James Smith summarises a rapid realist review of complex interventions for aggressive challenging behaviour in adults with intellectual disability.
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In his debut blog, Joseph Schwartz explores a systematic review finding that a range of psychiatric disorders are associated with an elevated risk of violence.
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Caroline Struthers scrutinises a systematic review on the longitudinal course of behavioural and psychological symptoms of dementia.
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Samei Huda discusses the findings of a recent review into suicidality and aggression during antidepressant treatment. The systematic review and meta-analyses were based on clinical study reports and included some important adverse effects of antidepressants in children and young people.
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Reported rates of seriously challenging behaviour vary considerably in the literature, but the impact can be significant on the person, their family and their supporters.
Here we look at what a Cochrane review of the evidence from randomised controlled trials has to say about the effectiveness of behavioural and cognitive-behavioural interventions for what is defined as outwardly aggressive challenging behaviour.
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Researchers in this Canadian study looked at the factors associated with the use of psychiatric emergency services by people with learning disabilities who were living with their family. They conducted an audit of hospital chart audits for a sample of 20 such individuals with learning disabilities who had visited the emergency department (ED) at the [read the full story…]
This American study set out to look at the use of physical restraint in services for people with learning disabilities. The researchers looked at data on the incidence and implementation of physical restraint for 448 adults with learning disabilities in community-based day services and shared supported housing. They found that physical restraint was used exclusively [read the full story…]
This study set out to look at associations between psychiatric disorders in people with learning disabilities and challenging behaviours. The study used a large sample and controlled for sex, age, autism and degree of learning disability. The researchers used data from 47% of all people with learning disabilities who were known to and receiving services [read the full story…]
Researchers in the south east of England set out to look at the experiences of violence at work in of staff in community learning disability teams. Following a brief survey sent to six such teams, the experiences were explored further in a series of in-depth interviews with a sub-sample of respondents. The survey suggested that [read the full story…]
This review of existing research looked at behavioural and psychiatric problems in people with Prader-Willi syndrome, a complex genetic disorder. The review found hyperphagia (compulsively overeating over a long period) compulsions/repetitive behaviour, self-injury (especially skin-picking), and aggressive behaviours to be common in people with Prader–Willi syndrome. The most frequently found psychiatric disorders were psychotic, affective, [read the full story…]
