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检查脆性 X 综合征男孩攻击性行为的形式和功能的特异性。

Examining the Specificity of Forms and Functions of Aggressive Behavior in Boys With Fragile X Syndrome.

机构信息

Stanford University.

出版信息

Am J Intellect Dev Disabil. 2020 Jul 1;125(4):247-259. doi: 10.1352/1944-7558-125.4.247.

DOI:10.1352/1944-7558-125.4.247
PMID:32609801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7935463/
Abstract

Limited information is available concerning the specificity of the forms and functions of aggressive behavior exhibited by boys with fragile X syndrome (FXS). To investigate these relationships, we conducted indirect functional assessments of aggressive behavior exhibited by 41 adolescent boys with FXS and 59 age and symptom-matched controls with intellectual and developmental disability (IDD) and compared the data between groups. Results showed that boys with FXS were more likely to exhibit specific forms of aggressive behavior (i.e., scratching others and biting others) compared to controls, but the sources of reinforcement identified for aggression were similar across groups. Boys with FXS who were prescribed psychotropic medications were more likely to be older and to exhibit more forms of aggression. The implications for the treatment of aggressive behavior during this critical developmental period in FXS are discussed.

摘要

关于脆性 X 综合征(FXS)男孩表现出的攻击行为的形式和功能的特异性,相关信息有限。为了研究这些关系,我们对 41 名患有 FXS 的青少年男孩和 59 名年龄和症状相匹配的伴有智力和发育障碍(IDD)的对照组进行了攻击行为的间接功能评估,并对组间数据进行了比较。结果表明,与对照组相比,患有 FXS 的男孩更有可能表现出特定形式的攻击行为(例如,抓人和咬人),但两组的攻击强化来源相似。服用精神药物的 FXS 男孩更有可能年龄较大,表现出更多的攻击行为。讨论了在 FXS 的这个关键发育时期治疗攻击行为的意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be41/7935463/f79eeda20724/nihms-1672166-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be41/7935463/ce3f60ec0466/nihms-1672166-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be41/7935463/791a3484b5b6/nihms-1672166-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be41/7935463/f79eeda20724/nihms-1672166-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be41/7935463/ce3f60ec0466/nihms-1672166-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be41/7935463/791a3484b5b6/nihms-1672166-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be41/7935463/f79eeda20724/nihms-1672166-f0003.jpg

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本文引用的文献

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J Autism Dev Disord. 2019 Jun;49(6):2461-2475. doi: 10.1007/s10803-019-03963-9.
2
Examining the influence of social-environmental variables on self-injurious behaviour in adolescent boys with fragile X syndrome.检查社会环境变量对脆性 X 综合征青少年男孩自伤行为的影响。
J Intellect Disabil Res. 2018 Dec;62(12):1072-1085. doi: 10.1111/jir.12489. Epub 2018 Apr 25.
3
Treatment of severe problem behaviour in children with autism spectrum disorder and intellectual disabilities.
治疗自闭症谱系障碍和智力残疾儿童的严重问题行为。
Int Rev Psychiatry. 2018 Feb;30(1):96-109. doi: 10.1080/09540261.2018.1435513. Epub 2018 Mar 14.
4
How common are challenging behaviours amongst individuals with Fragile X Syndrome? A systematic review.脆性 X 综合征患者的挑战性行为有多常见?系统评价。
Res Dev Disabil. 2018 May;76:99-109. doi: 10.1016/j.ridd.2018.02.020. Epub 2018 Mar 7.
5
Medication use by adolescents and adults with fragile X syndrome.脆性 X 综合征青少年和成年人的用药情况。
J Intellect Disabil Res. 2018 Feb;62(2):94-105. doi: 10.1111/jir.12433. Epub 2017 Oct 15.
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Prevalence of psychotropic medication use and association with challenging behaviour in adults with an intellectual disability. A total population study.成年智障者使用精神药物的患病率及其与挑战性行为的关联。一项全人群研究。
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8
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9
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An analysis of challenging behavior, comorbid psychopathology, and Attention-Deficit/Hyperactivity Disorder in Fragile X Syndrome.脆性X综合征中挑战性行为、共病精神病理学及注意力缺陷多动障碍的分析
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