@article{ref1,
title="Self-injury as a predominant challenging behavior in epilepsy: a study in a residential facility for profoundly disabled patients",
journal="Research in developmental disabilities",
year="2021",
author="Takano, Tomoyuki",
volume="120",
number="",
pages="104149-104149",
abstract="BACKGROUND: The association between challenging behavior (CB) and epilepsy in people with intellectual disability (ID) remains largely controversial. <br><br>AIM: To clarify the correlation between CB and epilepsy, we investigated the clinical characteristics of CB in both people with and without epilepsy among individuals with ID hospitalized in our residential facility. <br><br>METHODS AND PROCEDURES: A total of 63 individuals with CB was retrospectively investigated using the Behavior Problems Inventory, and the following items were collected from the medical records: sex, age, hospitalization period, etiology and risk factors, level of ID, type of CB, administration of psychotropic drugs, presence or absence of epilepsy and clinical features of epilepsy.   OUTCOMES AND RESULTS: Almost all individuals with CB showed profound ID. There was no significant difference in the rate of CB between people with and without epilepsy. A type analysis of CB revealed that self-injurious behavior was observed more frequently in epilepsy cases (66.7 %) than in cases without epilepsy (36.4 %) (p =  0.015), and self-injurious behavior was the predominant clinical form in people with epilepsy among the three subgroups of CB (self-injurious, aggressive and self-injurious and aggressive behavior). <br><br>CONCLUSIONS AND IMPLICATIONS: The high incidence of self-injurious behavior in epilepsy with profound disabilities may imply the presence of common pathological basis of self-injurious behavior and epilepsy.<p /> <p>Language: en</p>",
language="en",
issn="0891-4222",
doi="10.1016/j.ridd.2021.104149",
url="http://dx.doi.org/10.1016/j.ridd.2021.104149"
}