Prevalence and risk factors of maladaptive behaviour in young children with Autistic Disorder

Hartley, Sigan L.; Sikora, Darryn M.; McCoy, Robin

doi:10.1111/j.1365-2788.2008.01065.x

Cited by 328 publications

(211 citation statements)

References 42 publications

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“…1 This may be particularly problematic for young children (< age 5 years) with a diagnosis of autism, 34% of whom experience clinically significant maladaptive behaviors. 2 Recent literature suggests that low nonverbal IQ and impaired communication abilities in young children place them at a higher risk for maladaptive behaviors. 3 Although these maladaptive behaviors are not a core feature of autism, they can significantly interfere with a child's educational and developmental progress.…”

Section: Introductionmentioning

confidence: 99%

Risperidone Use in Autism Spectrum Disorders: A Retrospective Review of a Clinic-Referred Patient Population

Lemmon

Gregas

Jeste³

2010

J Child Neurol

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Risperidone is widely used in children with autism spectrum disorders for behavioral modification. In this study, the authors aimed to (1) describe a clinic-referred sample of patients with an autism spectrum disorder on risperidone, (2) identify differences between the success and nonsuccess groups, and (3) describe our experience with young children (< age 5 years) on risperidone. Eighty patients were initiated on risperidone. Indications included aggression (66%), impulsivity (14%), and stereotypies (4%). Sixty-six percent met criteria for success at 6 months and 53% at 1 year. Sixty-seven percent of the nonsuccess group reported side effects, compared to 47% of the success group. Weight gain was the most common side effect in both groups, followed by somnolence. Somnolence was the most robust predictor of nonsuccess. In our clinic-referred sample, the short-term success rate of risperidone was more than 50%, and side effects limited its use. Although weight gain was common, somnolence more significantly influenced treatment discontinuation.

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Section: Introductionmentioning

confidence: 99%

Risperidone Use in Autism Spectrum Disorders: A Retrospective Review of a Clinic-Referred Patient Population

Lemmon

Gregas

Jeste³

2010

J Child Neurol

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“…Many authors have described trends related to frequency and severity changes (or intensity) in crisis behaviors for decades but what is reported appears not to be focused on searching for general rules or definite laws in an analytical way. Moreover, some results seem controversial [9][10][11][12][13][14]. It is noteworthy that crisis behavior has been described as the "tip of the iceberg" [15] suggesting that its underlying reason seems to be the result of a complex interplay of many different variables, almost impossible to identify in a clear way [7,16].…”

Section: Complexitymentioning

confidence: 99%

Crisis Behavior in Autism Spectrum Disorders: A Self‐Organized Criticality Approach

Tonello¹,

Giacobbi²,

Pettenon³

et al. 2018

Complexity

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The Autism Spectrum Disorder (ASD) represents a set of life-long disorders. In particular, subjects with ASD can display momentary behaviors of acute agitation and aggressiveness called crisis behaviors. These events are problematic for the subject and care providers but little is known about their occurrence, namely, possible relations among intensity, frequency, and duration. A group of ASD subjects ( = 33) has been observed for 12 months reporting data on each crisis ( = 1137 crises). Statistical analysis did not find significant results, while the relation between crisis duration and frequency showed a good fit to a "power law" curve, suggesting the application of Self-Organized Criticality (SOC) model. The SOC is used to describe natural phenomena as earthquakes, bank failures of rivers, mass extinctions, and other systems where a type of "catastrophic events" is necessary to maintain a critical equilibrium. In a sense, subjects at risk of crisis behavior seem to fit the same model as seismic zones at risk of earthquakes. The employment of the same strategies, as those successfully developed for known SOC systems, could lead to important insights for ASD management. Moreover, the SOC model offers possible interpretations of crisis behavior dynamics suggesting that they are unpredictable and, in a sense, necessary.

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“…Studies have also tackled the prevalence of CBs among children with ID (e.g., Dekker et al 2002;Farmer and Aman 2011;Ruddick et al 2015). These studies have usually focused on a specific behavior, such as aggressive behavior (e.g., Pavlovic et al 2013) or self-injurious behavior (e.g., Symons et al 2003), or on a specific disability or disorder, such as autism spectrum disorder (ASD; e.g., Hartley et al 2008;Jang et al 2011). Overall, research has found that the prevalence rates of aggressive and self-injurious behaviors range, respectively, from 10.8 and 5.3% (children with ID; Ruddick et al 2015) to 85 and 80% (participants with fragile X syndrome; Newman et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Risk Markers of Challenging Behavior Among Children with Disabilities

Simó-Pinatella

Mumbardó‐Adam

Montenegro-Montenegro

et al. 2017

Adv Neurodev Disord

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Children with disabilities are more likely to engage in some form of challenging behavior. The present study sought to investigate the prevalence of challenging behaviors, such as aggressive/destructive or stereotypic behavior, and identify those personal and contextual risk markers associated with the occurrence of challenging behaviors. A total of 205 children with intellectual disability enrolled in a special education school participated in this study. Fifteen professionals participated in this study and responded to two questionnaires via an interview format. Of the sample, 60% were identified as displaying some form of challenging behavior. Both personal and environmental factors within this school were identified as significant predictors of at least one form of behavior. Findings highlight the need to invest in further research to identify personal and environmental variables that may act as risk markers for challenging behaviors in a specific educational setting to customize the services and supports provided.

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Prevalence and risk factors of maladaptive behaviour in young children with Autistic Disorder

Abstract: Findings highlight the need to include behavioural management strategies aimed at increasing social engagement, sustained attention and decreasing aggressive behaviour in comprehensive intervention programmes for young children with AD.

Cited by 328 publications

References 42 publications

Risperidone Use in Autism Spectrum Disorders: A Retrospective Review of a Clinic-Referred Patient Population

Risperidone Use in Autism Spectrum Disorders: A Retrospective Review of a Clinic-Referred Patient Population

Crisis Behavior in Autism Spectrum Disorders: A Self‐Organized Criticality Approach

Prevalence and Risk Markers of Challenging Behavior Among Children with Disabilities

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