Repetitive and restricted behaviors and interests in autism spectrum disorder: relation to individual characteristics and mental health problems.
Autism spectrum disorder
Co-occurring mental health problems
Psychopathology
Repetitive behaviors
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
23 05 2023
23 05 2023
Historique:
received:
29
11
2022
accepted:
10
04
2023
medline:
25
5
2023
pubmed:
24
5
2023
entrez:
23
5
2023
Statut:
epublish
Résumé
Although repetitive and restricted behaviors and interests (RRBIs) may interfere with well-being and functioning in autistic individuals, research on their relation to sex, age, cognitive level, and mental health problems remains unclear. Much of the research to date has used broad categorizations rather than specific categorizations of RRBIs to examine the difference in RRBIs between individuals. The purpose of this study was to explore, in different groups of individuals, the presence of specific RRBI subtypes, and to examine the association of specific RRBI subtypes with symptoms of internalizing and externalizing behaviors. Secondary data analyses were conducted using the Simons Simplex Collection dataset, which included 2,758 participants (aged 4 to 18). Families of autistic children completed the Repetitive Behavior Scale-Revised (RBS-R) and the Child Behavior Checklist. Across all RBS-R subtypes, results revealed no sex differences. Older children showed higher rates of Ritualistic/Sameness behaviors than younger children and adolescents, whereas younger and older children showed more Stereotypy than adolescents. Additionally, lower cognitive level groups showed higher rates of RBS-R subtypes except for Ritualistic/Sameness. After controlling for age and cognitive level, RBS-R subtypes accounted for a substantial amount of variance in internalizing and externalizing behaviors (23% and 25%, respectively). Specifically, Ritualistic/Sameness and Self-Injurious Behavior both predicted internalizing and externalizing behaviors, whereas Stereotypy only predicted internalizing behavior. These findings have key clinical implications that emphasize not only the consideration of sex, age, and cognitive level, but also specific RRBIs and co-occurring mental health problems, when assessing for ASD and designing individualized interventions.
Sections du résumé
BACKGROUND
Although repetitive and restricted behaviors and interests (RRBIs) may interfere with well-being and functioning in autistic individuals, research on their relation to sex, age, cognitive level, and mental health problems remains unclear. Much of the research to date has used broad categorizations rather than specific categorizations of RRBIs to examine the difference in RRBIs between individuals. The purpose of this study was to explore, in different groups of individuals, the presence of specific RRBI subtypes, and to examine the association of specific RRBI subtypes with symptoms of internalizing and externalizing behaviors.
METHODS
Secondary data analyses were conducted using the Simons Simplex Collection dataset, which included 2,758 participants (aged 4 to 18). Families of autistic children completed the Repetitive Behavior Scale-Revised (RBS-R) and the Child Behavior Checklist.
RESULTS
Across all RBS-R subtypes, results revealed no sex differences. Older children showed higher rates of Ritualistic/Sameness behaviors than younger children and adolescents, whereas younger and older children showed more Stereotypy than adolescents. Additionally, lower cognitive level groups showed higher rates of RBS-R subtypes except for Ritualistic/Sameness. After controlling for age and cognitive level, RBS-R subtypes accounted for a substantial amount of variance in internalizing and externalizing behaviors (23% and 25%, respectively). Specifically, Ritualistic/Sameness and Self-Injurious Behavior both predicted internalizing and externalizing behaviors, whereas Stereotypy only predicted internalizing behavior.
CONCLUSIONS
These findings have key clinical implications that emphasize not only the consideration of sex, age, and cognitive level, but also specific RRBIs and co-occurring mental health problems, when assessing for ASD and designing individualized interventions.
Identifiants
pubmed: 37221460
doi: 10.1186/s12888-023-04766-0
pii: 10.1186/s12888-023-04766-0
pmc: PMC10207604
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
356Informations de copyright
© 2023. The Author(s).
Références
Neurosci Biobehav Rev. 2011 Jan;35(3):356-65
pubmed: 20153769
Arch Gen Psychiatry. 1999 Oct;56(10):921-6
pubmed: 10530634
J Autism Dev Disord. 2011 Oct;41(10):1321-9
pubmed: 21161575
J Autism Dev Disord. 2014 May;44(5):1207-19
pubmed: 24234675
Res Autism Spectr Disord. 2008;2(3):469-479
pubmed: 19122856
J Intellect Disabil Res. 2012 Mar;56(3):248-57
pubmed: 21554467
Res Dev Disabil. 2005 Mar-Apr;26(2):169-81
pubmed: 15590247
Psychol Bull. 2017 Feb;143(2):142-186
pubmed: 28004947
J Autism Dev Disord. 2021 Oct;51(10):3391-3400
pubmed: 33236274
Mol Autism. 2021 Aug 14;12(1):57
pubmed: 34391468
Child Psychiatry Hum Dev. 1999 Summer;29(4):261-76
pubmed: 10422351
J Autism Dev Disord. 2007 May;37(5):855-66
pubmed: 17048092
J Autism Dev Disord. 2009 Jan;39(1):57-66
pubmed: 18566881
J Autism Dev Disord. 2017 Aug;47(8):2519-2534
pubmed: 28527095
J Autism Dev Disord. 2011 Jul;41(7):926-37
pubmed: 20960041
J Int Neuropsychol Soc. 2009 May;15(3):331-43
pubmed: 19402919
Autism Res. 2019 Feb;12(2):274-283
pubmed: 30561911
J Autism Dev Disord. 2012 Jul;42(7):1304-13
pubmed: 21947663
Res Dev Disabil. 2006 Sep-Oct;27(5):517-28
pubmed: 16194598
J Am Acad Child Adolesc Psychiatry. 2020 Jul;59(7):890-899.e3
pubmed: 31541676
Autism. 2019 May;23(4):858-868
pubmed: 30047281
J Autism Dev Disord. 2012 Jun;42(6):1236-48
pubmed: 21584849
J Child Psychol Psychiatry. 2014 Aug;55(8):945-53
pubmed: 24552513
J Am Acad Child Adolesc Psychiatry. 2022 Mar;61(3):446-457
pubmed: 34391858
Br J Psychiatry. 2021 Jan;218(1):20-27
pubmed: 32641181
Acta Paedopsychiatr. 1968;35(4):100-36
pubmed: 4880460
J Autism Dev Disord. 2013 Jun;43(6):1287-97
pubmed: 23065116
Mol Autism. 2017 Jul 21;8:36
pubmed: 28736608
Clin Neuropsychol. 2017 Nov;31(8):1353-1374
pubmed: 28395578
Psychol Bull. 2011 Jul;137(4):562-93
pubmed: 21574682
Lancet Psychiatry. 2019 Oct;6(10):819-829
pubmed: 31447415
Dev Psychopathol. 2017 Feb;29(1):203-214
pubmed: 26847324
J Am Acad Child Adolesc Psychiatry. 2014 Mar;53(3):329-40.e1-3
pubmed: 24565360
J Autism Dev Disord. 2010 Dec;40(12):1521-30
pubmed: 20405194
Mol Autism. 2021 May 27;12(1):39
pubmed: 34044873
Children (Basel). 2021 Apr 22;8(5):
pubmed: 33922236
Funct Neurol. 2003 Apr-Jun;18(2):89-94
pubmed: 12911139
Dev Psychopathol. 2010 Winter;22(1):55-69
pubmed: 20102647
Child Neuropsychol. 2006 Aug;12(4-5):247-67
pubmed: 16911971
J Autism Dev Disord. 2000 Jun;30(3):237-43
pubmed: 11055459
Front Psychiatry. 2019 Jul 26;10:535
pubmed: 31404318
J Child Psychol Psychiatry. 2021 Jun;62(6):715-724
pubmed: 32827150
J Intellect Disabil Res. 2015 Feb;59(2):116-24
pubmed: 23919538
J Child Psychol Psychiatry. 1999 Sep;40(6):839-49
pubmed: 10509879
J Autism Dev Disord. 2021 Dec;51(12):4644-4654
pubmed: 33580406
J Autism Dev Disord. 2019 Apr;49(4):1693-1699
pubmed: 30488150
Neuropsychologia. 2010 Jul;48(9):2730-9
pubmed: 20493890