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The Behavior Problems Inventory: An Instrument for the Assessment of Self-Injury, Stereotyped Behavior, and Aggression/Destruction in Individuals with Developmental Disabilities

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Abstract

The Behavior Problems Inventory (BPI-01) is a 52-item respondent-based behavior rating instrument for self-injurious, stereotypic, and aggressive/destructive behavior in mental retardation and other developmental disabilities. Items are rated on a frequency scale and a severity scale. The BPI-01 was administered by interviewing direct care staff of 432 randomly selected residents from a developmental center between the ages of 14 to 91 years. For 73% of those selected, at least one problem was endorsed on the BPI-01. A total of 43% showed self-injury, 54% stereotyped behavior, and 38% aggressive/destructive behavior. Confirmatory factor analysis and item-total correlations supported the three a priori factors. Analyses of variance (ANOVA) showed that of the variables age, sex, and level of mental retardation, only the latter had a significant effect on the BPI-01 total score, the SIB subscale score, and the Stereotyped Behavior subscale score. Aggression/destruction was not significantly related to any of the three variables. Individuals with a diagnosis of pervasive developmental disorder had higher scores on all three subscales than those without, whereas residents with a diagnosis of stereotyped movement disorder had higher Stereotyped Behavior scale scores than those without. The BPI-01 was found to be a reliable (retest reliability, internal consistency, and between-interviewer-agreement) and valid (factor and criterion validity) behavior rating instrument for problem behaviors in mental retardation and developmental disabilities with a variety of potentially useful applications. Strengths and limitations of the instrument are discussed.

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REFERENCES

  • Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985a). The Aberrant Behavior Checklist: A behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficiency, 89, 485–491.

    PubMed  Google Scholar 

  • Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985b). Psychometric characteristics of the Aberrant Behavior Checklist. American Journal of Mental Deficiency, 89, 492–502.

    PubMed  Google Scholar 

  • Aman, M. G., Singh, N. N., & Turbott, S. H. (1987). Reliability of the aberrant behavior Checklist and the effect of variations in instructions. American Journal of Mental Deficiency, 92, 237–240.

    PubMed  Google Scholar 

  • Aman, M. G., Tassé, M. J., Rojahn, J., & Hammer, D. (1996). The Nisonger CBRF: A child behavior rating form for children with developmental disabilities. Research in Developmental Disabilities, 17, 41–57.

    PubMed  Google Scholar 

  • Aman, M. G., Findling, R. L., & Derivan, A. (1999a). Risperidone versus placebo for severe conduct disorders in children with mental retardation. Presented at the 46th Annual Meeting of the American Academy of Child and Adolescent Psychiatry, October 19–24, Chicago, Ill.

  • Aman, M. G., Findling, R. L., & Derivan, A. (1999b). Risperidone versus placebo for severe conduct disorders in children with mental retardation. Presented at the American College of Neuropsychopharmacology Annual Meeting, December, 12–16, Acapulco, Mexico.

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Anderson, L., Lakin, K. C., Prouty, R., & Polister, B. (1999). Characteristics and movement of residents of large state facilities. In R. W. Prouty & K. C. Lakin (Eds.), Residential services for persons with developmental disabilities: Status and trends through 1998. Minneapolis: University of Minnesota, Research and Training Center on Community Living, Institute on Community Integration.

    Google Scholar 

  • Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: Comparison with mental retardation. Journal of Autism and Developmental Disorders, 30, 237–243.

    PubMed  Google Scholar 

  • Borthwick, S. A., Meyers, C. E., & Eyman, R. K. (1981). Comparative adaptive and maladaptive behavior of mentally retarded clients of five residential settings in three western states. In R. H. Bruininks, C. E. Meyers, B. B. Sigford, & K. C. Lakin (Eds.) Deinstitutionalization and community adjustment of mentally retarded people (Monograph No. 4, pp. 351–359). Washington, DC: American Association of Mental Deficiency.

    Google Scholar 

  • Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods and Research, 21, 230–258.

    Google Scholar 

  • Cicchetti, D. V., & Sparrow, S. (1981). Developing criteria for establishing interrater reliability of specific items: Applications to assessment of adaptive behavior. American Journal of Mental Retardation, 86, 127–137.

    Google Scholar 

  • Edlinger, W. (1983). Selbstverletzungsverhalten und Vehaltenskompetenzen bei geistig behinderten Personen (in german). Unpublished Master's Thesis, University of Marburg, Germany.

    Google Scholar 

  • Fenzau, B. (1984). Prävalenz von Selbstverletzungsverhalten bei geistig Behinderten in Einrichtungen der Lebenshilfe (in german). Unpublished Master's Thesis, University of Marburg, Germany.

    Google Scholar 

  • Freund, L. S., & Reiss, A. L. (1990). Rating psychopathology in mentally retarded outpatients: Use of the Aberrant Behavior Checklist. Unpublished manuscript, Department of Psychiatry, Johns Hopkins University.

  • Hauschild, M. (1985). Prävalenz von Selbstverletzungsverhalten bei nicht-institutionalisierten geistig Behinderten (in german). Unpublished Master's Thesis, University of Marburg, Germany.

    Google Scholar 

  • Havercamp, S. M., & Reiss, S. R. (1996). Composite versus multiple-rating scales in the assessment of psychopathology in people with mental retardation. Journal of Intellectual Disability Research, 40, 176–179.

    PubMed  Google Scholar 

  • Hill, B., & Bruininks, R. H. (1984). Maladaptive behavior of mentally retarded individuals in residential facilities. American Journal of Mental Deficiency, 88, 380–386.

    PubMed  Google Scholar 

  • Intagliata, J., & Willer, B. (1981). Reinstitutionalization of mentally retarded persons successfully placed into family care and group homes. American Journal of Mental Deficiency, 87, 34–39.

    Google 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.

    PubMed  Google Scholar 

  • Leudar, I., Fraser, W. I., & Jeeves, M. A. (1984). Behaviour disturbance and mental handicap: Typology and longitudinal trends. Psychological Medicine, 14, 923–935.

    PubMed  Google Scholar 

  • Maisto, C. R., Baumeister, A. A., & Maisto, A. A. (1978). An analysis of variables related to self-injurious behavior among institutionalized retarded persons. Journal of Mental Deficiency Research, 22, 27–36.

    PubMed  Google Scholar 

  • Mapi Research Institute (1997). Cultural adaptation of the Behavior Problems Inventory into UK-, Canadian,-and South African English, French, Canadien French, German, Afrikaans, Dutch, Italian, Spanish and Portuguese. Unpublished Report, Lyon, France: Author.

    Google Scholar 

  • Matson, J. L., Kazdin, A. E., & Senatore, V. (1985). Psychometric properties of the Psychopathology Instrument for Mentally Retarded Adults. Applied Research in Mental Retardation, 5, 81–89.

    Google Scholar 

  • Matson, J. L., Gardner, W. I., Coe, D. A., & Sovner, R. (1991). A scale for evaluating emotional disorders in severely and profoundly mentally retarded persons: Development of the Diagnostic Assessment for the Severely Handicapped (DASH). British Journal of Psychiatry, 159, 404–409.

    Google Scholar 

  • Maurice, P., & Trudel, G. (1982). Self-injurious behavior prevalence and relationships to environment event. In J. H. Hollis and C. E. Meyers (Eds.), Life-threatening behavior: Analysis and Intervention (pp. 81–103). Washington, DC: AAMR.

    Google Scholar 

  • McGill, P., Hughes, D., Teer, K., & Rye, L. (in press). Variability in staff reports of the frequency of challenging behavior. Research in Developmental Disabilities.

  • McGrew, K. S., Ittenbach, R. F., Bruininks, R. H., & Hill, B. K. (1991). Factor structure of maladaptive behaviors across lifespan of person with mental Retardation. Research in Developmental Disabilities, 12, 181–199.

    PubMed  Google Scholar 

  • Mulick, J. A., Dura, J. R., Rasnake, J. K., & Wisniewski, J. (1988). Self-injurious behavior and stereotypy in nonambulatory children with profound mental retardation. Poster presented at the 2nd Annual North Coast Regional Conference, Society of Pediatric Psychology, May 12–14, Worthington, Ohio.

  • Polster, L. (1989). An examination of the relationship between maladaptive and communication skills in a nonambulatory, profoundly mentally retarded institutionalized population. Unpublished Master's Thesis, Department of Psychology, The Ohio State University, Columbus.

    Google Scholar 

  • Reiss, S. (1988). Reiss Screen test manual. Columbus, OH: International Diagnostic Systems.

    Google Scholar 

  • Rojahn, J. (1984). Self-injurious behavior in institutionalized, severely/ profoundly retarded adults: Prevalence and staff agreement. Journal of Behavioral Assessment, 6, 13–27.

    Google Scholar 

  • Rojahn, J. (1986). Self-injurious and stereotypic behavior of non-institutionalized mentally retarded people: Prevalence and classification. American Journal of Mental Deficiency, 91, 268–276.

    PubMed  Google Scholar 

  • Rojahn, J. (1994). Epidemiology and topographic taxonomy of self-injurious behavior. In T. Thompson (Ed.), Destructive behavior in developmental disabilities (pp. 49–67), Thousand Oaks, CA: Sage.

    Google Scholar 

  • Rojahn, J., Borthwick-Duffy, S. A., & Jacobson, J. W. (1993). The association between psychiatric diagnoses and severe behavior problems in mental retardation. Annals of Clinical Psychiatry, 5, 163–170.

    PubMed  Google Scholar 

  • Rojahn, J., Fenzau, B., & Hauschild, D. (1985). Selbstverletzungsverhalten bei geistig Behinderten [Self-injurious behavior in the mentally retarded]. (in german). Geistige Behinderung, 24, 183–192.

    Google Scholar 

  • Rojahn, J., Tassé, M. J., & Sturmey, P. (1997). The Stereotyped Behavior Scale for adolescents and adults with mental retardation. American Journal of Mental Retardation, 102, 137–146.

    PubMed  Google Scholar 

  • Rojahn, J., & Esbensen, A. J. (in press). Epidemiology of self-injurious behavior in mental retardation: A review. In S. R. Schroeder, M. L. Oster-Granite, & T. Thompson (Eds.), Selfinjurious behavior: Gene-brain relationships. Washington, DC: American Psychological Association.

  • Rojahn, J., Matlock, S. T., & Tassé, M. J. (2000). The Stereotyped Behavior Scale: Psychometric properties and norms. Research in Developmental Disabilities, 21, 437–454.

    PubMed  Google Scholar 

  • Sattler, J. (1986). Assessment of Children (3rd ed.). San Diego, CA: Author.

    Google Scholar 

  • Schroeder, S. R., Schroeder, C., Smith, B., & Dalldorf, J. (1978). Prevalence of self-injurious behavior in a large state facility for the retarded. Journal of Autism and Childhood Schizophrenia, 8, 261–269.

    PubMed  Google Scholar 

  • Schroeder, S. R., Rojahn, J., & Oldenquist, A. (1991). Treatment of destructive behavior among people with mental retardation and developmental disabilities: Overview of the problem. In National Institute of Health (Ed.), Treatment of destructive behaviors in persons with developmental disabilities (NIH Publication No. 91–2410, pp. 125-171), Washington, DC: US Government Printing Office.

    Google Scholar 

  • Strohmer, D. C., & Prout, H. T. (1989). Strohmer-Prout Behavior Rating Scale manual. Schenectady, NY: Genium.

    Google Scholar 

  • Sturmey, P., Fink, C., & Sevin, J. (1993). The Behavior Problems Inventory: A replication and extension of its psychometric properties. Journal of Developmental and Physical Disabilities, 5, 327–336.

    Google Scholar 

  • Tassé, M. J., Aman, M. G., Hammer, D., & Rojahn, J. (1996). The Nisonger Child Behavior Rating Form: Age and gender effects and norms. Research in Developmental Disabilities, 17, 59–75.

    PubMed  Google Scholar 

  • Widaman, K. F., Gibbs, K. W., & Geary, D. C. (1987). Structure of adaptive behavior: I. Replication across fourteen samples of nonprofoundly mentally retarded people. American Journal of Mental Deficiency, 91, 348–360.

    PubMed  Google Scholar 

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Rojahn, J., Matson, J.L., Lott, D. et al. The Behavior Problems Inventory: An Instrument for the Assessment of Self-Injury, Stereotyped Behavior, and Aggression/Destruction in Individuals with Developmental Disabilities. J Autism Dev Disord 31, 577–588 (2001). https://doi.org/10.1023/A:1013299028321

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