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Behavior Modification
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Temporary Increases in Problem Behavior and Sleep Disruption Following Decreases in Medication

A Descriptive Analysis of Conditional Rates

John T. Rapp

St. Cloud State University, Minnesota

Greg Swanson

St. Cloud State University, Minnesota

Kaitlin Dornbusch

St. Cloud State University, Minnesota

Conditional rates of problem behavior for weeks that followed medication decreases and no medication changes were compared for 12 individuals who exhibited severe problem behavior (e.g., self-injury, aggression). The results indicate that conditional rates of problem behavior were higher following medication decreases than following no changes in medication. During the subsequent week, rates of problem behavior typically decreased without reinstating the prior dosage of medication. Additional analyses suggest that the first medication decrease typically produced the highest increase in problem behavior. Decreases in medication also disrupted sleep patterns for several individuals. Possible operant conceptualizations of behavior changes produced by medication decreases are discussed.

Key Words: conditional rates • indirect effects • medication reduction • sleep disruption • Risperdal

Behavior Modification, Vol. 31, No. 6, 825-846 (2007)
DOI: 10.1177/0145445507301653
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?