Abstract
Aggression and tantrums refer to a wide range of behaviors (such as biting, hitting, screaming, etc.) which occur at high rates in the developmental disabilities population. Aggressive behaviors may cause harm to others and the individual, interfere with learning and skill acquisition, and have many social consequences for the individual labeled “aggressive”. Evidence suggests that behavioral interventions which target the function of a behavior are more effective and efficient in managing both aggressive and tantrum behaviors while pharmacotherapy approaches to aggression and tantrums are often ineffective and may result in more harm to the individual. Other considerations regarding the use of medications, staff and caregiver attitudes towards aggressive behavior, and future directions for studying aggressive behaviors are discussed.
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Adler, B. A., Wink, L. K., Early, M., Shaffer, R., Minshawi, N., McDougle, C. J., & Erickson, C. A. (2015). Drug-refractory aggression, self-injurious behavior, and severe tantrums in autism spectrum disorders: A chart review study. Autism, 19(1), 102–106.
Association for Behavior Analysis. (1989). The right to effective behavioral treatment. Retrieved from www.abainternational.org/ABA/statements/treatment.asp
Baker, B. L., Blacher, J., Crnic, K. A., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year old children with and without developmental delays. American Journal of Mental Retardation, 107(6), 433–444.
Bhatia, M. S., Dhar, N. K., Singhal, P. K., Nigam, V. R., Malik, S. C., & Mullick, D. N. (1990). Temper tantrums. Prevalence and etiology in a non-referral outpatient setting. Clinical Pediatrics (Phila), 29, 311–315.
Brosnan, J., & Healy, O. (2011). A review of behavioral interventions for the treatment of aggression in individuals with developmental disabilities. Research in Developmental Disabilities, 32(2), 437–446.
Calabro, K., Mackey, T. A., & Williams, S. (2002). Evaluation of training designed to prevent and manage patient violence. Issues in Mental Health Nursing, 23, 3–15.
Chezan, L. C., Drasgow, E., & Martin, C. A. (2014). Discrete-trial functional analysis and functional communication training with three adults with intellectual disabilities and problem behavior. Journal of Behavioral Education, 23(2), 221–246.
Cohen, D., Raffin, M., Canitano, R., Bodeau, N., Bonnot, O., Périsse, D., … Laurent, C. (2013). Risperidone or aripiprazole in children and adolescents with autism and/or intellectual disability: A Bayesian meta-analysis of efficacy and secondary effects. Research in Autism Spectrum Disorders, 7(1), 167–175.
Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson.
Deb, S., Farmah, B. K., Arshad, E., Deb, T., Roy, M., & Unwin, G. L. (2014). The effectiveness of aripiprazole in the management of problem behaviour in people with intellectual disabilities, developmental disabilities and/or autistic spectrum disorder – a systematic review. Research in Developmental Disabilities, 35(3), 711–725.
Didden, R., Duker, P. C., & Korzilius, H. (1997). Meta-analytic study on treatment effectiveness for problem behaviors with individuals who have mental retardation. American Journal of Mental Retardation, 101, 387–399.
Dominick, K. C., Davis, N. O., Lainhart, J., Tager-Flusberg, H., & Folstein, S. (2007). Atypical behaviors in children with autism and children with a history of language impairment. Research in Developmental Disabilities, 28(2), 145–162.
Emerson, E. (2003). Mothers of children and adolescents with intellectual disability: Social and economic situation, mental health status, and the self-assessed social and psychological impact of the child’s difficulties. Journal of Intellectual Disability Research: JIDR, 47(Pt 4–5), 385–399.
Farmer, C., Thurm, A., & Grant, P. (2013). Pharmacotherapy for the core symptoms in autistic disorder: Current status of the research. Drugs, 73(4), 303–314.
Farmer, C. A., & Aman, M. G. (2011). Aggressive behavior in a sample of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 317–323.
Fox, R. A., Keller, K. M., Grede, P. L., & Bartosz, A. M. (2007). A mental health clinic for toddlers with developmental delays and behavior problems. Research in Developmental Disabilities, 28(2), 119–129.
Gardner, W. I., & Moffatt, C. W. (1990). Aggressive behaviour: Definition, assessment, treatment. International Review of Psychiatry, 2(1), 91–100.
Goldin, R. L., Matson, J. L., Tureck, K., Cervantes, P. E., & Jang, J. (2013). A comparison of tantrum behavior profiles in children with ASD, ADHD and comorbid ASD and ADHD. Research in Developmental Disabilities, 34(9), 2669–2675.
Green, V. A., Pituch, K. A., Itchon, J., Choi, A., O’Reilly, M., & Sigafoos, J. (2006). Internet survey of treatments used by parents of children with autism. Research in Developmental Disabilities, 27(1), 70–84.
Gendreau, P., & Archer, J. (2005). Subtypes of aggression in humans and animals. In R. Tremblay, W. Hartup, & J. Archer (Eds.), The developmental origins of aggression (pp. 25–46). New York: Guilford Press.
Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27(2), 197–209.
Kanne, S. M., & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: Prevalence and risk factors. Journal of Autism and Developmental Disorders, 41(7), 926–937.
Knotter, M. H., Wissink, I. B., Moonen, X. M. H., Stams, G. J. J. M., & Jansen, G. J. (2013). Staff’s attitudes and reactions towards aggressive behaviour of clients with intellectual disabilities: A multi-level study. Research in Developmental Disabilities, 34(5), 1397–1407.
Konst, M. J., Matson, J. L., & Turygin, N. (2013). Comparing the rates of tantrum behavior in children with ASD and ADHD as well as children with comorbid ASD and ADHD diagnoses. Research in Autism Spectrum Disorders, 7(11), 1339–1345.
Kozlowski, A., & Matson, J. L. (2012). Interview and observation methods in Functional Assessment. In J. L. Matson (Ed.), Functional assessment for challenging behaviors (pp. 105–124). New York: Springer Science & Business Media.
Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183.
Lerman, D. C., Iwata, B. A., & Wallace, M. D. (1999). Side effects of extinction: Prevalence of bursting and aggression during the treatment of self-injurious behavior. Journal of Applied Behavior Analysis, 32(1), 1–8.
Mace, F. C., & Critchfield, T. S. (2010). Translational research in behavior analysis: Historical traditions and imperative for the future. Journal of the Experimental Analysis of Behavior, 93(3), 293–312.
Machalicek, W., O’Reilly, M. F., Beretvas, N., Sigafoos, J., & Lancioni, G. E. (2007). A review of intervention to reduce challenging behavior in school settings for students with autism spectrum disorders. Research in Autism Spectrum Disorders, 1(3), 229–246.
Martin, A., Koenig, K., Anderson, G. M., & Scahill, L. (2003). Low-dose fluvoxamine treatment of children and adolescents with pervasive developmental disorders: A prospective, open-label study. Journal of Autism and Developmental Disorders, 33(1), 77–85.
Matson, J. (2009). Aggression and tantrums in children with autism: A review of behavioral treatments and maintaining variables. Journal of Mental Health Research in Intellectual Disabilities, 2(3), 169–187.
Matson, J. L., & Dempsey, T. (2008). Autism spectrum disorders: Pharmacotherapy for challenging behaviors. Journal of Developmental and Physical Disabilities, 20(2), 175–191.
Matson, J. L., Dixon, D. R., & Matson, M. L. (2005). Assessing and treating aggression in children and adolescents with developmental disabilities: A 20-year overview. Educational Psychology, 25, 151–181.
Matson, J. L., & Jang, J. (2014). Treating aggression in persons with autism spectrum disorders: A review. Research in Developmental Disabilities, 35(12), 3386–3391.
Matson, J. L., & Konst, M. J. (2015). Why pharmacotherapy is overused among persons with autism spectrum disorders. Research in Autism Spectrum Disorders, 9, 34–37.
Matson, J. L., Kozlowski, A. M., Worley, J. A., Shoemaker, M. E., Sipes, M., & Horovitz, M. (2011). What is the evidence for environmental causes of challenging behaviors in persons with intellectual disabilities and autism spectrum disorders? Research in Developmental Disabilities, 32(2), 693–698.
Matson, J. L., & Neal, D. (2009). Psychotropic medication use for challenging behaviors in persons with intellectual disabilities: An overview. Research in Developmental Disabilities, 30(3), 572–586.
Matson, J. L., & Nebel-Schwalm, M. (2007). Assessing challenging behaviors in children with autism spectrum disorders: A review. Research in Developmental Disabilities, 28(6), 567–579.
Matson, J. L., & Wilkins, J. (2008). Antipsychotic drugs for aggression in intellectual disability. The Lancet, 371, 1–2.
McClintock, K., Hall, S., & Oliver, C. (2003). Risk markers associated with challenging behaviours in people with intellectual disabilities: A meta-analytic study. Journal of Intellectual Disability Research, 47(6), 405–416.
Murphy, G. H., Beadle-Brown, J., Wing, L., Gould, J., Shah, A., & Holmes, N. (2005). Chronicity of challenging behaviours in people with severe intellectual disabilities and/or autism: A total population sample. Journal of Autism and Developmental Disorders, 35(4), 405–418.
O’Neill, R. E., Albin, R. W., Storey, K., Horner, R. H., & Sprague, J. R. (2014). Functional assessment and program development for problem behavior: A practical handbook (3rd ed.). Stamford, CT: Cengage Learning.
Risley, T. R. (1968). The effects and side effects of punishing the autistic behaviors of a deviant child. Journal of Applied Behavior Analysis, 1(I), 21–34.
Roane, H. S., Fisher, W. W., & Carr, J. E. (2016). Applied behavior analysis as treatment for autism spectrum disorder. The Journal of Pediatrics, 175, 27–32.
Shea, S., Turgay, A., Carroll, A., Schulz, M., Orlik, H., Smith, I., & Dunbar, F. (2004). Risperidone in the treatment of disruptive behavioral symptoms in children with autistic and other pervasive developmental disorders. Pediatrics, 114(5), e634–e641.
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Curtis, W. J., Wahler, R. G., Sabaawi, M., & McAleavey, K. (2006). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities, 27(5), 545–558.
Smith, K. R. M., & Matson, J. L. (2010). Behavior problems: Differences among intellectually disabled adults with co-morbid autism spectrum disorders and epilepsy. Research in Developmental Disabilities, 31(5), 1062–1069.
Spencer, D., Marshall, J., Post, B., Kulakodlu, M., Newschaffer, C., Dennen, T., … Jain, A. (2013). Psychotropic medication use and polypharmacy in children with autism spectrum disorders. Pediatrics, 132(5), 833–840.
Tremblay, R. (2000). The development of aggressive behaviour during childhood: What have we learned in the past century? International Journal of Behavioral Development, 24, 129–141.
Tyrer, P., Oliver-Africano, P. C., Ahmed, Z., Bouras, N., Cooray, S., Deb, S., … Crawford, M. (2008). Risperidone, haloperidol, and placebo in the treatment of aggressive challenging behaviour in patients with intellectual disability: A randomised controlled trial. The Lancet, 371(9606), 57–63.
U. S. Food and Drug Administration/Center for Drug Evaluation and Research. (2006). FDA approves the first drug to treat irritability associated with autism, Risperdal. FDA News.
U. S. Food and Drug Administration/Center for Drug Evaluation and Research. (2009). Aripiprazole clinical addendum. Washington, DC: Otsuka Pharmaceutical.
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Issarraras, A., Matson, J.L. (2017). Treatment Approaches to Aggression and Tantrums in Children with Developmental Disabilities. In: Matson, J. (eds) Handbook of Childhood Psychopathology and Developmental Disabilities Treatment . Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-319-71210-9_15
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