Abstract
The prevalence of depression in individuals with an intellectual disability is estimated to lie between 3% and 6%. It has been suggested that symptoms of depression in this population might be atypical and include unusual features such as challenging behavior. However, there is significant disagreement regarding the use of challenging behavior as "depressive equivalent" symptomatology. The aim of this review is to evaluate published research reporting on the association between challenging behavior, specifically aggression and self-injury, and depression in people with an intellectual disability as a first step toward evaluating whether challenging behaviors might be considered as depressive equivalent symptoms. The results of the studies identified indicated that the association between depression and aggression, and depression and self-injury are equivocal and the interpretations of the results limited by threats to validity. Based on this analysis, there is insufficient evidence to support the use of challenging behavior as a depressive equivalent symptom. Further research to examine potentially confounding variables and the association between challenging behaviour and depression using methodologically robust designs and measures is clearly warranted.
| Original language | English |
|---|---|
| Pages (from-to) | 452-71 |
| Number of pages | 20 |
| Journal | American Journal on Intellectual and Developmental Disabilities |
| Volume | 119 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Sept 2014 |
Bibliographical note
Export Date: 23 March 2015Correspondence Address: Davies, L.E.; CAMHS LD, Finch Road Primary Care Centre, Finch Road Lozells, United Kingdom
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Keywords
- Aggression
- Depression
- Humans
- Intellectual Disability
- Self-Injurious Behavior