Abstract
Restricted repetitive behaviors (RRBs) were examined in a large group of children, adolescents and adults with ASD in order to describe age-related patterns of symptom change and association with specific contextual factors, and to examine if the patterns of change are different for the various types of RRBs. Over 700 individuals with ASD were rated on the Repetitive Behavior Scale-Revised. RRBs were less frequent and less severe among older than younger individuals, corroborating that autism symptoms abate with age. Our findings further suggest that repetitive behaviors are a heterogeneous group of behaviors, with the subtypes of RRBs having their own individual patterns across the lifespan, and in some cases, a differential association with age depending on intellectual functioning.
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Achenbach, T. M., & Edelbrock, C. S. (1981). Behavioral problems and competencies reported by parents of normal and disturbed children aged four through sixteen. Monographs of the Society for Research in Child Development, 46, 1–82. doi:10.2307/1165983.
Aman, M. G., Lam, K. S. L., & Van Bourgondien, M. E. (2005). Medication patterns in patients with autism: Temporal, regional, and demographic influences. Journal of Child and Adolescent Psychopharmacology, 15, 116–126. doi:10.1089/cap.2005.15.116.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders-text revision (4th ed.). Washington, DC: Author.
Bishop, S. L., Richler, J., & Lord, C. (2006). Association between restricted and repetitive behaviors and nonverbal IQ in children with autism spectrum disorders. Child Neuropsychology, 12, 247–267. doi:10.1080/09297040600630288.
Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: Comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30, 237–243. doi:10.1023/A:1005596502855.
Fecteau, S., Mottron, L., Berthiaume, C., & Burack, J. A. (2003). Developmental changes of autistic symptoms. Autism, 7, 255–268. doi:10.1177/13623613030073003.
Gabriels, R. L., Cuccaro, M. L., Hill, D. E., Ivers, B. J., & Goldson, E. (2005). Repetitive behaviors in autism: Relationships with associated clinical features. Research in Developmental Disabilities, 26, 169–181. doi:10.1016/j.ridd.2004.05.003.
Lam, K. S. L., & Aman, M. G. (2007). The Repetitive Behavior Scale-Revised: Independent validation in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37, 855–866. doi:10.1007/s10803-006-0213-z.
Lam, K. S. L., Aman, M. G., Parker, D., Woodard, C., Lewis, M. H., & Bodfish, J. W. (2005a, November). Psychometric properties of the Repetitive Behavior Scale-Revised (RBS-R) in children and adults with autism spectrum disorders. Poster presentation at the annual meeting of the NIH Autism Research Network, Bethesda, MD.
Lam, K. S. L., Holtzclaw, T. N., & Bodfish, J. W. (2005b, November). Development of repetitive behaviors and executive functions in preschoolers with autism spectrum disorders. Poster presentation at the annual meeting of the NIH Autism Research Network, Bethesda, MD.
Lam, K. S. L., Holtzclaw, T., Turner-Brown, L., Boyd, B., Baranek, G., & Bodfish, J. (submitted). Early developmental patterns of repetitive behavior, aberrant behavior, and executive functions in autism spectrum disorders.
Lecavalier, L., Aman, M. G., Scahill, L., McDougle, C. J., McCracken, J. T., Vitiello, B., et al. (2006). Validity of the autism diagnostic interview-revised. American Journal of Mental Retardation, 111, 199–215. doi:10.1352/0895-8017(2006)111[199:VOTADI]2.0.CO;2.
Le Couteur, A., Lord, C., & Rutter, M. (2003). The Autism Diagnostic Interview–Revised (ADI-R). Los Angeles, CA: Western Psychological Services.
Lewis, M. H., & Bodfish, J. W. (1998). Repetitive behavior disorders in autism. Mental Retardation and Developmental Disabilities Research Reviews, 4, 80–89. doi :10.1002/(SICI)1098-2779(1998)4:2<80::AID-MRDD4>3.0.CO;2-0.
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism Diagnostic Observation Schedule-WPS (ADOS-WPS). Los Angeles, CA: Western Psychological Services.
Mawhood, L., Howlin, P., & Rutter, M. (2000). Autism and developmental receptive language disorder: A comparative follow-up in early adult life. I. Cognitive and language outcomes. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 547–559.
Militerni, R., Bravaccio, C., Falco, C., Fico, C., & Palermo, M. T. (2002). Repetitive behaviors in autistic disorder. European Child & Adolescent Psychiatry, 11, 210–218. doi:10.1007/s00787-002-0279-x.
Piven, J., Harper, J., Palmer, P., & Arndt, S. (1996). Course of behavioral change in autism: A retrospective study of high-IQ adolescents and adults. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 523–529.
Rutter, M., Bailey, A., & Lord, C. (2003). Social Communication Questionnaire (SCQ). Los Angeles: Western Psychological Services.
Seltzer, M. M., Krauss, M. W., Shattuck, P. T., Orsmond, G., Swe, A., & Lord, C. (2003). The symptoms of autism spectrum disorders in adolescence and adulthood. Journal of Autism and Developmental Disorders, 33, 565–581. doi:10.1023/B:JADD.0000005995.02453.0b.
Seltzer, M. M., Shattuck, P., Abbeduto, L., & Greenberg, J. S. (2004). Trajectory of development in adolescents and adults with autism. Mental Retardation and Developmental Disabilities Research Reviews, 10, 234–247. doi:10.1002/mrdd.20038.
Shattuck, P. T., Seltzer, M. M., Greenberg, J. S., Orsmond, G. I., Bolt, D., Kring, S., et al. (2007). Change in autism symptoms and maladaptive behaviors in adolescents and adults with an autism spectrum disorder. Journal of Autism and Developmental Disorders, 37, 1735–1747. doi:10.1007/s10803-006-0307-7.
Schopler, E., Reichler, R. I., & Renner, B. R. (1993). The Childhood Autism Rating Scale (CARS) for diagnostic screening and classification in autism. New York: Irvington.
South, M., Ozonoff, S., & McMahon, W. M. (2005). Repetitive behavior profiles in Asperger syndrome and high-functioning autism. Journal of Autism and Developmental Disorders, 35, 145–158. doi:10.1007/s10803-004-1992-8.
Turner, M. (1999). Annotation Repetitive behaviors in autism A review of psychological research. Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 839–849. doi:10.1017/S0021963099004278.
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This manuscript was prepared with support from the National Institute on Aging (R01 AG08768), the National Institute on Mental Health (R01 MH73402), the National Institute on Child Health and Human Development (P30 HD03352, T32 HD07489, T32 HD40127), and the Autism Society of Southeastern Wisconsin.
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Esbensen, A.J., Seltzer, M.M., Lam, K.S.L. et al. Age-Related Differences in Restricted Repetitive Behaviors in Autism Spectrum Disorders. J Autism Dev Disord 39, 57–66 (2009). https://doi.org/10.1007/s10803-008-0599-x
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DOI: https://doi.org/10.1007/s10803-008-0599-x