Repetitive behaviors in autism: relationships with associated clinical features

Gabriels, Robin L.; Cuccaro, Michael L.; Hill, Dina E.; Ivers, Bonnie Jean; Goldson, Edward

doi:10.1016/j.ridd.2004.05.003

Cited by 281 publications

(184 citation statements)

References 24 publications

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“…For example, among 14 children with ASD (mean age, 10 years and 7 months), Gabriels et al (2006) found nonverbal IQ and adaptive scores were negatively correlated with repetitive behaviors and sleep problems. Parent stress was positively correlated with repetitive behaviors.…”

Section: Risk Factorsmentioning

confidence: 99%

Assessment and Treatment of Obsessions and Compulsions in Individuals with Autism Spectrum Disorders: a Systematic Review

Neil

Sturmey

2013

Rev J Autism Dev Disord

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The purpose of this paper is to systematically review empirical evidence for the assessment and treatment of obsessive-compulsive disorder (OCD) among individuals with autism spectrum disorders (ASD). Systematic searches were conducted in electronic databases, reference lists, and journals. Fifty-five studies met inclusion criteria: 21 studies investigating prevalence, symptom presentation, and assessment, as well as 34 intervention studies investigating 14 different interventions. Based on the Chambless criteria for treatment efficacy, four treatments (behavior analysis and behavior modification, risperidone, fluoxetine, and fluvoxamine for adults) met criteria for possible efficacious interventions for OCD among individuals with ASD. Positive intervention outcomes were reported in the majority of studies, but there was not enough research to make firm conclusions regarding efficacy of other treatments.

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Section: Risk Factorsmentioning

confidence: 99%

Assessment and Treatment of Obsessions and Compulsions in Individuals with Autism Spectrum Disorders: a Systematic Review

Neil

Sturmey

2013

Rev J Autism Dev Disord

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“…Impaired communication and social skills were clustered as one part of the dyad and RRBs form the second part of the dyad in the latest version. Despite the centrality of RRBs to diagnosis there is a paucity of research in this domain [3][4][5]. Little is known of how RRBs change over time as people with ASD move through childhood into adolescence and adulthood [6,7].…”

Section: Restricted and Repetitive Thought And Behaviorsmentioning

confidence: 99%

“…Longitudinal studies are sparse and findings varied [5]. What is clear is that RRBs present extreme challenges to people with ASD, their parents and caregivers [3,8]. This challenge is not only manifested in the present, but may also be projected into future development, as RRBs not only inhibit adaptation in the present but through impaired flexibility and openness to environmental cues also impact on development of future capabilities [3,5,9,10].…”

Section: Restricted and Repetitive Thought And Behaviorsmentioning

confidence: 99%

“…It would appear that as cognition develops sensory motor repetitive behaviors become less common and in typical development rarely last beyond four to five years of age [7]. Repetitive sensory motor behaviors appear to remain prevalent beyond entry to school in people with ASD who have comorbid intellectual disability, with the distinguishing factor being related to cognitive development [6,3,11]. The underlying mechanisms of these sensory motor repetitive behaviors appear to be related to selfstimulation and sensory under responsiveness [13].…”

Section: Repetitive Sensory Motor Behaviors (Stereotypic Behavior)mentioning

confidence: 99%

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Conceptualization of a Heuristic to Predict Increase in Restricted and Repetitive Behaviour in ASD across the Short to Medium Term

Cashin¹,

Yorke²

2017

Autism Open Access

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Restricted and repetitive behaviors (RRBs) are central to the diagnosis of Autism Spectrum Disorder (ASD), yet there is a paucity of research in this domain. Despite the lack of conceptual clarity, and related empirical findings to underpin practice, clinicians are called on to not only diagnose people with ASD, but also to make prognostic predictions across the short to medium term. These prognostic decisions impact the interventions selected and access to programs. This paper synthesizes available evidence to inform a model of repetitive patterns of thought, ritualistic behaviors and insistence on sameness, arguably the cluster of behavior most likely to be seen in main stream clinical settings and schools and design a heuristic that could be applied by clinicians to aid prognostic decisions and form the basis of further research eventually leading to actuarial models.

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“…8 In addition, these symptoms produce stress among caregivers. 9 Repetitive behaviors in autism share some overlap with characteristic symptoms of obsessive-compulsive disorder (OCD). 10 When compared on a series of repetitive behaviors, children with ASD engage in similar levels of "sameness" behaviors and repetitive movements as children with OCD, as reported by their parents.…”

mentioning

confidence: 99%

Pharmacologic Treatment of Repetitive Behaviors in Autism Spectrum Disorders: Evidence of Publication Bias

2012

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: Although several randomized trials have examined the efficacy of serotonin receptor inhibitors in the treatment of repetitive behaviors, there still remains clinical uncertainty as to whether these agents are effective in treating such behaviors in children and adults with autism spectrum disorders. WHAT THIS STUDY ADDS:The goal of this meta-analysis was to examine randomized trials of serotonin receptor inhibitors for treating repetitive behaviors in autism spectrum disorders. Although a small but significant effect of these agents was observed, this effect is likely due to the selective publication of trial results.abstract OBJECTIVE: The goal of this study was to examine the efficacy of serotonin receptor inhibitors (SRIs) for the treatment of repetitive behaviors in autism spectrum disorders (ASD). METHODS:Two reviewers searched PubMed and Clinicaltrials.gov for randomized, double-blind, placebo-controlled trials evaluating the efficacy of SRIs for repetitive behaviors in ASD. Our primary outcome was mean improvement in ratings scales of repetitive behavior. Publication bias was assessed by using a funnel plot, the Egger' s test, and a metaregression of sample size and effect size. RESULTS: Our search identified 5 published and 5 unpublished but completed trials eligible for meta-analysis. Meta-analysis of 5 published and 1 unpublished trial (which provided data) demonstrated a small but significant effect of SRI for the treatment of repetitive behaviors in ASD (standardized mean difference: 0.22 [95% confidence interval: 0.07-0.37], z score = 2.87, P , .005). There was significant evidence of publication bias in all analyses. When Duval and Tweedie' s trim and fill method was used to adjust for the effect of publication bias, there was no longer a significant benefit of SRI for the treatment of repetitive behaviors in ASD (standardized mean difference: 0.12 [95% confidence interval: -0.02 to 0.27]). Secondary analyses demonstrated no significant effect of type of medication, patient age, method of analysis, trial design, or trial duration on reported SRI efficacy.CONCLUSIONS: Meta-analysis of the published literature suggests a small but significant effect of SRI in the treatment of repetitive behaviors in ASD. This effect may be attributable to selective publication of trial results. Without timely, transparent, and complete disclosure of trial results, it remains difficult to determine the efficacy of available medications. Pediatrics 2012;129:e1301-e1310

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Repetitive behaviors in autism: relationships with associated clinical features

Cited by 281 publications

References 24 publications

Assessment and Treatment of Obsessions and Compulsions in Individuals with Autism Spectrum Disorders: a Systematic Review

Assessment and Treatment of Obsessions and Compulsions in Individuals with Autism Spectrum Disorders: a Systematic Review

Conceptualization of a Heuristic to Predict Increase in Restricted and Repetitive Behaviour in ASD across the Short to Medium Term

Pharmacologic Treatment of Repetitive Behaviors in Autism Spectrum Disorders: Evidence of Publication Bias

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