The effects of methylphenidate on a functional analysis of disruptive behavior: a replication and extension

Anthony Dicesare1, David B McAdam, Amy Toner

  • 1Lindens Neurobehavioral Program, Bancroft Neurohealth.

Insights

Methylphenidate affects disruptive behavior in individuals with ADHD and moderate mental retardation. Disruptive behaviors were reinforced by attention only when the participant was not taking medication.

Area of Science:

  • Behavioral Psychology
  • Neurodevelopmental Disorders
  • Pharmacological Interventions

Background:

  • Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder.
  • Individuals with ADHD may exhibit disruptive behaviors.
  • Comorbid conditions like moderate mental retardation can influence behavioral presentation.

Purpose of the Study:

  • To conduct a functional analysis of disruptive behavior in an 18-year-old male with ADHD and moderate mental retardation.
  • To investigate the effect of methylphenidate on disruptive behaviors.
  • To determine the reinforcing consequences of disruptive behavior under different medication conditions.

Main Methods:

  • A functional analysis was employed to examine the participant's disruptive behavior.
  • The analysis compared behavior when the participant was taking methylphenidate versus when not taking the medication.
  • Data collection focused on identifying environmental factors and consequences maintaining the behavior.

Main Results:

  • Disruptive behaviors were observed in the participant.
  • The functional analysis indicated that access to attention served as a reinforcer for disruptive behaviors.
  • This reinforcement by attention was contingent on the participant *not* taking methylphenidate.

Conclusions:

  • Methylphenidate may alter the reinforcing properties of environmental stimuli for disruptive behavior.
  • Functional analysis is a valuable tool for understanding behavior in individuals with comorbid ADHD and intellectual disability.
  • Medication status can significantly impact the effectiveness of behavioral interventions.