Relationships between psychiatric conditions and behavior problems among adults with mental retardation

Am J Ment Retard. 2004 Jan;109(1):21-33. doi: 10.1352/0895-8017(2004)109<21:RBPCAB>2.0.CO;2.


Adults with predominantly severe and profound mental retardation (N = 180) who lived in a developmental center were assessed with the Behavior Problems Inventory and the Diagnostic Assessment for the Severely Handicapped-II. Individuals with self-injurious, stereotyped, or aggressive/destructive behavior had generally higher psychopathology scores than individuals without, and the presence of behavior problems increased the likelihood of almost all psychiatric conditions up to three-fold. Factor analysis revealed that behavior problems tended to be associated with psychiatric conditions conventionally linked with behavior problems. A Self-Injury and Aggression/Destruction factor was related to impulse control and conduct problems, and a Stereotyped Behavior factor was linked to pervasive developmental disabilities and somewhat less so to schizophrenia. Stereotyped Behavior factor was independent of the Self-Injury/Aggression/Destruction factor.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Aggression / psychology
  • Child
  • Comorbidity
  • Female
  • Humans
  • Intellectual Disability / diagnosis
  • Intellectual Disability / epidemiology*
  • Intellectual Disability / psychology
  • Likelihood Functions
  • Male
  • Mathematical Computing
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Middle Aged
  • Odds Ratio
  • Probability
  • Residential Facilities
  • Schizophrenia / diagnosis
  • Schizophrenia / epidemiology
  • Schizophrenic Psychology
  • Self-Injurious Behavior / diagnosis
  • Self-Injurious Behavior / epidemiology
  • Self-Injurious Behavior / psychology
  • Stereotyped Behavior