Challenging behaviours at early adulthood in autism spectrum disorders: topography, risk factors and evolution

Rattaz, Cécile; Michelon, Cécile; Münir, Kerim; Baghdadli, Amaria

doi:10.1111/jir.12503

Cited by 50 publications

(39 citation statements)

References 54 publications

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“…First, adolescents and older children were selected for participation to address the gap in the literature on parent-implemented behavior interventions via telehealth for this age range (Gerow et al, 2018 ). The specific challenges presented by this population include extended learning history, potential worsening of challenging behavior in adolescence, physical growth spurts, and hormonal changes which may be associated with challenging behavior (Rattaz et al, 2018 ). During functional assessment interviews, each of the parents included in this study noted that the challenging behavior targeted in this study were long-standing including some from early childhood, and that they had not been adequately addressed by previous interventions including behavior plans, parent training, and school-based communication training.…”

Section: Discussionmentioning

confidence: 99%

Parent-Implemented Behavior Interventions via Telehealth for Older Children and Adolescents

Drew¹

2022

J Behav Educ

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Children and adolescents with intellectual and developmental disabilities (IDD) are more likely to engage in challenging and interfering behavior than their typically developing peers, which has been linked to many negative outcomes. The most effective interventions to address challenging and interfering behavior incorporate function-based assessments, which are used to develop individualized behavior interventions. Functional communication training (FCT) is an evidence-based practice to decrease challenging and interfering behavior that can be taught to parents using behavioral parent training (BPT); however, there are limited skilled professionals who can develop interventions and train parents. Telehealth can enable greater access to these professionals. This study used withdrawal designs to determine whether high parent treatment fidelity resulted in decreased challenging and interfering behavior and increased appropriate replacement behavior. Three participants (8–17 years) were included in the study, and their parents served as interventionists during mealtime, toothbrushing, and room cleaning. Data were analyzed using visual analysis. Each parent achieved high treatment fidelity with one session of BPT and bug-in-ear coaching. All participants had a decrease in challenging and interfering behavior and an increase in functional communication responses (FCRs) upon the introduction of the intervention with reliable reversals. All parents reported high social validity. Results and implications for practice and future research are discussed.

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Section: Discussionmentioning

confidence: 99%

Parent-Implemented Behavior Interventions via Telehealth for Older Children and Adolescents

Drew¹

2022

J Behav Educ

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“…Challenging behavior is one of the major clinical concerns in the field of autism spectrum disorder (ASD; Sigafoos, Arthur, & O'Reilly, 2003). It is estimated that 56-94% of children with ASD engage in some types of challenging behavior including selfinjurious behavior (SIB), aggressive behavior, stereotypy, disruptive behaviors (e.g., property destruction, tantrums, noncompliance), elopement, sleep problems and feeding disorders (Didden et al, 2012;Matson et al, 2008;Rattaz, Michelon, Munir, & Baghdadli, 2018). Without appropriate intervention, challenging behavior tends to persist; chronic and severe challenging behavior can significantly hinder the child's overall development and negatively impacts family quality of life (Frantz et al, 2017;Machalicek, O'Reilly, Beretvas, Sigafoos, & Lancioni, 2007).…”

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confidence: 99%

Treatment Acceptability for Interventions Addressing Challenging Behavior Among Chinese Caregivers of Children with Autism Spectrum Disorder

Wei

Machalicek

Zhu

2021

J Autism Dev Disord

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The present study evaluated treatment acceptability for behavioral interventions addressing challenging behaviors with Chinese caregivers of children with autism spectrum disorder. Factors influencing treatment acceptability (i.e., severity of challenging behavior and Chinese child-rearing values) were investigated. Caregivers of children aged 2-12 years (N = 216) participated in this survey study. Results suggest that caregivers found positive strategies including noncontingent reinforcement and positive reinforcement the most acceptable; punishment-based strategies were rated as the least acceptable. Furthermore, positive punishment was perceived as more acceptable for severe challenging behavior. Caregivers who endorsed training were more likely to find positive strategies acceptable, whereas those who endorsed shaming were more likely to rate punishment-based strategies as more acceptable. Implications for future research and culturally competent behavioral treatments in Chinese context are provided.

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“…At adulthood (T4), we found that the presence of challenging behaviors was related to the young adult's cognitive and language level, ASD symptom severity, as well as co-occurring gastrointestinal (GI) and sleep disorders (see Table 4) (Rattaz et al 2018). The main risk factor for challenging behaviors was ASD symptom severity.…”

Section: Challenging Behaviorsmentioning

confidence: 99%

Fifteen-Year Prospective Follow-Up Study of Adult Outcomes of Autism Spectrum Disorders Among Children Attending Centers in Five Regional Departments in France: The EpiTED Cohort

Baghdadli

Rattaz²,

Michelon³

et al. 2019

J Autism Dev Disord

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There is limited data on long-term outcome of ASD with co-occurring intellectual disabilities (ID) and challenging behaviours in France. The EpiTED period cohort is a 15 years longitudinal study of the developmental trajectories of 281 children initially recruited at mean age of 5 years. Two contrasted developmental trajectories were identified. Low cognitive level, absence of language, and higher ASD scores at baseline were predictive of low growth at follow-up. As adults the participants were predisposed to persistent co-occurring challenging behaviours as well as underlying ID impacting their ability to function independently. The results underscore the need for development of services and supports for adults with ASD in France who may also have already lacked access to adequate interventions and support services.

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Challenging behaviours at early adulthood in autism spectrum disorders: topography, risk factors and evolution

Cited by 50 publications

References 54 publications

Parent-Implemented Behavior Interventions via Telehealth for Older Children and Adolescents

Parent-Implemented Behavior Interventions via Telehealth for Older Children and Adolescents

Treatment Acceptability for Interventions Addressing Challenging Behavior Among Chinese Caregivers of Children with Autism Spectrum Disorder

Fifteen-Year Prospective Follow-Up Study of Adult Outcomes of Autism Spectrum Disorders Among Children Attending Centers in Five Regional Departments in France: The EpiTED Cohort

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