Introduction: The purpose of this study was to gain additional insight on patterns of behavior of three individuals dually diagnosed with intellectual disability (ID) and bipolar disorder as they cycled between elevated and depressed mood states. Methods: Data were collected from weekly, one-hour observations across a period of several months. The total duration of time spent engaged in target responses (pacing, rocking, and talking), in addition to indirect measures of activity (Irritability and Hyperactivity subscale of the Aberrant Behavior Checklist–Community; ABC-C), were assessed to characterize and monitor changes in overall state. Results: While observable behavior seemed to be a good indicator of overall state, ABC-C Irritability and Hyperactivity subscales were not. Additional analyses included lag sequential analyses of environmental stimuli and conditions potentially correlated with observed behavior. Conclusions: Our findings suggest that observable behavior may be one way to monitor the progression of bipolar disorder in those with ID; however, further research needs to be conducted.

简介：本研究的目的是进一步了解三个被诊断为智力障碍 (ID) 和双相情感障碍的人在情绪升高和抑郁状态之间循环时的行为模式。方法：从几个月的每周一小时观察中收集数据。除了对活动的间接测量（异常行为清单-社区的易激惹和多动子量表；ABC-C）外，还评估了参与目标反应（起搏、摇摆和说话）的总持续时间，以表征和监测整体状态的变化。结果：虽然可观察到的行为似乎是整体状态的良好指标，但 ABC-C 易怒和多动分量表却不是。其他分析包括对可能与观察到的行为相关的环境刺激和条件的滞后顺序分析。结论：我们的研究结果表明，可观察的行为可能是监测 ID 患者双相情感障碍进展的一种方法；但是，需要进行进一步的研究。