Self-injurious behavior. (January 2018)

• Record Type: Journal Article
• Authors: Huisman, Sylvia; Mulder, Paul; Kuijk, Janneke; Kerstholt, Myrthe; van Eeghen, Agnies; Leenders, Arnold; van Balkom, Ingrid; Oliver, Chris; Piening, Sigrid; Hennekam, Raoul
• Is Part Of: Neuroscience and biobehavioral reviews. Volume 84(2018)
• Page Start: 483
• Page End: 491
• Publication Date: 2018-01
• Subjects: Self-injurious behavior -- Intellectual disability -- Genes -- Genetic syndromes -- Angelman syndrome -- Cornelia de Lange Syndrome -- Cri du Chat Syndrome -- Down syndrome -- Fragile X syndrome -- Lesch-Nyhan syndrome -- Lowe syndrome -- Prader-Willi syndrome -- Rett syndrome -- Smith-Magenis syndrome -- Tuberous Sclerosis Syndrome -- Williams-Beuren syndrome -- Somatic factors -- Pain -- Interdisciplinary study; Psychophysiology -- Periodicals; Human behavior -- Periodicals; Animal behavior -- Periodicals; Neurology -- Periodicals; Behavior -- Periodicals; Ethology -- Periodicals; Neurology -- Periodicals; Psychophysiologie -- Périodiques; Comportement humain -- Périodiques; Animaux -- Mœurs et comportement -- Périodiques; Neurologie -- Périodiques; Animal behavior; Human behavior; Neurology; Psychophysiology; Periodicals; Electronic journals; 573.8
• DOI: 10.1016/j.neubiorev.2017.02.027
• Languages: English
• ISSNs: 0149-7634

Abstract

Highlights: Self-injurious behavior (SIB) is common in people with intellectual disabilities (ID). There is evidence of an association between pain and discomfort with SIB. SIB characteristics differ widely across syndromes caused by different mutations. This allows detection of several pathways that lead to SIB. Interdisciplinary approach is mandatory for targeted interventions and prevention. Abstract: Self-injurious behavior (SIB) is a relatively common behavior in individuals with intellectual disabilities (ID). Severe SIB can be devastating and potentially life-threatening. There is increasing attention for somatic substrates of behavior in genetic syndromes, and growing evidence of an association between pain and discomfort with SIB in people with ID and genetic syndromes. In this review on SIB phenomenology in people with ID in general and in twelve genetic syndromes, we summarize different SIB characteristics across these etiologically distinct entities and identify influencing factors. We demonstrate that the prevalence of SIB in several well-known genetic intellectual disability syndromes is noticeably higher than in individuals with ID in general, and that characteristics such as age of onset and topographies differ widely across syndromes. Each syndrome is caused by a mutation in a different gene, and this allows detection of several pathways that lead to SIB. Studying these with the behavioral consequences as specific aim will be an important step toward targeted early interventions and prevention.