Psychological treatment strategies for challenging behaviours in neurodevelopmental disorders: what lies beyond a purely behavioural approach?

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@article{53b3e9e8d899425d93fc96626f9bb26f,
title = "Psychological treatment strategies for challenging behaviours in neurodevelopmental disorders: what lies beyond a purely behavioural approach?",
abstract = "Purpose of review: Challenging behaviour (CB) shown by individuals with neurodevelopmental disorders (NDDs) has a major negative impact. There is robust evidence for the efficacy of treatments based on applied behaviour analysis. However, such approaches are limited in important ways – providing only part of the whole solution. We reviewed the literature to provide an overview of recent progress in psychological treatments for CB and how these advance the field beyond a purely behavioural approach. Recent finding: We identified 1029 papers via a systematic search and screened for those implementing a psychological intervention with individuals with NDD (or caregivers) and measuring the potential impact on CB. Of the 69 included studies published since 2018, more than 50{\%} implemented a purely behavioural intervention. Other studies could generally be categorised as implementing parent training, meditation, skill training or technology-assisted interventions.Summary: Greater consideration of the interplay between behavioural and non-behavioural intervention components; systematic approaches to personalisation when going beyond the behavioural model; mental health and broad social communication needs; and models that include cognitive and emotional pathways to CB; is needed to advance the field. Furthermore, technology should not be overlooked as an important potential facilitator of intervention efforts.",
keywords = "challenging behaviour, Neurodevelopmental disorder, Psychological treatment, Behavioural management",
author = "Kate Woodcock and Siobhan Blackwell",
year = "2019",
month = "10",
day = "31",
language = "English",
journal = "Current Opinion in Psychiatry",
issn = "0951-7367",
publisher = "Lippincott Williams and Wilkins",

}

RIS

TY - JOUR

T1 - Psychological treatment strategies for challenging behaviours in neurodevelopmental disorders: what lies beyond a purely behavioural approach?

AU - Woodcock, Kate

AU - Blackwell, Siobhan

PY - 2019/10/31

Y1 - 2019/10/31

N2 - Purpose of review: Challenging behaviour (CB) shown by individuals with neurodevelopmental disorders (NDDs) has a major negative impact. There is robust evidence for the efficacy of treatments based on applied behaviour analysis. However, such approaches are limited in important ways – providing only part of the whole solution. We reviewed the literature to provide an overview of recent progress in psychological treatments for CB and how these advance the field beyond a purely behavioural approach. Recent finding: We identified 1029 papers via a systematic search and screened for those implementing a psychological intervention with individuals with NDD (or caregivers) and measuring the potential impact on CB. Of the 69 included studies published since 2018, more than 50% implemented a purely behavioural intervention. Other studies could generally be categorised as implementing parent training, meditation, skill training or technology-assisted interventions.Summary: Greater consideration of the interplay between behavioural and non-behavioural intervention components; systematic approaches to personalisation when going beyond the behavioural model; mental health and broad social communication needs; and models that include cognitive and emotional pathways to CB; is needed to advance the field. Furthermore, technology should not be overlooked as an important potential facilitator of intervention efforts.

AB - Purpose of review: Challenging behaviour (CB) shown by individuals with neurodevelopmental disorders (NDDs) has a major negative impact. There is robust evidence for the efficacy of treatments based on applied behaviour analysis. However, such approaches are limited in important ways – providing only part of the whole solution. We reviewed the literature to provide an overview of recent progress in psychological treatments for CB and how these advance the field beyond a purely behavioural approach. Recent finding: We identified 1029 papers via a systematic search and screened for those implementing a psychological intervention with individuals with NDD (or caregivers) and measuring the potential impact on CB. Of the 69 included studies published since 2018, more than 50% implemented a purely behavioural intervention. Other studies could generally be categorised as implementing parent training, meditation, skill training or technology-assisted interventions.Summary: Greater consideration of the interplay between behavioural and non-behavioural intervention components; systematic approaches to personalisation when going beyond the behavioural model; mental health and broad social communication needs; and models that include cognitive and emotional pathways to CB; is needed to advance the field. Furthermore, technology should not be overlooked as an important potential facilitator of intervention efforts.

KW - challenging behaviour

KW - Neurodevelopmental disorder

KW - Psychological treatment

KW - Behavioural management

M3 - Review article

JO - Current Opinion in Psychiatry

JF - Current Opinion in Psychiatry

SN - 0951-7367

ER -