Autism & Developmental

Social information processing, normative beliefs about aggression and parenting in children with mild intellectual disabilities and aggressive behavior.

van Cappellen et al. (2023) · Research in developmental disabilities 2023
★ The Verdict

Kids with mild ID act aggressively when they believe hitting is acceptable, so challenge that belief directly.

✓ Read this if BCBAs working with school-age children with mild intellectual disability who show hitting, kicking, or pushing.
✗ Skip if Clinicians serving only non-verbal adults or clients with severe-profound ID.

01Research in Context

01

What this study did

van Cappellen et al. (2023) asked one clear question. Do kids with mild intellectual disability hit more because they think hitting is normal?

They visited special schools and gave short questionnaires to students and teachers. Teachers rated each child’s aggression. Students answered questions about when it is okay to hit or push.

The team also tested how kids read social cues. They looked at whether beliefs and cue-reading together predict teacher-reported aggression.

02

What they found

Children who said hitting is “sometimes okay” were rated as more aggressive by teachers.

The link worked like a chain. Beliefs shaped social cue-reading, and cue-reading shaped aggression. Changing beliefs may break the chain.

03

How this fits with other research

Davies et al. (2014) warned not to treat aggression as a sign of hidden depression in ID. Marjolein’s team agree; they show aggression is tied to learned beliefs, not mood.

Pavlović et al. (2013) found teachers rate more aggression than students admit. The new study used only teacher ratings, so real numbers may be higher than students report.

Edgin et al. (2017) showed anxious kids with mild ID read social cues negatively. Marjolein adds that kids who think aggression is normal also read cues in a biased way. Both papers point to the same takeaway: teach kids to interpret social situations more carefully.

04

Why it matters

You can add a quick belief check to your functional assessment. Ask, “When is it okay to hit?” If the child answers loosely, add belief training to the behavior plan. Replace “hitting is okay when mad” with “ask for help when mad.” One five-minute lesson may save weeks of crisis management.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add one question to your intake: “When is it okay to hit?” Use the answer to decide if you need to teach replacement beliefs.

02At a glance

Intervention
not applicable
Design
other
Sample size
140
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

BACKGROUND: High levels of aggressive behavior in children with mild intellectual disabilities to borderline intellectual functioning (MID-BIF) are associated with deviant social information processing (SIP) steps. The current study investigated deviant SIP as a mediating mechanism linking both children's normative beliefs about aggression and parenting to aggressive behavior in children with MID-BIF. Additionally, the mediating role of normative beliefs about aggression in linking parenting and deviant SIP was investigated. METHODS: 140 children with MID-BIF in community care in the Netherlands, their parent(s) or caretaker(s), and their teacher participated in this cross-sectional study. Structural equation modeling was performed to test mediations. Models were run separately for parent and teacher reports of aggression, and included three deviant SIP steps (interpretation, response generation, response selection). RESULTS: A total indirect effect through deviant SIP steps was found from normative beliefs about aggression to teacher-reported aggression, but not to parent-reported aggression. An indirect effect was found from positive parenting through normative beliefs about aggression to deviant SIP. CONCLUSION: The results of this study suggest that, next to deviant SIP and parenting, normative beliefs about aggression may be a relevant intervention target for children with MID-BIF and aggressive behavior.

Research in developmental disabilities, 2023 · doi:10.1016/j.ridd.2023.104468