¿Es la conducta un síntoma emocional? Papel mediador de la desregulación emocional en las conductas desafiantes de adultos con autismo y discapacidad intelectual

• María Álvarez-Couto ^[1] ; Domingo García-Villamisar ^[2] ; Araceli del Pozo ^[2]
  1. [1] Universidad Pontificia Comillas

     Universidad Pontificia Comillas

     Madrid, España

     
  2. [2] Universidad Complutense de Madrid

     Universidad Complutense de Madrid

     Madrid, España

     
• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 29, Nº. 3, 2024, págs. 213-226
• Idioma: español
• DOI: 10.5944/rppc.40114
• Títulos paralelos:
  • Is behavior an emotional symptom? The mediating role of emotion dysregulation in challenging behaviors of adults with autism and intellectual disabilities
• Enlaces
  • Texto completo
• Resumen
  • español

    Las conductas desafiantes son muy frecuentes en personas con autismo (TEA) y discapacidad intelectual (DI). La desregulación emocional (DRE) está asociada a la presencia de estos comportamientos. Este estudio busca evaluar la implicación de la DRE en la frecuencia y gravedad de autolesiones y agresiones en esta población. Un total de 83 adultos con TEA y DI participaron en el estudio. Para comprobar el efecto de la DRE en la presencia de conductas, se realizaron análisis de correlación y mediación. Se encontró una asociación positiva entre las conductas desafiantes y la DRE. La reactividad y la disforia emocional fueron mediadores significativos de la frecuencia y gravedad de las autolesiones y de la gravedad de las agresiones. Sería interesante que los profesionales que trabajan con esta población recibiesen formación sobre DRE para considerar estas variables en el diseño de intervenciones centradas en las conductas desafiantes.

  • English

    Challenging behaviors are very frequent in people with autism (ASD) and intellectual disability (ID). Emotional dysregulation (ED) is associated with the presence of these behaviors. This study seeks to evaluate the involvement of ED in the frequency and severity of selfinjury and aggression in this population. Eightythree adults with ASD and ID participated in the study. To test the effect of ED on the presence of these behaviors, correlation and mediation analyses were performed. A positive association was found between challenging behaviors and ED. Emotional reactivity and dysphoria were significant mediators of the frequency and severity of selfinjury and the severity of aggression. It would be interesting for professionals working with this population to receive training on ED to consider these variables in the design of interventions focused on challenging behaviors

• Referencias bibliográficas
  • Álvarez­-Couto, M., García­-Villamisar, D., & del Pozo, A. (2024). Challenging behaviors in adults with autism spectrum disorder and intellectual...
  • Amador­-Campos, J. A., Gómez­-Benito, J., & Ramos­-Quiroga, J. A. (2014). The Conners´Adult ADHD Rating Scales­Short Self­Report and Observer...
  • American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders (5ª edición). American Psychiatric Association....
  • Appleton, H., Roberts, J., & Simpson, K. (2019). How is Anxiety Identified and Diagnosed in Individuals with Autism Spectrum Disorder...
  • Balboni, G., Rebecchini, G., Elisei, S., & Tassé, M. J. (2020). Factors affecting the relationship between adaptive behavior and challenging...
  • Blanchard, A., Chihuri, S., DiGuiseppi, C. G., & Li, G. (2021). Risk of Self­harm in Children and Adults With Autism Spectrum Disorder:...
  • Bowring, D. L., Totsika, V., Hastings, R. P., Toogood, S., & Griffith, G. M. (2017). Challenging behaviours in adults with an intellectual...
  • Brierley, N. J., McDonnell, C. G., Parks, K. M. A., Schulz, S. E., Dalal, T. C., Kelley, E., Anagnostou, E., Nicolson, R., Georgiades, S.,...
  • Byrne, G., & O’Mahony, T. (2020). Acceptance and commitment therapy (ACT) for adults with intellectual disabilities and/or autism spectrum...
  • Cai, R. Y., Richdale, A. L., Uljarevic, M., Dissanayake, C., & Samson, A. C. (2018). Emotion Regulation in Autism Spectrum Disorder: Where...
  • Conners, C. K., Erhardt, D., & Sparrow, E. (1999). CAARS. Adult ADHD Rating Scales. Technical manual. Multi­Health Systems.
  • Dell’Osso, L., Massoni, L., Battaglini, S., De Felice, C., Nardi, B., Amatori, G., Cremone, I.M., & Carpita, B. (2023). Emotional dysregulation...
  • Emerson, E. (1995). Challenging Behaviour: Analysis and Intervention in People with Learning Disabilities. Cambridge University Press.
  • Esteves, J., Perry, A., Spiegel, R., & Weiss, J. A. (2021). Occurrence and Predictors of Challenging Behavior in Youth with Intellectual...
  • Gandía­-Abellán, H., Nieto, C., & García-­Rubio, C. (2023). Mindfulness for adults with autism spectrum disorder and intellectual disability:...
  • Hayes, A. F. (2022). Introduction to Mediation, Moderation and Conditional Process Analysis. A Regression-Based Approach (3rd Edition). The...
  • Hong, J., Bishop­Fitzpatrick, L., Smith, L. E., Greenberg, J. S., & Mailick, M. R. (2017). Factors associated with subjective quality...
  • IBM Corp. Released. (2020). IBM SPSS Statistics for Windows, Version 27.0.1.0. IBM Corp.
  • Im, D. S. (2021). Treatment of Aggression in Adults with Autism Spectrum Disorder: A Review. Harvard Review of Psychiatry, 29(1), 35­80. https://doi.org/10.1097/HRP.0000000000000282
  • Jodra, M., & García-­Villamisar, D. (2024). The Impact of the COVID­19 Pandemic Quarantine on Adults with Autism Spectrum Disorders and...
  • La Malfa, G., Lassi, S., Bertelli, M., Pallanti, S., & Albertini, G. (2008). Detecting attention­deficit/hyperactivity disorder (ADHD)...
  • Lai, M.­C., Kassee, C., Besney, R., Bonato, S., Hull, L., Mandy, W., & Ameis, S. H. (2019). Prevalence of co­occurring mental health diagnoses...
  • Lim, J. M. (2020). Emotion Regulation and intervention in adults with autism spectrum disorder: a synthesis of the literature. Advances in...
  • Marchette, L.K., & Weisz, J.R. (2017). Practitioner Review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches....
  • Marlow, K., Agar, G., Jones, C., Devine, R.T., & Richards, C. (2024). The Prevalence and Correlates of Self­restraint in Individuals with...
  • Martínez­-González, A. E., Cervin, M., & Piqueras, J. A. (2021). Relationships Between Emotion Regulation, Social Communication and Repetitive...
  • Matson, J. L., Wilkins, J., & Macken, J. (2009). The relationship of challenging behaviors to severity and symptoms of autism spectrum...
  • Mazefsky, C. A., Day, T. N., Siegel, M., White, S. W., Yu, L., & Pilkonis, P. A. (2018a). Development of the emotion dysregulation inventory:...
  • Mazefsky, C. A., Yu, L., White, S. W., Siegel, M., & Pilkonis, P. A. (2018b). The Emotion Dysregulation Inventory: Psychometric properties...
  • Moss, P., Mandy, W., & Howlin, P. (2017). Child and adult factors related to quality of life in adults with autism. Journal of Autism...
  • Nicholls, G., Hastings, R. P., & Grindle, C. (2019). Prevalence and correlates of challenging behavior in children and young people in...
  • Oubrahim, L., & Combalbert, N. (2019). Frequency and origin (reactive/proactive) of aggressive behavior in young people with intellectual...
  • Peña­-Salazar, C., Arrufat, F., Santos, J. M., Fontanet, A., Roura­ Poch, P., Gil­-Girbau, M., Carbonell­-Ducastella, C., & Serrano­-Blanco,...
  • Perera, B., Chen, J., Korb, L., Borakati, A., Courtenay, K., Henley, W., Tromans, S. & Shankar, R. (2021). Patterns of comorbidity and...
  • Planelles-­Fernández, I., Gallardo-­Pujol, D., Labad, A., Godall, D., Cristia, N., Gutiérrez-­Zotes, A., & Matson, J. (2017). Spanish...
  • Rojahn, J., Rowe, E. W., Sharber, A. C., Hastings, R., Matson, J. L., Didden, R., Kroes, D. B. H., & Dumont, E. L. M. (2012a). The behavior...
  • Rojahn, J., Rowe, E. W., Sharber, A. C., Hastings, R., Matson, J. L., Didden, R., Kroes, D. B. H., & Dumont, E. L. M. (2012b). The Behavior...
  • Rong, Y., Yang, C.J., Jin, Y., & Wang, Y. (2021). Prevalence of attention­deficit/hyperactivity disorder in individuals with autism spectrum...
  • Sáez­-Suanes, G. P., García­-Villamisar, D., y del Pozo, A. (2023). Papel del contexto urbano en la relación entre los síntomas ansiosos y...
  • Sáez­-Suanes, G. P., García­-Villamisar, D., del Pozo, A., & Dattilo, J. (2020a). Emotional dysregulation and uncertainty intolerance...
  • Sáez­-Suanes, G. P., García­-Villamisar, D., del Pozo, A., & Dattilo, J. (2020b). Emotion regulation as a mediator between depressive...
  • Sappok, T., Budczies, J., Dziobek, I., Bölte, S., Dosen, A., & Diefenbacher, A. (2014a). The Missing Link: Delayed Emotional Development...
  • Sappok, T., Gaul, I., Bergmann, T., Dziobek, I., Bolte, S., Diefenbacher, A., & Heinrich, M. (2014b). The diagnostic behavioral assessment...
  • Shoalb, A., Cepeda, M. S., Murray, G., & Ochs­Ross, R. (2021). Autism: Comorbidities and Treatment Patterns in the Real World, a Retrospective...
  • Simó­-Pinatella, D., Mumbardó-­Adam, C., Alomar­-Kurz, E., Sugai, G., & Simonsen, B. (2019). Prevalence of challenging behaviors exhibited...
  • Skwerer, D. P., Joseph, R. M., Eggleston, B., Meyer, S. R., & Tager­Flusberg, H. (2019). Prevalence and correlates of psychiatric symptoms...
  • Torres, Y.I., y Carrillo, A. (2016). BPI-S Español. Inventario de los problemas de conducta para individuos con problemas intelectuales Forma...
  • Weiss, N., Sullivan, T., & Tull, M. (2015). Explicating the role of emotion dysregulation in risky behaviors: a review and synthesis of...
  • Williams, D. L., Siegel, M., & Mazefsky, C. A. (2018). Problem Behaviors in Autism Spectrum Disorder: Association with Verbal Ability...
  • Wise, E. A., Smith, M. D., & Rabins, P. V. (2017). Aging and autism spectrum disorder: A naturalistic, longitudinal study of the comorbidities...
  • World Health Organization (WHO) (2018). ICD-11 international classification of diseases (11th rev.). https://icd.who.int/en
  • Zelazo, P. D. (2020). Executive Function and Psychopathology: A Neurodevelopmental Perspective. Annual Review of Clinical Psychology, 16,...