Long‐term functional stability of problem behavior exposed to psychotropic medications

Psychopharmacological and behavioral interventions are often combined in the treatment of problem behavior in people with intellectual and developmental disability (IDD). However, little is known about the interaction between medication pharmacodynamics and behavior function. A better understanding...

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Bibliographic Details
Published in:Journal of applied behavior analysis 2022-02, Vol.55 (1), p.214-229
Main Authors: Cox, Alison D., Virues‐Ortega, Javier
Format: Article
Language:English
Subjects:
Behavior Therapy
functional analysis
Humans
intellectual disability
Intellectual Disability - drug therapy
Problem Behavior
Psychotropic drugs
Psychotropic Drugs - therapeutic use
psychotropic medication
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Summary:Psychopharmacological and behavioral interventions are often combined in the treatment of problem behavior in people with intellectual and developmental disability (IDD). However, little is known about the interaction between medication pharmacodynamics and behavior function. A better understanding of these mechanisms could serve as the conceptual foundation for combined interventions. The current analysis is a systematic replication of Valdovinos et al. (2009). We conducted continuous functional analyses within analogue reversal and parametric analyses monitoring the impact of various dosages of primarily antipsychotic medications on problem behavior and its function. Four individuals with IDD and problem behavior who were also receiving psychotropic medications participated. Medication adjustments produced small to negligible decreases in problem behavior, and behavior function remained largely unchanged through the 14 medication adjustments evaluated. The continuous functional analysis helped to identify what could be delayed medication effects on problem behavior. The clinical and methodological implications of this replication are discussed.
ISSN:0021-8855
1938-3703
DOI:10.1002/jaba.873