Symptom severity as a risk factor for self‐injurious behaviours in adolescents with autism spectrum disorders

Rattaz, Cécile; Michelon, Cécile; Baghdadli, Amaria

doi:10.1111/jir.12177

Cited by 50 publications

(84 citation statements)

References 51 publications

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“…The estimated overall average prevalence of SIB reported in this study was slightly lower than has been previously reported (Ando and Yoshimura 1979; Baghdadli et al 2003; Duerden et al 2012; Rattaz et al 2015; Richards et al 2012). This may be due to sampling differences, as these other studies included children enrolled in treatment or research programs.…”

Section: Discussioncontrasting

confidence: 84%

“…SIB were defined as “any self-directed behavior that could cause physical harm or a sign or bodily mark of the act, such as picking fingers until bleeding, sucking fingers until chapped, slapping self in face, head banging, etc.” This definition is comparable to those used by others (e.g., Baghdadli et al 2003;Duerden et al 2012;Rattaz et al 2015;Weiss 2002). SIB were categorized as yes (present) or no (not present).…”

Section: Methodssupporting

confidence: 79%

“…These studies may have oversampled children with more challenging behaviors as well as other impairments, since parents of such children are more likely to seek services and treatments (Bickel et al 2015; Mandell et al 2005). Because significant associations have been reported between severity of ASD and the presence of SIB (Baghdadli et al 2003; Rattaz et al 2015), the prevalence of SIB reported in clinic-based studies could be different than the prevalence in a more diverse population of persons with ASD. Further, most of the above studies reported the prevalence of SIB in a much older sample (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Among 8-year-old children living in selected areas of the United States, one in 68 has ASD based on the most recent data from the Autism and Developmental Disabilities Monitoring (ADDM) Network (CDC 2016). In addition to the core symptoms of ASD, associated conditions and behaviors, such as abnormalities in sensory processing (hypo or hypersensitivity), self-injurious behaviors (SIB) have been reported (Baghdadli et al 2003; Duerden et al 2012; McTierman et al 2011; Murphy et al 2009; Rattaz et al. 2015; Richards et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Available estimates of the prevalence of SIB in ASD come primarily from clinic-based studies, mostly done outside of the United States. These studies have reported prevalence of 30 % or higher (e.g., Ando and Yoshimura 1979; Baghdadli et al 2003; Duerden et al 2012; Lance et al 2014; McTierman et al 2011; Murphy et al 2009; Rattaz et al 2015; Richards et al 2012). These studies may have oversampled children with more challenging behaviors as well as other impairments, since parents of such children are more likely to seek services and treatments (Bickel et al 2015; Mandell et al 2005).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Brief Report: Prevalence of Self-injurious Behaviors among Children with Autism Spectrum Disorder—A Population-Based Study

Soke

Rosenberg

Hamman

et al. 2016

J Autism Dev Disord

106

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Self-injurious behaviors (SIB) have been reported in more than 30 % of children with an autism spectrum disorder (ASD) in clinic-based studies. This study estimated the prevalence of SIB in a large population-based sample of children with ASD in the United States. A total of 8065 children who met the surveillance case definition for ASD in the Autism and Developmental Disabilities Monitoring (ADDM) Network during the 2000, 2006, and 2008 surveillance years were included. The presence of SIB was reported from available health and/or educational records by an expert clinician in ADDM Network. SIB prevalence averaged 27.7 % across all sites and surveillance years, with some variation between sites. Clinicians should inquire about SIB during assessments of children with ASD.

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Section: Discussioncontrasting

confidence: 84%

Section: Methodssupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Brief Report: Prevalence of Self-injurious Behaviors among Children with Autism Spectrum Disorder—A Population-Based Study

Soke

Rosenberg

Hamman

et al. 2016

J Autism Dev Disord

106

View full text Add to dashboard Cite

show abstract

Assessment of medical morbidities in a rhesus monkey model of naturally occurring low sociality

et al. 2021

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People with autism spectrum disorder (ASD) exhibit a variety of medical morbidities at significantly higher rates than the general population. Using an established monkey model of naturally occurring low sociality, we investigated whether lowsocial monkeys show an increased burden of medical morbidities compared to their high-social counterparts. We systematically reviewed the medical records of N = 152 (n = 73 low-social; n = 79 high-social) rhesus macaques (Macaca mulatta) to assess the number of traumatic injury, gastrointestinal, and inflammatory events, as well as the presence of rare medical conditions. Subjects' nonsocial scores, determined by the frequency they were observed in a nonsocial state (i.e., alone), and macaque Social Responsiveness Scale-Revised (mSRS-R) scores were also used to test whether individual differences in social functioning were related to medical morbidity burden. Medical morbidity type significantly differed by group, such that low-social monkeys incurred higher rates of traumatic injury compared to high-social monkeys. Nonsocial scores and mSRS-R scores also significantly and positively predicted traumatic injury rates, indicating that monkeys with the greatest social impairment were most impacted on this health measure. These findings from low-social monkeys are consistent with welldocumented evidence that people with ASD incur a greater number of traumatic injuries and receive more peer bullying than their neurotypical peers, and add to growing evidence for the face validity of this primate model. Lay Summary: People with autism exhibit multiple medical problems at higher rates than the general population. We conducted a comprehensive medical record review of monkeys that naturally exhibit differences in sociality and found that low-social monkeys are more susceptible to traumatic injuries than high-social monkeys. These results are consistent with reports that people with autism also incur greater traumatic injury and peer bullying and add to growing evidence for the validity of this monkey model.

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Is language ability associated with behaviors of concern in autism? A systematic review

et al. 2022

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This review systematically synthesized evidence on the association between structural language ability and behaviors of concern (BoC) in autism. Four databases were searched for studies that included >10 autistic participants, measures of structural language (content and/or form of language) and BoC, and an analysis of their association. BoCs included self‐injurious behavior (SIB), aggression, tantrums, and externalizing behavior. Methodological quality of studies were assessed using the Newcastle Ottawa Scale. Forty‐five publications (n = 11,961) were included. Forty studies were cross‐sectional and five were prospective cohort studies. Over 70% of the studies investigating expressive language and SIB (n = 10), aggression (n = 5), tantrums (n = 3), and externalizing behavior (n = 17) reported an inverse association, where lower expressive language ability was associated with increased BoC. Eleven out of sixteen studies of combined expressive and receptive language reported an inverse relationship with SIB or aggression. All outcomes were rated as moderate to very low certainty of evidence. This review highlights evidence showing an inverse association between expressive or combined language ability and SIB, and externalizing behavior in autism. However, further high‐quality studies that use standardized, consistent measures of language and behavior and investigate longitudinal associations are needed. Early detection and support for reduced structural language difficulties have substantial potential to assist in reducing BoC.

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Symptom severity as a risk factor for self‐injurious behaviours in adolescents with autism spectrum disorders

Abstract: These data showed that SIB remained highly prevalent at adolescence and yielded risk and protective factors for developing SIB at this period of life. Limitations and perspectives for future research are discussed.

Cited by 50 publications

References 51 publications

Brief Report: Prevalence of Self-injurious Behaviors among Children with Autism Spectrum Disorder—A Population-Based Study

Brief Report: Prevalence of Self-injurious Behaviors among Children with Autism Spectrum Disorder—A Population-Based Study

Assessment of medical morbidities in a rhesus monkey model of naturally occurring low sociality

Is language ability associated with behaviors of concern in autism? A systematic review

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