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Behavioural effects of the new anticonvulsants.

Of the 9 new anticonvulsants that have been marketed recently in the UK or US, a number appear to have either adverse or beneficial effects on behaviour. There is now a considerable database of information, in terms of the number of patients treated and/or the number of published reports, on vigabatrin, lamotrigine, gabapentin and topiramate. Oxcarbazepine has been available in some centres for several years and there is extensive experience with the drug in Scandinavia. It appears that the profile of adverse and beneficial effects is similar to that of carbamazepine. Behavioural effects have probably been greatest with vigabatrin, with psychosis, depression and other behavioural problems recorded, but the use of this drug has been limited because of the concern about visual field constriction. The cognitive and behavioural effects of topiramate have caused concern, but these may be much less of a problem if lower starting dosages and escalation rates are used. Psychosis and depression have been associated with topiramate, as they have with another carbonic anhydrase inhibiting drug, zonisamide. Although zonisamide has been used for many years in Japan and Korea, experience elsewhere with this drug is currently very limited. Gabapentin seems to be less associated with adverse behavioural effects than some of the other new anticonvulsant drugs. The reports of behavioural disturbance with gabapentin in children may be related to dose escalation. Behavioural disturbance as a direct result of lamotrigine seems to be uncommon, although indirect effects on behaviour, through the so-called 'release phenomenon' from improved seizure control and consequent ability to misbehave, can occur. Positive behavioural effects have been described with several of the new anticonvulsants, particularly gabapentin, lamotrigine and oxcarbazepine; all of these drugs may have mood-levelling effects that could be of value in treating affective disorders. The information on tiagabine and levetiracetam is too limited to allow any firm conclusions to be drawn with regard to positive or negative behavioural effects. When interpreting reports of behavioural changes with anticonvulsants, it is important to avoid attributing the effect to the drug when one or more of the other multiple causes of behavioural disturbance in people with epilepsy may be responsible or when an indirect effect such as 'forced normalisation' may be the cause. Many of the published studies are retrospective and unblinded rather than double-blind, placebo-controlled, prospective trials, implying that much of the data must be interpreted with caution at this stage.

Anticonvulsants↗

Dental health behaviours in a Norwegian population.

The purpose of the present paper was to explain brushing behaviour, interdental cleaning behaviour and sugar behaviour using a selected set of independent variables among 13-14, 23-24, 35-44 and 45-54 year old Norwegians. The empirical data were derived from the Trøndelag survey in 1983 (n = 3339), and the data collection was carried out by means of a self-administered questionnaire. Multiple regression analysis was applied. The model was able to explain from 15-19 per cent of the variance in brushing behaviour, from 6-10 per cent in interdental cleaning behaviour, and from 1-5 per cent in sugar behaviour in the four age groups. It provided a good fit for brushing behaviour and interdental cleaning behaviour among adults. Brushing was found to be a habitualized behaviour supported by social norms, and the habit of toothbrushing seems to persist into later life. Among schoolchildren interdental cleaning behaviour and sugar behaviour seemed to be influenced by the same forces. The model did not fit sugar behaviour of adults, which means that other personal and social processes govern their sugar consumption, and the present model is not able to capture these processes. This might indicate that the motives behind the consumption of sweets are different between adolescent subjects and adults.

Adolescent↗

A study of behavioural responses to an industrial disaster.

Based upon 7 response variables we categorized the impact behaviour of 123 industrial employees who had been exposed to a disastrous factory explosion and had survived without suffering severe injuries. The subjects were personally examined and the data controlled by cross-interviews shortly after the disaster. In the analysis the subjects were divided into a high stress (n = 64) and a medium stress exposure group (n = 59) based upon their closeness to the explosion centre. The 7 variables were cognitive function, inadequate behaviour, help received, leadership, cooperative activity, absolute and relative rescue efforts. While about 50% of the total number reported some disturbance in their cognitive control, and 34% of the high stress exposure group experienced a near total loss of cognitive control, severe inadequate behaviour did not occur. Modelling and corrective social interactions may have played an important role in this. Still, 20% of the high stress exposure group had some behavioural response that increased the risk to their life or that of others. The 7 scores were added to an index and cut-off points established to separate 3 different groups of behavioural responses: 29% of the high stress group displayed Maladaptive Disaster Behaviour; inhibited behaviour and uncontrolled flight behaviour dominated in this group. Adaptive Disaster Behaviour was rated in 34% and Optimal Disaster Behaviour in 37%. The following background variables correlated strongly to Optimal Disaster Behaviour: high level of disaster training/experience, male sex, age above 40, maritime occupational background, above average intellectual ability, a life history without mental health problems. A discriminant analysis with 8 variables predicted correctly whether the response would be Optimal or less than that in 84% of the 121 subjects tested in the analysis. A high level of disaster training/experience yielded an overall correct prediction rate of 63.6%, and a sensitivity of 81%, specificity of 85.9% and positive predictive power of 70.7% in predicting Optimal Disaster Behaviour.

Accidents, Occupational↗

Natural history of aggressive behaviour in dementia.

OBJECTIVE: This article analyses changes in aggressive behaviour throughout the course of dementia. DESIGN: Prospective, 10 year, longitudinal study of aggressive behaviour in dementia, with autopsy follow-up. SETTING: Subjects with dementia, living at home with a carer, Oxfordshire, UK. PARTICIPANTS: Ninety-nine people with dementia (Alzheimer's disease and/or vascular dementia) who were living at home with a carer. MEASURES: At 4-monthly intervals, the carers were interviewed about the subjects and the subjects were assessed cognitively. Subjects' behaviour was assessed using the Present Behavioural Examination. This is an investigator-based, semi-structured interview consisting of eight main sections monitoring behavioural and psychological change. Eight different aspects of aggressive behaviour were assessed in detail and comparison made with other relevant factors. RESULTS: Verbal aggression is the most common and longest lasting form of aggressive behaviour. Aggressive resistance and physical aggression are most likely to persist until death. Intimate care is the main factor precipitating aggressive behaviour. There are no correlations between any type of aggressive behaviour and age, gender or time since onset of dementia. CONCLUSIONS: Aggressive behaviour creates problems for carers. In general, the physical types of aggressive behaviour are most prevalent in people with more severe dementia.

Aged↗

Behavioural treatment for chronic low back pain.

BACKGROUND: The treatment of chronic low back pain is not primarily focused on removing an underlying organic pathology, but at the reduction of disability through the modification of environmental contingencies and cognitive processes. Behavioural interventions are commonly used in the treatment of chronic (disabling) low back pain. OBJECTIVES: The objective of this systematic review was to determine if behavioural therapy is more effective than reference treatments for chronic non-specific low back pain, and which type of behavioural treatment is most effective. SEARCH STRATEGY: We searched the Medline, PsycLit databases, and the Cochrane Controlled Trials Register up to April 1999, Embase up to September 1999. We also screened references of identified randomised trials and relevant systematic reviews. SELECTION CRITERIA: Only randomised trials on any type of behavioural treatment for non-specific chronic low back pain were included. DATA COLLECTION AND ANALYSIS: Methodological quality assessment and data extraction was done by two reviewers independently. The magnitude of effect was assessed by computing a pooled effect size for each domain (i.e., behavioural outcomes, overall improvement, back pain specific and generic functional status, return to work, and pain intensity) using the random effects model. MAIN RESULTS: Only 6 studies (25%) were high quality. There is strong evidence (level 1) that behavioural treatment has a moderate positive effect on pain intensity (pooled effect size 0.62; 95% CI 0.25, 0.98), and small positive effects on generic functional status (pooled effect size 0.35; 95% CI -0.04, 0.74) and behavioural outcomes (pooled effect size 0.40; 95% CI 0.10, 0.70) of chronic low back pain patients when compared to waiting list controls or no treatment. There is moderate evidence (level 2) that an additional behavioural component to a usual treatment program for chronic low back pain has no positive short-term effect on generic functional status (pooled effect size 0.31; 95% CI - 0.01, 0.64), pain intensity (pooled effect size 0.03; 95% CI - 0.30, 0. 36) and behavioural outcomes (pooled effect size 0.19; 95% CI - 0.08, 0.45). REVIEWER'S CONCLUSIONS: Behavioural treatment seems to be an effective treatment for chronic low back pain patients, but it is still unknown what type of patients benefit most from what type of behavioural treatment.

Behavior Therapy↗

Natural history and behavioural homology.

Although similarities and differences among animals have long inspired ethologists, three misconceptions haunt the literature on behavioural evolution: the absence of 'ethofossils' seriously hampers detection of behavioural homology; behaviour is more variable and subject to experiential modification than morphology; and behaviour is especially subject to convergence. As a backdrop to address these issues, I briefly survey parental care by amniotes and antipredator mechanisms is non-avian reptiles. Although those behaviours remain inadequately sampled taxonomically, they clearly vary at several cladistic levels; they are conservative across some major groups, innovative within subclades, and exhibit apparent homoplasy among and within groups. These behavioural examples also illustrate contextual influences on the expression of traits, as well as how behavioural context can shape other aspects of development. Enhanced understanding of behavioural evolution will follow from greater emphasis on how developmental context, including behaviour itself, shapes phenotypes; from integration of data for fossil and recent organisms; and from much denser ethological sampling among taxa. Phylogenetic analyses of behavioural similarity should in turn provide exciting insights into the evolutionary roles of behavioural shifts and constraints, as well as inform our aesthetic appreciation for the richness of nature.

Adaptation, Biological↗

Prepartum and postpartum regulation of maternal behaviour in the rat.

Maternal behaviour in the rat consists of four principal components: nursing or crouching over the young, retrieving pups to the nest, body and genital licking of pups, and nest-building. Normally the onset of maternal behaviour occurs at parturition but studies reveal that the true onset is somewhat earlier, around 24 hours pre partum. The onset of maternal behaviour is hormonally determined and it is most likely that the ovarian hormone oestradiol plays a major role under the specific conditions that exist pre partum. The onset of maternal behaviour requires the resolution of tendencies of fear-avoidance of pups, based on their olfactory characteristics, and attraction to them and response to the pup stimuli that elicit maternal behaviour. In most animals this resolution occurs almost immediately but in some animals several hours of contact with the pups is required for maternal behaviour to be firmly established. After parturition, maternal behaviour appears to be regulated chiefly by stimuli from the pups, and hormones do not play a role apart from their role in lactogenesis. Size of litter, age of pups, amount of externally induced stress and other factors can affect the mother-young interaction: there is a period of special vulnerability to disruption of the mother-young interrelationship shortly after parturition which corresponds, we believe, to the period of transition from hormonal to non-hormonal regulation of maternal behaviour. Weaning and the decline of maternal behaviour is a specific phase of maternal care. Maternal behaviours gradually decline as avoidance behaviours increase.

Animals↗

Repetitive behaviour in Alzheimer's disease: description, correlates and functions.

BACKGROUND: Repetitive behaviour is among the most common and burdensome of the behavioural and psychological symptoms of Alzheimer's disease (AD), yet little research has been done to investigate its nature or correlates. Memory impairment may account for repetitive questioning, but its possible role in other repetitive behaviours is unclear. Attention and executive dysfunction may account for both repetitive speech and actions. The role of mood also merits investigation. OBJECTIVES: To investigate cognitive and affective differences between patients with and without repetitive behaviours, and to identify themes and carer attributions for the function of such behaviours. METHODS: Fifty-four participants aged > or = 65, meeting NINCDS-ADRDA criteria for probable AD, were assessed using the MMSE, WMS-III word list, Trailmaking test, Stroop, Modified WCST, Cornell Scale for Depression, DEX and a repetitive behaviour questionnaire. Regression analyses were used to identify significant predictors of repetitive behaviour. RESULTS: Repetitive behaviours were manifest in 87% of the sample, with questions (68.5%) and statements/stories (61.1%) the most common types. Repetitive questions were predicted by high MMSE score (p = 0.013), low immediate list recall score (p = 0.013) and female gender (p = 0.004). Repetitive statements/stories were predicted by dysexecutiveness (p = 0.003) and younger age (p = 0.016). Repetitive actions were predicted by longer illness duration (p = 0.041), depressive symptoms (p = 0.035) and dysexecutiveness (p < 0.001). Themes and patterns were evident in repetitive behaviour. CONCLUSIONS: Repetitive behaviours were common in a sample of patients with AD referred to hospital clinics. Vocal and motor repetitive behaviours were predicted by different cognitive, demographic and mood variables.

Affect↗

Diversity of behaviour during novel object tests is reduced in pigs housed in substrate-impoverished conditions.

Modern intensive farming conditions lack the diversity of substrates present in more natural environments and offer young animals fewer opportunities for interaction. Evidence exists that this may affect the organization of interactive patterns of behaviour, but shifts in behavioural diversity have not been measured directly. We investigated the effect of the substrate in the home pen on the diversity of behaviour in young growing pigs, Sus scrofa. Over 5 months, 26 pigs were housed singly in either substrate-impoverished (SI) or substrate-enriched (SE) conditions. Once every month we recorded the behaviour of these pigs in detail both in the home pens and in two novel object tests. In addition, we calculated the diversity of behaviour shown by SI and SE pigs in the home pen and in the novel object tests, using a relative behavioural diversity index. In the two novel object tests, SI pigs were less mobile than SE pigs and focused their behaviour on particular substrates. In addition, SI pigs showed less diverse behaviour than SE pigs. Our results show that the less diverse behaviour of SI pigs previously recorded in their home pens persists under novel conditions, supporting the hypothesis that substrate-impoverished housing conditions structurally affect the organization of behaviour in young growing pigs. Copyright 2000 The Association for the Study of Animal Behaviour.

Journal Article↗

Second-order schedules of drug reinforcement in rats and monkeys: measurement of reinforcing efficacy and drug-seeking behaviour.

RATIONALE AND OBJECTIVES: To review the literature on the use of second-order schedules of drug reinforcement in the context of experimental investigations of the neural and pharmacological mechanisms underlying addictive behaviour in general and drug-seeking behaviour in particular. METHODS: Second-order schedules of drug reinforcement are described in which responding is maintained not only by the self-administered drug, but also by contingent presentation of drug-paired stimuli that serve as conditioned reinforcers of instrumental behaviour. RESULTS: The behaviour of rats and monkeys responding under second-order schedules is discussed in relation to self-administered drug dose and the importance of drug-associated cues in maintaining responding for cocaine, morphine or heroin. Drug-seeking behaviour during the period before drug is self-administered is described and compared with drug-seeking behaviour derived from other procedures. In addition, results are summarised that demonstrate the differential involvement of the amygdala and prefrontal cortex in the acquisition of cue-controlled cocaine- and heroin-seeking behaviour, as well as the effects of drugs interacting with D3 dopamine, NMDA and AMPA receptors on drug-seeking behaviour and dopaminergic correlates of drug-paired stimuli presented non-contingently and during responding for cocaine under a second-order schedule. CONCLUSIONS: We argue that the first, drug-free interval (or other period) of responding under a second-order schedule of reinforcement has particular utility in that it provides a measure of drug-seeking behaviour and reinforcing efficacy that are not affected by the pharmacological effects of recently administered drug. It also provides a means of investigating the role of drug-paired stimuli in drug-seeking behaviour, including its behavioural, neural and neurochemical basis.

Animals↗

The involvement of the nucleus accumbens in the ability of rats to switch to cue-directed behaviours.

Previous studies have shown that the dorsal striatum is involved in switching arbitrarily behaviour (switching to non cue-directed behaviours). These experiments also revealed that switching behaviour with the help of currently available sensory information (switching to cue-directed behaviours) was not influenced when striatal function was blocked. A number of studies suggested that the nucleus accumbens could mediate the latter type of switching. For testing this hypothesis we used the swimming-test as it allows for studying separately both cue-directed and non cue-directed behaviours. Rats with cannulae aimed at the nucleus accumbens were forced to swim after injection of distilled water (AD) or d-amphetamine (1-10 micrograms/0.5 microliter) in a circular water-tank from which there was no escape. Their behaviour was recorded and analysed according to the presence of cue-directed and non cue-directed behaviours. After six minutes a rope was introduced into the water-tank to determine whether the rats were able to change their behaviour with the help of this external stimulus as well. Rats treated with d-amphetamine showed an enhanced ability to switch to cue-directed behaviours in comparison with rats treated with AD. There was no effect on the ability to switch to non cue-directed behaviours. Furthermore there was a dose-dependent increase in the ability to escape along the rope. The results are taken as evidence that the nucleus accumbens is involved in switching to cue-directed behaviours.

Amphetamine↗

The Lowbury lecture: behaviour in infection control.

The majority of healthcare-associated infections result from cross-transmission related to inappropriate patient-care practices. Improving practices frequently implies modifying healthcare workers' behaviour, a key challenge of today's infection control. To improve healthcare workers' compliance with practices, infection control should learn from the behavioural sciences. Social cognitive models can help to improve our understanding of human behaviour. Cognitive determinants that shape behaviour are acquired through the socialization process and are susceptible to change. Some models have been applied to evaluate predictors of health behaviour but, so far, none have been successfully applied to explain behaviour in the field of infection control. Successful strategies to improve infection control practices result from their multidimensional aspect. Similarly, social models that include several levels of cognitive determinants have more chance of success to explain change in behaviour. Concrete examples applied to infection control issues are presented, including special references to hand hygiene behaviour. The theory of ecological perspective, based on the idea that behaviour is viewed as being affected by and affecting multiple levels of influence, and that it both influences and is influenced by the social environment, seems promising to explain behaviour modification. Studies are needed to assess the key determinants of infection control practices and behaviour promotion among the different populations of healthcare workers, and to implement and evaluate the impact of the different components of multimodal programmes to promote optimal infection control practices.

Behavior↗

Sexual behaviour in context: a global perspective.

Research aimed at investigating sexual behaviour and assessing interventions to improve sexual health has increased in recent decades. The resulting data, despite regional differences in quantity and quality, provide a historically unique opportunity to describe patterns of sexual behaviour and their implications for attempts to protect sexual health at the beginning of the 21st century. In this paper we present original analyses of sexual behaviour data from 59 countries for which they were available. The data show substantial diversity in sexual behaviour by region and sex. No universal trend towards earlier sexual intercourse has occurred, but the shift towards later marriage in most countries has led to an increase in premarital sex, the prevalence of which is generally higher in developed countries than in developing countries, and is higher in men than in women. Monogamy is the dominant pattern everywhere, but having had two or more sexual partners in the past year is more common in men than in women, and reported rates are higher in industrialised than in non-industrialised countries. Condom use has increased in prevalence almost everywhere, but rates remain low in many developing countries. The huge regional variation indicates mainly social and economic determinants of sexual behaviour, which have implications for intervention. Although individual behaviour change is central to improving sexual health, efforts are also needed to address the broader determinants of sexual behaviour, particularly those that relate to the social context. The evidence from behavioural interventions is that no general approach to sexual-health promotion will work everywhere and no single-component intervention will work anywhere. Comprehensive behavioural interventions are needed that take account of the social context in mounting individual-level programmes, attempt to modify social norms to support uptake and maintenance of behaviour change, and tackle the structural factors that contribute to risky sexual behaviour.

Adolescent↗

Prevalence of behaviour problems reported by owners of dogs purchased from an animal rescue shelter.

This study examined the prevalence of behaviour problems exhibited by dogs within 4 weeks of acquisition from a rescue shelter in Northern Ireland. One thousand five hundred and forty-seven people who had purchased a dog from a rescue shelter in Northern Ireland were sent a postal questionnaire designed to collect information on the behaviours exhibited by their dog within the first month of acquisition. Five hundred and fifty-six people responded to the survey, representing a response rate of 37%. The majority of respondents (68.3%) reported that their dog exhibited a behaviour problem, the most common being fearfulness. Most of those respondents (89.7%) who returned their dog to the shelter did so because the animal exhibited behaviour that they considered undesirable. Male dogs showed more unacceptable behaviours than females, specifically inter-male aggression, sexual problems and straying tendencies. More stray dogs displayed undesirable behaviour than unwanteds, specifically straying tendencies. Puppies were less likely to exhibit unacceptable behaviours than juveniles or adults, particularly fearfulness, sexual problems and straying tendencies. More juvenile dogs showed excessive activity and excessive barking than puppies or adults. More adult dogs displayed aggression towards other dogs than juveniles or puppies. Findings indicate that dogs purchased from rescue shelters do exhibit behaviour problems that may lead to their return. The number of dogs admitted or returned to rescue shelters with behaviour problems may be reduced by raising public awareness regarding the value of behaviour therapy and introducing behaviour therapy schemes to rescue shelters.

Journal Article↗

VIEWER: a program for visualising, recording, and analysing animal behaviour.

In order to determine the influence of environmental interventions, medical substances, drugs, or diseases on an animal, it is a common to observe the behaviour of the animal in the open field or in other environments. Changes in animal behaviour can be the first indicators for an influence of a substance or an intervention on the organism and certain kinds of behavioural changes can permit speculations about the underlying physiological mechanisms. Behavioural properties which are of interest in this respect are movement parameters such as velocity or direction, activity patterns, spatial distribution and occurrence of several types of standard behaviours of an animal. Observation of simple behaviours such as determining the average activity level can help to detect general changes of the internal state of an animal, while changes in complex behaviours may point to specific influences of a substance or an intervention. Our system 'VIEWER' uses a microcomputer (IBM-compatible PC running WINDOWS 95, WINDOWS 98, WINDOWS NT, or WINDOWS 2000), a low budget framegrabber card (e.g. WinTV, Hauppauge) and a standard black-and-white video camera (if necessary with infrared sensitivity). The software records the position of the animal online with a sample rate of up to 25 frames/s. After identification of the animal in the arena, animal location and orientation with respect to time is determined. In addition, movement velocity and direction, general activity level, and several other behavioural parameters which can include complex behavioural patterns are processed online. Data are presented as graphics and/or tables. Results may also be exported into those programs that are capable of importing graphics (wmf or bmp format) or ASCII-files. VIEWER offers an inexpensive, fast and easy way for analysing simple and complex behaviours of many species of animals in a variety of behavioural situations.

Animals↗

The relationship between numbers of larvae recovered from the brain of Toxocara canis-infected mice and social behaviour and anxiety in the host.

The effect of the nematode Toxocara canis on social behaviour and anxiety levels of adult male outbred (LACA) mice was examined following infection with a single dose of 2000 ova. The actual number of larvae recovered from the brain of each individual mouse was determined after behavioural testing. The effect of the parasite on mouse behaviour was analysed by both the initial dose administered (i.e. infected versus control) and the degree of infection in the brain. There was substantial variation in the number of larvae recovered from the brains of the individual mice and the magnitude of behavioural change was associated with the level of infection. Examination of social behaviour for both analyses revealed that the infection reduced levels of aggressive behaviour and increased levels of flight and defensive behaviours. High infection in the brain induced the greatest degree of behavioural change which decreased in mice with lower infections. In contrast the analysis of anxiety levels in mice by initial dose administered revealed no difference between infected and control mice. Mice with low infection in the brain, however, displayed a greater level of risk behaviour by spending more time in the vicinity of a predator odour and in the light area of a light/dark paradigm than control or high infection mice. The results suggest that the behaviour of mice infected with T. canis is influenced by the number of larvae accumulated in the brain. This may have important consequences for the conclusions drawn on the effect of this parasite on murine behaviour.

Animals↗

SB-334867, a selective orexin-1 receptor antagonist, enhances behavioural satiety and blocks the hyperphagic effect of orexin-A in rats.

Intracerebroventricular (i.c.v.) administration of the novel hypothalamic neuropeptide orexin-A stimulates food intake in rats, and delays the onset of behavioural satiety (i.e. the natural transition from feeding to resting). Furthermore, preliminary findings with the selective orexin-1 receptor antagonist, SB-334867, suggest that orexin-A regulation of food intake is mediated via the orexin-1 receptor. At present, however, little is known about either the intrinsic effects of SB-334867 on the normal structure of feeding behaviour, or its effects upon orexin-A-induced behavioural change. In the present study, we have employed a continuous monitoring technique to characterize the effects of SB-334867 (3-30 mg/kg, i.p.) on the microstructure of rat behaviour during a 1-h test with palatable wet mash. Administered alone, SB-334867 (30 mg/kg, but not lower doses) significantly reduced food intake and most active behaviours (eating, grooming, sniffing, locomotion and rearing), while increasing resting. Although suggestive of a behaviourally nonselective (i.e. sedative) action, the structure of feeding behaviour was well-preserved at this dose level, with the reduction in behavioural output clearly attributable to an earlier onset of behavioural satiety. As previously reported, orexin-A (10 microg per rat i.c.v.) stimulated food intake, increased grooming and delayed the onset of behavioural satiety. Pretreatment with SB-334867 dose-dependently blocked these effects of orexin-A, with significant antagonism evident at dose levels (3-10 mg/kg) below those required to produce intrinsic behavioural effects under present test conditions. Together, these findings strongly support the view that orexin-A is involved in the regulation of feeding patterns and that this influence is mediated through the orexin-1 receptor.

Animals↗

Causal explanations, concern and optimism regarding self-injurious behaviour displayed by individuals with Cornelia de Lange syndrome: the parents' perspective.

Research into behaviours associated with specific syndromes, such as Cornelia de Lange syndrome (CdLS), has neglected to explore the parents' perspective, particularly the potential impact of the notion of behavioural phenotypes on parents' causal explanations. Given the research focus on self-injurious behaviour (SIB) in CdLS, the present study examined parental concern across four topographies of challenging behaviour, causal explanations for these behaviours and optimism for change. As part of a larger study, a questionnaire survey of 86 parents of children and adults with CdLS was conducted. Quantitative data on parental concern and optimism with regard to behaviour problems were collected. Causal explanations for behaviour problems were examined by subjecting open-ended responses to a content analysis. Parents were as concerned about physical aggression and disruptive behaviours as they were about SIB. The majority of parents had deconstructed how CdLS might be associated with SIB in terms of other factors associated with CdLS, such as degree of intellectual disability. Parents did not believe that CdLS influenced SIB more than other challenging behaviours and their beliefs did not effect optimism regarding future change in the behaviour. Despite the focus of research on SIB in CdLS, parents of children and adults with CdLS are also concerned about other challenging behaviours. There was no evidence that a deterministic perspective had been adopted by parents and causal explanations were unrelated to optimism for future change.

Adolescent↗