Abstract
This study examined whether language skills and nonverbal cognitive skills were associated with clinician-observed restricted and repetitive behaviors (RRBs) in a sample of 115 children with autism spectrum disorders (ASD) at ages 2 and 3. By age 3, RRBs were significantly negatively correlated with receptive and expressive language, as well as nonverbal cognitive skills. Increases in receptive and expressive language from age 2 to 3 significantly predicted decreases in RRBs, controlling for age in months, time between visits, and gains in nonverbal cognitive skills. This study contributes to the limited research that has examined early patterns and predictors of RRBs in young children with ASD.
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References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Baron-Cohen, S. (1989). Do autistic children have obsessions and compulsions? British Journal of Clinical Psychology, 28, 193–200.
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.
Cicchetti, D. V., Koenig, K., Klin, A., Volkmar, F. R., Paul, R., & Sparrow, S. (2011). From Bayes through marginal utility to effect sizes: A guide to understanding the clinical and statistical significance of the results of autism research findings. Journal of Autsim and Developmental Disorders, 41, 168–174.
Cuccaro, M. L., Shao, Y., Grubber, J., Slifer, M., Wolpert, C. M., Donnelly, S. L., et al. (2003). Factor analysis of restricted and repetitive behaviors in autism using the autism diagnostic interview-r. Child Psychiatry and Human Development, 34, 3–17.
Ellis Weismer, S., Lord, C., & Esler, A. (2010). Early language patterns of toddlers on the autism spectrum compared to toddlers with developmental delay. Journal of Autism and Developmental Disorders, 40, 1259–1273.
Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 693–705.
Gotham, K., Risi, S., Dawson, G., Tager-Flusberg, H., Joseph, R., Carter, A., et al. (2008). A replication of the autism diagnostic observation schedule (ADOS) revised algorithms. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 642–651.
Gotham, K., Risi, S., Pickles, A., & Lord, C. (2007). The autism diagnostic observation schedule: Revised algorithms for improved diagnostic validity. Journal of Autism and Developmental Disorders, 37, 613–627.
Kanner, L. (1943). Autistic disturbances of affective content. Nervous Child, 2, 217–250.
Kim, S. H., & Lord, C. (2010). Restricted and repetitive behaviors in toddlers and preschoolers with autism spectrum disorders based on the autism diagnostic observation schedule (ADOS). Autism Research, 3, 162–173.
Lam, K. S. L., Bodfish, J. W., & Piven, J. (2008). Evidence for three subtypes of repetitive behavior in autism that differ in familiarity and association with other symptoms. The Journal of Child Psychology and Psychiatry, 49, 1193–1200.
Leekam, S. R., Prior, M. R., & Uljarevic, M. (2011). Restricted and repetitive behaviors in autism spectrum disorders: A review of research in the last decade. Psychological Bulletin, 137, 562–593.
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule manual. Los Angeles: Western Psychological Services.
Luyster, R., Gotham, K., Guthrie, W., Coffing, M., Petrak, R., Pierce, K., et al. (2009). The autism diagnostic observation schedule–toddler module: A new module of standardized diagnostic measure for ASD. Journal of Autism and Developmental Disorders, 39, 1305–1320.
Mirenda, P., Smith, I. M., Vaillancourt, T., Georgiades, S., Duku, E., Szatmari, P., et al. (2010). Validating the repetitive behavior scale—revised in young children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 40, 1521–1530.
Mullen, E. M. (1995). Mullen scales of early learning manual (AGS edition ed.). Minneapolis, MN: Pearson.
Paul, R., Chawarska, K., Cicchetti, D., & Volkmar, F. (2008). Language outcomes of toddlers with autism spectrum disorders: a two year follow-up. Autism Research, 1, 97–107.
Richler, J., Bishop, S. L., Kleinke, J. R., & Lord, C. (2007). Restricted and repetitive behaviors in young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37, 73–85.
Richler, J., Huerta, M., Bishop, S. L., & Lord, C. (2010). Developmental trajectories of restricted and repetitive behaviors and interests in children with autism spectrum disorders. Development and Psychopathology, 22, 55–69.
Rimland, B. (1964). Infantile autism: The syndrome and its implications for a neural theory of behavior. New York: Meredith Publishing Company.
Ritvo, E. R., Ornitz, E. M., & La Franchi, S. (1968). Frequency of repetitive behaviors in early infantile autism and its variants. Archives of General Psychiatry, 19, 341–347.
Rutter, M., LeCouteur, A., & Lord, C. (2003). Autism diagnostic interview-revised. Los Angeles: Western Psychological Services.
Strongman, K. T. (1984). Replacement—a theory of stereotopy: A review. Current Psychology, 3, 72–83.
Szatmari, P., Georgiades, S., Bryson, S., Zwaigenbaum, L., Roberts, W., Mahoney, W., et al. (2006). Investigating the structure of the restricted, repetitive behaviours and interests domain of autism. Journal of Child Psychology and Psychiatry, 47, 583–590.
Turner, M. (1999). Annotation: Repetitive behavior in autism: a review of psychological research. Journal of Child Psychology and Psychiatry, 40, 839–849.
Volden, J., Smith, I. M., Szatmari, P., Bryson, S., Fombonne, E., Mirenda, P., et al. (2011). Using the preschool language scale, fourth edition to characterize language in preschoolers with autism spectrum disorders. American Journal of Speech-Language Pathology, 20, 200–208.
Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2002). Preschool language scale, fourth edition examiner’s manual. San Antonio, TX: PsychCorp.
Acknowledgments
This research was supported by funding from the National Institutes of Health, NIDCD R01 DC007223 (S. Ellis Weismer, PI & M.A. Gernsbacher, Co-PI) and core grant support to the Waisman Center, NICHD P30 HD03352 (M. Seltzer, PI). Preliminary data from this study were presented in a poster at the International Meeting for Autism Research in Philadelphia, PA in May 2010.
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Ray-Subramanian, C.E., Ellis Weismer, S. Receptive and Expressive Language as Predictors of Restricted and Repetitive Behaviors in Young Children with Autism Spectrum Disorders. J Autism Dev Disord 42, 2113–2120 (2012). https://doi.org/10.1007/s10803-012-1463-6
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DOI: https://doi.org/10.1007/s10803-012-1463-6