The Relations between Repetitive Behaviors and Family Accommodation among Children with Autism: A Mixed-Methods Study

Abstract

Restricted and repetitive behaviors and interests (RRBI) are a significant component in diagnosing autism spectrum disorder (ASD). They often pose the main challenge in day-to-day functions for children with ASD and their families. Research addressing family accommodation behaviors (FAB) in the ASD population is scarce, and associations with the characteristics of the children’s behaviors are unclear. This sequential mixed-methods study assessed the correlation between RRBI and FAB within the ASD group to deepen the understanding of parents’ subjective experiences regarding their children’s RRBI. It included a quantitative phase with a follow-up qualitative study. A total of 29 parents of children with autism (5–13 yr) completed the study questionnaires; a total of 15 also were interviewed regarding their children’s RRBI and related FAB. We used the Repetitive Behavior Scale-Revised (RBS-R) to assess RRBI, and the Family Accommodation Scale (FAS-RRB) to assess FAS. In-depth interviews from phenomenological methodology were used in the qualitative phase. We found significant positive correlations between the RRBI and FAB overall and their subscores. Qualitative research supports these findings, adding descriptive examples of the accommodations families make to address the RRBI-related challenges. The results indicate relations between RRBI and FAB and the importance of practically addressing children with autism’s RRBI and their parents’ experiences. Both affect and are affected by the children’s behaviors.

Descriptive Analysis of Social Interaction and Communication Skills of Autistic Children According to Sibling Status and Characteristics

“…Therefore, considering that parenting style can affect the autistic child’s stress levels, there may be a correlation between parenting style and the severity of RRBs. Furthermore, RRBs not only impact the autistic individual but also require family accommodation behaviors (FAB) [ 25 ]. FABs encompass the actions taken by the family to help the autistic child adjust to their environment by implementing routines that assist the child in coping with different situations.…”

Effect of Adverse Childhood Experiences, Parenting Styles, and Family Accommodation on Patients Diagnosed with Obsessive-Compulsive Disorder

“… 30 In recent years, researchers have discovered significant positive correlations between restricted and repetitive behaviors and interests and overall family accommodation behaviors and their sub scores in children with autism spectrum disorder. 31 Research has also shown that family accommodation and child anxiety are bidirectionally related between the age 4 years and school age, 32 and youths with anxiety disorders report greater family accommodation than control groups. 33 In addition, family accommodation of restricted and repetitive behaviors occurs frequently and is linked to greater symptom severity in families of children with autism 34 and family accommodation can have a significant impact on the child’s anxiety.…”