Related Experiment Video
Updated: Mar 24, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Risk factors associated with challenging behaviour in people with profound intellectual and multiple disabilities
P Poppes1,2, A J J van der Putten1,2, W J Post1
1Department of Special Needs Education and Youth Care, University of Groningen, Groningen, The Netherlands.
Challenging behavior in people with profound intellectual and multiple disabilities (PIMD) is linked to personal factors like sleep and auditory issues. Contextual factors and professional training showed less impact on challenging behaviors in this group.
Area of Science:
- Neuroscience
- Psychology
- Disability Studies
Background:
- Challenging behavior in individuals with intellectual disabilities (ID) is influenced by personal, professional, and contextual factors.
- Research often lacks focus on people with profound intellectual and multiple disabilities (PIMD), leading to inconclusive findings.
- Existing knowledge on risk factors for challenging behavior in ID may not fully apply to PIMD.
Purpose of the Study:
- To investigate the applicability of known risk factors for challenging behavior in a group of people with PIMD.
- To determine which factors are significantly associated with the prevalence of challenging behavior in PIMD.
Main Methods:
- Univariate analyses were performed to identify associations between known risk factors and challenging behavior.
- Regression analysis was used to assess the explanatory power of associated factors on challenging behavior prevalence.
- The study included a sample of 198 individuals with PIMD.
Main Results:
- Personal characteristics, specifically sleeping and auditory problems, were significantly related to the frequency of challenging behavior in PIMD.
- Training for direct support professionals on challenging behavior in ID generally did not correlate with reduced challenging behavior, but identified more withdrawn behavior.
- No contextual factors were found to be significantly associated with challenging behavior in the studied PIMD group.
Conclusions:
- Personal factors are key correlates of challenging behavior in individuals with PIMD.
- Auditory environments and sleep schedules are potential targets for intervention to reduce challenging behavior in PIMD.
- Further research is needed to explore the impact of environmental modifications on challenging behavior in PIMD.
Related Concept Videos
Intellectual Disability
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Antisocial Personality Disorder
Behavioral Characteristics and...
Conduct Disorder
Factors Affecting Illness
For instance, risk factors are connected to illness,...
Personality Disorders: Paranoid and Schizoid
Paranoid Personality Disorder
Paranoid personality disorder is...

