergamon Press, 1966.Google Scholar
  12. 13.
    Rutter, M. Autistic children: Infancy to adulthood.Seminars in Psychiatry, 1970,2, 435–450.PubMedGoogle Scholar
  13. 14.
    Shodell, M., & Reiter, H. Self-mutilative behavior in verbal and non-verbal schizophrenic children.Archives of General Psychiatry, 1968,19, 453–455.PubMedGoogle Scholar
  14. 15.
    Smeets, P. M. Some characteristics of mental defectives displaying self-mutilative behavior.Training School Bulletin, 1971,68, 131–135.PubMedGoogle Scholar
  15. 16.
    Soule, D., & O'Brien, D. Self-injurious behavior in a state center for the retarded: Incidence.Research and the Retarded, 1974,1, 1–8.Google Scholar
  16. 17.
    Sprague, R. L., & Baxley, G. Drugs used for the management of behavior in mental retardation. In N. R. Ellis (Ed.),Handbook of mental deficiency (2nd ed.). New York: Erlbaum Associates, in press.Google Scholar
  17. 18.
    Tate, B. G., & Baroff, G. S. Aversive control of self-injurious behavior in a psychotic boy.Behaviour Research and Therapy, 1966,4, 281–287.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1978

Authors and Affiliations

  • Stephen R. Schroeder
    • 1
  • Carolyn S. Schroeder
    • 1
  • Becky Smith
    • 1
  • Joanna Dalldorf
    • 1
  1. 1.The University of North Carolina at Chapel HillUSA

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