@article{ref1,
title="Conducting in-home functional analyses of aggression and self-injury exhibited by boys with fragile X syndrome",
journal="Journal of developmental and behavioral pediatrics",
year="2021",
author="Monlux, Katerina D. and Pollard, Joy S. and Bujanda Rodriguez, Arlette Y. and Hall, Scott S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Boys with fragile X syndrome (FXS) are at increased risk for exhibiting aggression and self-injury that can be extremely disruptive to families. Few studies, however, have examined the extent to which social-environmental factors can influence these behaviors, particularly in home settings. <br><br>METHODS: Caregivers of 32 boys with FXS, aged 3 to 10 years, were coached by a board-certified behavior analyst to implement a functional analysis (FA) with child in their home over 2 days. The functions identified in the FAs were validated by behavioral interventions conducted through telehealth over 12 weeks. <br><br>RESULTS: Social functions for aggression and self-injury were identified in 29 (90.6%) cases, with the most common functions identified being escape from demands/transitions and/or tangible reinforcement. Subsequent function-based behavioral interventions (i.e., functional communication training) implemented for 22 cases by telehealth resulted in decreased rates of aggression and self-injury by 74% to 100%. <br><br>CONCLUSION: These data underscore the significant impact that social-environmental factors can have on the development and maintenance of aggression and self-injury in FXS. Conducting early home-based behavioral interventions designed to increase functional communication skills may therefore be an effective solution for the treatment of aggression and self-injury in FXS in the long term.<p /> <p>Language: en</p>",
language="en",
issn="0196-206X",
doi="10.1097/DBP.0000000000001019",
url="http://dx.doi.org/10.1097/DBP.0000000000001019"
}