Repetitive Behavior and Restricted Interests in Young Children with Autism: Comparisons with Controls and Stability Over 2 Years

Joseph, Lisa; Thurm, Audrey; Farmer, Cristan; Shumway, Stacy

doi:10.1002/aur.1316

Cited by 55 publications

(37 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Others have recognized the potential of the RBS‐R as a more ecological diagnostic measure of RRB in individuals with ASD and a tool for distinguishing RRB phenotypes in genetic research compared to the demands of the ADOS and ADI‐R [Bishop et al, ]. The convergent validity of the RBS‐R with the ADI‐R [Bishop et al, ] and research demonstrating significant differences between individuals with ASD and typically developing peers [e.g., Shephard et al, ; Van Eylen, Boets, Steyaert, Wagemans, & Noens, ; Wolff et al, ] and individuals with intellectual disability [e.g., Bodfish et al, ; Joseph, Thurm, Farmer, & Shumway, ] provides evidence of its potential diagnostic utility in conjunction with other gold standard measures. However, research on this topic is limited.…”

Section: Discussionmentioning

confidence: 99%

Psychometric analysis of the repetitive behavior scale‐revised using confirmatory factor analysis in children with autism

et al. 2019

View full text Add to dashboard Cite

Research examining restricted and repetitive patterns of behavior or interests (RRB) in autism spectrum disorder (ASD) has increased our understanding of its contribution to diagnosis and its role in development. Advances in our knowledge of RRB are hindered by the inconsistencies in how RRB is measured. The present study examined the factor structure of the Repetitive Behavior Scale-Revised (RBS-R) in a sample of 350 children with ASD ages 2-9. Confirmatory factor analysis designed for items with categorical response types was implemented to examine six proposed structural models. The fivefactor model demonstrated the most parsimonious fit based on common overall fit indices that was further supported by examination of local model fit indicators, though, the four-and six-factor models evidenced adequate-to-good fit as well. Examination of RRB factor score approaches indicated only minor differences between summed item subscale scores and extracted factor scores with regard to associations with diagnostic measures. All RRB subtypes demonstrated significant associations with cognitive functioning and adaptive behavior. Implications for future research validating the RBS-R as a more extensive clinical measure of RRB in ASD are discussed.Lay Summary: Repetitive behaviors are one of the two main symptoms of autism spectrum disorder (ASD). To better understand the role of repetitive behaviors, we must establish effective ways of measuring them. This study assessed the measurement qualities of the Repetitive Behavior Scale-Revised (RBS-R) in a sample of 350 children with ASD ages 2-9. We found that the RBS-R measures multiple types of repetitive behaviors and that these behaviors are related to thinking ability and independence.

show abstract

Section: Discussionmentioning

confidence: 99%

Psychometric analysis of the repetitive behavior scale‐revised using confirmatory factor analysis in children with autism

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Autism spectrum disorders (ASDs) affect approximately 1 in 68 children and involve impairments in social relatedness and language, and inflexible or repetitive behaviors (Christensen et al, 2016). The repetitive and restricted response patterns displayed by children with ASD occur frequently, across multiple contexts, and persist over time (Joseph, Thurm, Farmer, & Shumway, 2013). Results of factor-analytic studies suggest that lowerorder repetitive motor behaviors (e.g., motor stereotypies, lining up toys) are somewhat separate and distinct from higher-order response patterns alternatively called "insistence on sameness" or "resistance to change" (e.g., emotional outbursts in response to minor changes in routines; eating the same few foods at every meal; Bishop et al, 2013;Carcani-Rathwell, Rabe-Hasketh, & Santosh, 2006;Cuccaro et al, 2003;Richler, Bishop, Kleinke, & Lord, 2007;Shuster, Perry, Bebko, & Toplak, 2014;Turner, 1999).…”

mentioning

confidence: 99%

Treatment of resistance to change in children with autism

Fisher

Felber

Phillips

et al. 2019

J of App Behav Analysis

View full text Add to dashboard Cite

“Resistance to change” represents a core symptom of autism that we conceptualized and assessed as resulting in part due to factors known to govern free‐operant choice. During a free‐choice baseline, participants chose between problematic, resistive responses and an appropriate alternative response. During the asymmetrical‐choice condition, we delivered their most highly preferred item if the participant chose the alternative response (i.e., differential reinforcement of alternative behavior [DRA]). During the guided‐ (Experiment 1) and singular‐ (Experiment 2) choice conditions, we prompted participants to choose the alternative response and then delivered their most highly preferred item (i.e., DRA with escape extinction). All participants learned to tolerate (Experiment 1) or choose (Experiment 2) the alternative response when we combined DRA with escape extinction. After exposure to escape extinction, two participants showed strong maintenance effects with DRA alone. We discuss these finding relative to the effects of DRA and escape extinction on resistance to change.

show abstract

“…One possible explanation is that such behaviors can be observed in the developmental trajectories of both TD and DD children at a young age, and some children with mild ASD do not display RRBs [Arnott et al, 2010;Evans et al, 1997]. -Nevertheless, because children diagnosed with ASD often display more severe RRBs during infancy and toddlerhood compared to children with TD and DD, and because it remains stable over time, careful evaluation of RRB through parental interviews and child observation remains necessary [Joseph, Thurm, Farmer, & Shumway, 2013;Kim & Lord, 2010;Richler, Huerta, Bishop, & Lord, 2010;Watson et al, 2007]. As both typical and atypical behaviors can change over time through children's developmental trajectories, the age-specific design that considers developmental changes when assessing a child is particularly advantageous in BeDevel [Kasari, Gulsrud, Freeman, Paparella, & Hellemann, 2012;Zwaigenbaum et al, 2015].…”

Section: Discussionmentioning

confidence: 99%

The Feasibility and Validity of Autism Spectrum Disorder Screening Instrument: Behavior Development Screening for Toddlers (BeDevel)—A Pilot Study

et al. 2019

View full text Add to dashboard Cite

Although early screening is critical for individuals with autism spectrum disorder (ASD) in order to receive early intervention and improve function later in life, screening is often delayed. Limitations of existing screening instruments, and the need for a culturally appropriate early screening tool in Korean children, led us to develop Behavior Development Screening for Toddlers (BeDevel). The BeDevel assessment consists of two parts: BeDevel‐Interview, a structured interview measure for parents/primary caregivers; and BeDevel‐Play, a play‐based semi‐structured observational measure in children. To examine the feasibility and validity of BeDevel, 155 children (N = 75 ASD, N = 55 typical development, N = 25 developmentally delayed) aged 18–42 months (M = 31.54 months, SD = 7.60) were examined through parent‐reported screening questionnaires, BeDevel, and standard diagnostic assessments. When BeDevel items were analyzed using Cohen's kappa statistics, most items in BeDevel‐Interview and all items in BeDevel‐Play were reasonably consistent with diagnoses. We identified primary items, which were significantly interacted with actual diagnosis in the chi‐squared test (P < 0.05, range = 0.000–0.032). Using cutoff numbers of items determined using the receiver operating characteristics curve, BeDevel showed satisfactory levels of sensitivity (83.33%–100%), specificity (81.25%–100%), positive predictive values (80.65%–100%), and negative predictive values (83.87%–100%), as well as high internal consistency (Cronbach's α = 0.866–959). The agreement between BeDevel and most other screening/diagnostic instruments was moderate (k = 0.419–1.000). These results suggest that BeDevel can be a useful instrument for early screening of ASD. Autism Res 2019, 12: 1112–1128. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary Although early screening is critical for individuals with autism spectrum disorder (ASD) in order to receive early intervention and improve function later in life, screening is often delayed. Limitations of existing screening instruments and the need for a culturally appropriate early screening tool in Korean children led us to develop Behavior Development Screening for Toddlers (BeDevel). The BeDevel assessment consists of two parts: BeDevel‐Interview, a structured interview measure for parents/primary caregivers; and BeDevel‐Play, a play‐based, semi‐structured observational measure in children. In order to test the feasibility and validity of BeDevel, we analyzed preliminary data of total 155 children aged 18–42 months, examined through parent‐reported screening questionnaires, BeDevel, and standard diagnostic assessments. When individual items were analyzed, responses of all BeDevel‐Interview items and of most BeDevel‐Play items well matched actual diagnoses, and we identified primary items, which were particularly useful in differentiating between the ASD group and the non‐ASD group. With the optimal screening criteria determined, the BeDevel was able to identify individuals...

show abstract

Repetitive Behavior and Restricted Interests in Young Children with Autism: Comparisons with Controls and Stability Over 2 Years

Cited by 55 publications

References 52 publications

Psychometric analysis of the repetitive behavior scale‐revised using confirmatory factor analysis in children with autism

Psychometric analysis of the repetitive behavior scale‐revised using confirmatory factor analysis in children with autism

Treatment of resistance to change in children with autism

The Feasibility and Validity of Autism Spectrum Disorder Screening Instrument: Behavior Development Screening for Toddlers (BeDevel)—A Pilot Study

Contact Info

Product

Resources

About