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Measuring Behaviour Disorder in Mental Handicap

Published online by Cambridge University Press:  02 January 2018

Jens Lund
Jens Lund*
Affiliation:
Institute of Psychiatric Demography, Psychiatric Hospital in Aarhus, DK-8240 Risskov, Denmark
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Abstract

By use of latent-trait item analysis (the Rasch model), the internal validity of the behaviour section of the MRC-HBS schedule was analysed. The set of behavioural symptoms in this rating scale was found to measure a one-dimensional structure. Thus addition of item scores provides a meaningful index. Such a numerical measure for the degree of behaviour disorder facilitates comparison between different patients or groups, and furthermore, forms the basis for quantitative description of the outcome of therapeutic intervention. A diagnosis of behaviour disorder was established in 17.2% of 302 mentally-handicapped adults. However, some kind of deviant behaviour was found in 41%, and was correlated with origin and degree of retardation, epilepsy, and place of living. The distribution of the symptoms strongly indicates that organic brain damage is a major aetiological cause.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 3 , September 1989 , pp. 379 - 383
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

Allerup, P. & Sorber, G. (1977) The Rasch Model for Questionnaires. Copenhagen: Danmarks Pædogogiske Institut.Google Scholar
Aman, M. G., Singh, N. N., Stewart, A. W., et al (1985a) The Aberrant Behavior Checklist: a behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficiency, 89, 485–491.Google ScholarPubMed
Aman, M. G., Singh, N. N., Stewart, A. W., et al (1985b) Psychometric characteristics of the Aberrant Behavior Checklist. American Journal of Mental Deficiency, 89, 492–502.Google ScholarPubMed
Andersen, E. B. (1980) Discrete Statistical Models with Social Science Applications. Copenhagen: University of Copenhagen.Google Scholar
Ballinger, B. R., Armstrong, J., Presly, A. S., et al (1975) Use of standardised psychiatric interview in mentally handicapped patients. British Journal of Psychiatry, 127, 540–544.Google Scholar
Bech, P. (1981) Rating scales for affective disorders: their validity and consistency. Acta Psychiatrica Scandinavica, 64, Suppl. 295.Google Scholar
Benson, B. A. (1985) Behavior disorders and mental retardation: associations with age, sex, and level of functioning in an outpatient clinic sample. Applied Research in Mental Retardation, 6, 79–85.Google Scholar
Bernsen, A. H. (1980) The children's handicap, behaviour and skills (HBS) schedule In Epidemiological Research as Basis for the Organization of Extramural Psychiatry (eds E. Strömgren, A. Dupont & J. A. Nielsen). Acta Psychiatrica Scandinavica , 62 (suppl. 285), 133–139.CrossRefGoogle Scholar
Cattell, R. B. (1973) Personality and Mood Questionnaire. San Francisco: Jossey-Bass Publishers.Google Scholar
Corbett, J. A. (1979) Psychiatric morbidity and mental retardation In Psychiatric Illness and Mental Handicap (eds F E. James & R. P. Snaith). London: Gaskell Press.Google Scholar
Duncan-Jones, P., Grayson, D. A. & Moran, P. A. P. (1986) The utility of latent trait models in psychiatric epidemiology. Psychological Medicine, 16, 391–405.CrossRefGoogle ScholarPubMed
Fraser, W. I., Leudar, I., Gray, J., et al (1986) Psychiatric and behaviour disturbance in mental handicap. Journal of Mental Deficiency Research, 30, 49–57.Google Scholar
Gibbons, R. D., Clark, D. C., Cavanaugh, S. V., et al (1985) Application of modern psychometric theory in psychiatric research. Journal of Psychiatric Research, 19, 43–55.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., et al (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google ScholarPubMed
Goldberg, D. P., Bridges, K., Duncan-Jones, P., et al (1987) Dimensions of neuroses seen in primary-care settings. Psychological Medicine, 17, 461–470.Google Scholar
Göstason, R. (1985) Psychiatric illness among the mentally retarded: a Swedish population study. Acta Psychiatrica Scandinavica, 71 (suppl. 318).CrossRefGoogle Scholar
Jacobson, J. W. (1982) Problem behavior and psychiatric impairment within a developmentally disabled population - I. Behavior frequency. Applied Research in Mental Retardation, 3, 121–139.Google Scholar
Kazdin, A. E., Matson, J. L. & Senatore, V. (1983) Assessment of depression in mentally retarded adults. American Journal of Psychiatry, 140, 1040–1043.Google Scholar
Kushlick, A., Blunden, R. & Cox, G. (1973) A method of rating behavior characteristics for use in large scale surveys of mental handicap. Psychological Medicine, 3, 466–478.Google Scholar
Lund, J. (1985a) Epilepsy and psychiatric disorder in the mentally retarded adult. Acta Psychiatrica Scandinavica, 72, 557–562.Google Scholar
Lund, J. (1985b) The prevalence of psychiatric morbidity in mentally retarded adults. Acta Psychiatrica Scandinavica, 72, 563–570.Google Scholar
Rasch, G. (1960) Studies in Mathematical Psychology -I. Probabilistic Models for some Intelligence and Attainment Tests. Copenhagen: Danmarks Pædagogiske Institut.Google Scholar
Senatore, V., Matson, J. L. & Kazdin, A. E. (1985) An inventory to assess psychopathology of mentally retarded adults. American Journal of Mental Deficiency, 89, 459–466.Google Scholar
Weinreich, M. & Holmsgaard, S. (1982) User's Guide to the SAS Procedure Raschit. Copenhagen: University of Copenhagen.Google Scholar
Wing, L. (1980) The MRC handicaps, behaviour and skills (HBS) schedule In Epidemiological Research as Basis for the Organization of Extramural Psychiatry (eds E. Strömgren, A. Dupont & J. A. Nielsen). Acta Psychiatrica Scandinavica , 62 (suppl. 285), 241–247.Google Scholar
World Health Organization (1974) Glossary of Mental Diseases and Guidance to their Classification. Geneva: World Health Organization.Google Scholar
Yates, F. (1981) Sampling Methods for Censuses and Surveys (4th edn). London/High Wycombe: Charles Griffin.Google Scholar
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