Facultat de Psicologia, Ciències de l'Educació i de l'Esport, Blanquerna, Ramon Llull University, 08022 Barcelona, Spain.
Fundació Vallparadís, Mutua Terrassa, 08221 Barcelona, Spain.
Int J Environ Res Public Health. 2022 Jul 17;19(14):8701. doi: 10.3390/ijerph19148701.
The assessment of challenging behavior exhibited by people with intellectual and developmental disabilities is essential for the planning of prevention and intervention programs. This review aimed to identify and analyze the standardized instruments that exclusively focus on the assessment of challenging behavior. We identified and organized 141 articles into four categories: original instrument studies, validation studies, relational studies, and intervention studies. The results identified 24 instruments that generally show high-quality psychometric properties and other utilities beyond the observation of the presence of challenging behavior and diagnostic categorization. Age, level of adaptive behavior, disability, presence of autism spectrum disorder, and medication are some of the variables that were found to be possibly related to the occurrence of challenging behavior. Additionally, the results suggest that interventions focused on supporting positive behavior or providing training on behavior to professionals and caregivers significantly reduced the occurrence of these behaviors. Instruments that help us to understand and measure the challenging behavior exhibited by people with intellectual and developmental disabilities are essential for the design of effective evaluation and intervention protocols.
对智力和发育障碍者表现出的挑战性行为进行评估对于预防和干预计划的规划至关重要。本综述旨在识别和分析专门用于评估挑战性行为的标准化工具。我们将 141 篇文章分为四类：原始工具研究、验证研究、关系研究和干预研究。结果确定了 24 种工具，这些工具通常具有较高的心理测量学特性和其他效用，不仅仅局限于观察挑战性行为的存在和诊断分类。年龄、适应行为水平、残疾、自闭症谱系障碍的存在以及药物治疗是与挑战性行为发生相关的一些变量。此外，结果表明，专注于支持积极行为或为专业人员和护理人员提供行为培训的干预措施可显著减少这些行为的发生。有助于我们理解和衡量智力和发育障碍者表现出的挑战性行为的工具对于设计有效的评估和干预方案至关重要。
