Title page for ETD etd-0707103-141310

Type of Document Master's Thesis
Author Laud, Rinita B.
URN etd-0707103-141310
Title The Relationship of Feeding Problems with the Use of Antiepileptic Medication among Persons with Severe and Profound Mental Retardation
Degree Master of Arts (M.A.)
Department Psychology
Advisory Committee
Advisor Name Title
John Matson Committee Chair
George Noell Committee Co-Chair
William Drew Gouvier Committee Member
  • developmental disabilities
  • mental retardation
  • epilepsy
  • antiepileptic medication
Date of Defense 2003-05-13
Availability unrestricted
Epilepsy and/or seizure activity are frequently occurring phenomena and a significant co-morbid condition for persons with severe to profound intellectual disability (Burke, McKee, Pathak, Donahue, Parasuraman & Baltenhorst, 1999). The majority of seizure activity leads to deficits across a number of social, physical,occupational, and personal variables, and if left untreated, may lead to death in these individuals. The treatment of this condition frequently utilizes anti-epileptic medication, but these medications are often associated with a variety of side effects such as dental complications and disturbed gait. Previous researchers have suggested that these side effects may be manifested in forms of maladaptive behaviors such as aggression and destructiveness (Matson, Mayville, Bamburg & Eckholdt, 2001), but studies have not yet been conducted to determine if side effects of antiepileptics may manifest as feeding problems in this population. Given that complications with feeding may incorporate some of the variables mentioned above (i.e., dental complications), a relationship between the two is likely. The purpose of this study was to evaluate feeding problems associated with the use of three different types of antiepileptic medications on individuals with severe to profound mental retardation as compared to their matched controls. Individuals across three groups (clients on carbamazepine, n = 20; clients on valproate, n = 18; and clients on phenytoin, n = 22) were compared to three separate control groups matched on age, gender, race, and level of MR. They were compared across items related to feeding problems on the Screening Tool of fEeding Problems (STEP). Implications of these data are discussed.
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