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Biomedical subjects

Paul E Touchette

Publications and source records attributed to Paul E Touchette.

2 recordsLinked to original sources

Quantifying temporal distributions of self-injurious behavior: defining bouts versus discrete events.

An objective method is presented to group discrete self-injurious behavior (SIB) events into bouts. Survival analysis was used to determine how long after an SIB the probability of observing a subsequent SIB remained elevated. This estimated bout length criterion time point was determined individually for 19 subjects with developmental disorders and severe SIB. Bout length criterion estimates ranged from.6 to 15.5 seconds. When participants' SIBs were grouped into bouts using the bout length criterion estimate, the rate of bouts and the average number of SIBs in each bout were found to be more stable than the rate of individual SIBs. This approach may facilitate research on factors that initiate and maintain SIB.

Adolescent↗

Sequential analysis reveals a unique structure for self-injurious behavior.

Conditional probability, calculated using sequential analysis techniques in four time conditions (2, 10, 30, and 60 seconds), provided evidence that successive episodes of self-injury were sequentially dependent. This unique distribution of sequential association for self-injurious behavior (SIB) was not related to frequency or rate of occurrence. Compared with other environmental and behavioral events, the best predictor of SIB was an earlier SIB episode, consistent with a contagious distribution. This study is one of the few in which sequential analysis techniques were applied to data derived from a large group of individuals with severe behavior disorders. It may be the first in which this analytic tool was used to investigate systematically successive occurrences of SIB as it takes place in vivo.

Adolescent↗