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

A Descriptive Analysis of Conditional Rates

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

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Behavior Modification, Vol. 31, No. 6, 825-846 (2007)
DOI: 10.1177/0145445507301653


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Rapp, J. T. Articles by Dornbusch, K. Search for Related Content PubMed PubMed Citation Articles by Rapp, J. T. Articles by Dornbusch, K. Pubmed/NCBI databases Compound via MeSH Substance via MeSH Medline Plus Health Information Bullying Psychotic Disorders Social Bookmarking                         What's this?