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A Large Scale Study of the Psychometric Characteristics of the IBR Modified Overt Aggression Scale: Findings and Evidence for Increased Self-Destructive Behaviors in Adult Females with Autism Spectrum Disorder

  • Ira L. Cohen
  • John A. Tsiouris
  • Michael J. Flory
  • Soh-Yule Kim
  • Robert Freedland
  • Glenn Heaney
  • Jill Pettinger
  • W. Ted Brown
Original Paper

Abstract

The psychometric characteristics of the IBR Modified Overt Aggression Scale were studied in over 2,000 people with Intellectual Disability (ID). Reliability ranged from good to excellent. Aggression toward others and objects was highest in the youngest adults, in those in the moderate to severe range of ID, and in those with an autism spectrum diagnosis. Self-injury was highest in those in the severe to profound range of ID and in those with autism, particularly the females. Females with autism were also more likely to make the most self-deprecating statements. Our data suggest that adult females with autism are a unique group and support the notion that mood and anxiety disorders play a role in self-destructive behaviors in this population.

Keywords

Aggression Self-injury Prevalence Psychometrics Rating scales Autism Females 

Notes

Acknowledgments

This research was supported by funds from the New York State Office of Mental Retardation and Developmental Disabilities (OMRDD). The authors are grateful to the following Chief Psychologists without whom this project could not have been done: Ron Michelini, Jerome Meyer, Joseph Szempruch, Donald Noble, Ed Sorel, Don Morris, Susan Verzulli, James Baker, Ann Troy, Richard Zelhof, Stephen Daurio, Mary Kennedy, and Herbert Medetsky, and to Christine Muller, OMRDD Research and Analysis Unit, Division of Policy and Enterprise Solutions, for providing the demographics of the population. The authors are also thankful to Stuart Yudofsky for permission to modify the OAS and to Warren Zigman for his advice and suggestions. Portions of this study were presented at the 13th IASSID World Congress in Cape Town, South Africa.

References

  1. Alderman, N., Knight, C., & Henman, C. (2002). Aggressive behaviour observed within a neurobehavioral rehabilitation service: Utility of the OAS-MNR in clinical audit and applied research. Brain Injury, 16, 469–489.CrossRefPubMedGoogle Scholar
  2. Amiet, C., Gourfinkel-An, I., Bouzamondo, A., Tordjman, S., Baulac, M., Lechat, P., et al. (2008). Epilepsy in autism is associated with intellectual disability and gender: Evidence from a meta-analysis. Biological Psychiatry, 64, 577–582.CrossRefPubMedGoogle Scholar
  3. Baghdadli, A., Pascal, C., Grisi, S., & Aussilloux, C. (2003). Risk factors for self-injurious behaviours among 222 young children with autistic disorders. Journal of Intellectual Disability Research, 47, 622–627.CrossRefPubMedGoogle Scholar
  4. Benson, B. A., & Brooks, W. T. (2008). Aggressive challenging behaviour and intellectual disability. Current Opinion in Psychiatry, 21, 454–458.CrossRefPubMedGoogle Scholar
  5. Bolton, P. F., Pickles, A., Murphy, M., & Rutter, M. (1998). Autism, affective and other psychiatric disorders: Patterns of familial aggregation. Psychological Medicine, 28, 385–395.CrossRefPubMedGoogle Scholar
  6. Cicchetti, D. V., & Sparrow, S. S. (1981). Developing criteria for establishing the interrater reliability of specific items in a given inventory. American Journal of Mental Deficiency, 86, 127–137.PubMedGoogle Scholar
  7. Cohen, I. L., & Tsiouris, J. (2006). Maternal recurrent mood disorders and high-functioning autism. Journal of Autism and Developmental Disorders, 36, 1077–1078.CrossRefPubMedGoogle Scholar
  8. Crocker, A. G., Mercier, C., Lachapelle, Y., Brunet, A., Morin, D., & Roy, M. E. (2006). Prevalence and types of aggressive behaviour among adults with intellectual disabilities. Journal of Intellectual Disability Research, 50, 652–661.CrossRefPubMedGoogle Scholar
  9. DeLong, G. R. (2004). Autism and familial major mood disorder: Are they related? Journal of Neuropsychiatry and Clinical Neuroscience, 16, 199–213.Google Scholar
  10. Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley-Interscience.Google Scholar
  11. Hartley, S. L., & Sikora, D. M. (2009). Sex differences in Autism Spectrum Disorder: An examination of developmental functioning, Autistic symptoms, and coexisting behavior problems in toddlers. Journal of Autism and Developmental Disorders, 39, 1715–1722.CrossRefGoogle Scholar
  12. Kay, S. R., Wolkenfeld, F., & Murrill, L. M. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. The Journal of Nervous and Mental Disease, 176, 539–546.CrossRefPubMedGoogle Scholar
  13. Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorder in the United States. Archives of General Psychiatry, 51, 8–19.PubMedGoogle Scholar
  14. Knoedler, D. W. (1989). The Modified Overt Aggression Scale. American Journal of Psychiatry, 146, 1081–1082.PubMedGoogle Scholar
  15. Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.CrossRefPubMedGoogle Scholar
  16. Lowe, K., Allen, D., Jones, E., Brophy, S., Moore, K., & James, W. (2007). Challenging behaviours: Prevalence and topographies. Journal of Intellectual Disability Research, 51, 625–636.CrossRefPubMedGoogle Scholar
  17. Matson, J. L., & Nebel-Schwalm, M. (2007). Assessing challenging behaviors in children with autism spectrum disorders: A review. Research in Developmental Disabilities, 28, 567–579.CrossRefPubMedGoogle Scholar
  18. Matson, J. L., & Rivet, T. T. (2008). Characteristics of challenging behaviours in adults with autistic disorder, PDD-NOS, and intellectual disability. Journal of Intellectual and Developmental Disability, 33, 323–329.CrossRefPubMedGoogle Scholar
  19. McDermott, R., Tingley, D., Cowden, J., Frazzetto, G., & Johnson, D. D. P. (2008a). Monoamine oxidase A gene (MAOA) predicts behavioral aggression following provocation. Proceedings of the National Academy of Sciences Early Edition, 106, 2118–2123.CrossRefGoogle Scholar
  20. McDermott, S., Zhou, L., & Mann, J. (2008b). Injury treatment among children with autism or pervasive developmental disorder. Journal of Autism and Developmental Disorders, 38, 626–633.CrossRefPubMedGoogle Scholar
  21. Meyer-Lindenberg, A., Buckholtz, J. W., Kolachana, B., Hariri, R., Pezawas, L., Blasi, G., et al. (2006). Neural mechanisms of genetic risk for impulsivity and violence in humans. Proceedings of the National Academy of Sciences USA, 103, 6269–6274.CrossRefGoogle Scholar
  22. Nicholas, J. S., Charles, J. M., Carpenter, L. A., King, L. B., Jenner, W., & Spratt, E. G. (2008). Prevalence and characteristics of children with autism-spectrum disorders. Annals of Epidemiology, 18, 130–136.CrossRefPubMedGoogle Scholar
  23. Piven, J., & Palmer, P. (1999). Psychiatric disorder and the broad autism phenotype: Evidence from a family study of multiple-incidence autism families. American Journal of Psychiatry, 156, 557–563.PubMedGoogle Scholar
  24. Schretlen, D. J., Ward, J., Meyer, S. M., Yun, J., Puig, J. G., Nyhan, W. L., et al. (2005). Behavioral aspects of Lesch-Nyhan disease and its variants. Developmental Medicine and Child Neurology, 47, 673–677.CrossRefPubMedGoogle Scholar
  25. Siegel, A., Bhatt, S., Bhatt, R., & Zalcman, S. S. (2007). The neurobiological bases for development of pharmacological treatments of aggressive disorders. Current Neuropharmacology, 5, 135–147.CrossRefPubMedGoogle Scholar
  26. Siever, L. J. (2008). Neurobiology of aggression and violence. American Journal of Psychiatry, 165, 429–442.CrossRefPubMedGoogle Scholar
  27. Sigafoos, J., Elkins, J., Kerr, M., & Attwood, T. (1994). A survey of aggressive behaviour among a population of persons with intellectual disability in Queensland. Journal of Intellectual Disability Research, 38(Pt 4), 369–381.PubMedGoogle Scholar
  28. Smalley, S. L., McCracken, J., & Tanguay, P. (1995). Autism, affective disorders, and social phobia. American Journal of Medical Genetics, 60, 19–26.CrossRefPubMedGoogle Scholar
  29. Sokol, D. K., Chen, D., Farlow, M. R., Dunn, D. W., Maloney, B., Zimmer, J. A., et al. (2006). High levels of Alzheimer beta-amyloid precursor protein (APP) in children with severely autistic behavior and aggression. Journal of Child Neurology, 21, 444–449.PubMedGoogle Scholar
  30. Sorgi, P., Ratey, J., Knoedler, D. W., Markert, R. J., & Reichman, M. (1991). Rating aggression in the clinical setting. A retrospective adaptation of the Overt Aggression Scale: Preliminary results. Journal of Neuropsychiatry and Clinical Neurosciences, 3, S52–S56.PubMedGoogle Scholar
  31. Spitz, H. H. (1988). Inverse relationship between the WISC-R/WAIS-R score disparity and IQ level in the lower range of intelligence. American Journal of Mental Retardation, 92, 376–378.PubMedGoogle Scholar
  32. SPSS. (2007). SPSS 16 for windows. Chicago: SPSS.Google Scholar
  33. StatSoft. (2009). Statistica. Tulsa, OK: StatSoft.Google Scholar
  34. Thorndike, R. L., Hagen, E. P., & Sattler, J. M. (1986). Stanford-binet Intelligence Scale (4th ed.). Rolling Meadows, Ill: Riverside.Google Scholar
  35. Tsiouris, J., Cohen, I. L., Patti, P. J., & Korosh, W. M. (2003). Treatment of previously undiagnosed psychiatric disorders in persons with developmental disabilities decreased or eliminated self-injurious behavior. Journal of Clinical Psychiatry, 62, 1081–1090.CrossRefGoogle Scholar
  36. Tyrer, F., McGrother, C. W., Thorp, C. F., Donaldson, M., Bhaumik, S., Watson, J. M., et al. (2006). Physical aggression towards others in adults with learning disabilities: Prevalence and associated factors. Journal of Intellectual Disability Research, 50, 295–304.CrossRefPubMedGoogle Scholar
  37. Yudofsky, S. C., Silver, J. M., Jackson, W., Endicott, J., & Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical aggression. American Journal of Psychiatry, 143, 35–39.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Ira L. Cohen
    • 1
  • John A. Tsiouris
    • 2
  • Michael J. Flory
    • 3
  • Soh-Yule Kim
    • 1
  • Robert Freedland
    • 4
  • Glenn Heaney
    • 2
  • Jill Pettinger
    • 5
  • W. Ted Brown
    • 6
  1. 1.Department of PsychologyNew York State Institute for Basic Research in Developmental DisabilitiesStaten IslandUSA
  2. 2.George A. Jervis ClinicNew York State Institute for Basic Research in Developmental DisabilitiesStaten IslandUSA
  3. 3.Research Design and Analysis ServiceNew York State Institute for Basic Research in Developmental DisabilitiesStaten IslandUSA
  4. 4.Center for Developmental Neuroscience and Developmental DisabilitiesNew York State Institute for Basic Research in Developmental DisabilitiesStaten IslandUSA
  5. 5.OMRDD Bureau of Behavioral and Clinical SolutionsAlbanyUSA
  6. 6.Department of Human GeneticsNew York State Institute for Basic Research in Developmental DisabilitiesStaten IslandUSA

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