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02-01-2021 | Original Paper

A Distinct Three-Factor Structure of Restricted and Repetitive Behaviors in an Epidemiologically Sound Sample of Preschool-Age Children with Autism Spectrum Disorder

Auteurs: Laura Hiruma, Rebecca Edmondson Pretzel, Amanda L. Tapia, James W. Bodfish, Chyrise Bradley, Lisa Wiggins, Melanie Hsu, Li-Ching Lee, Susan E. Levy, Julie Daniels

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2021

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Abstract

Prior studies investigating restricted and repetitive behavior (RRB) subtypes within autism spectrum disorder (ASD) have found varied factor structures for symptom groupings, in part, due to variation in symptom measurement and broad sample age ranges. This study examined RRBs among 827 preschool-age children, ages 35 to 71 months, through an exploratory factor analysis of RRB items from the Autism Diagnostic Interview-Revised (ADI-R) collected through the Study to Explore Early Development. The factor structures of RRBs among children with confirmed ASD versus those with non-autism developmental concerns were qualitatively compared. Correlations between RRB factors and participant characteristics were examined in the ASD group. Three conceptually well-defined factors characterized as repetitive sensorimotor behaviors (RSMB), insistence on sameness (IS), and a novel stereotyped speech (SPEECH) factor emerged for the ASD group only. Distinct factors were supported by different clinical correlates. Findings have implications for improving differential diagnosis and understanding of ASD symptomatology in this age range.
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Metagegevens
Titel
A Distinct Three-Factor Structure of Restricted and Repetitive Behaviors in an Epidemiologically Sound Sample of Preschool-Age Children with Autism Spectrum Disorder
Auteurs
Laura Hiruma
Rebecca Edmondson Pretzel
Amanda L. Tapia
James W. Bodfish
Chyrise Bradley
Lisa Wiggins
Melanie Hsu
Li-Ching Lee
Susan E. Levy
Julie Daniels
Publicatiedatum
02-01-2021
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 10/2021
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-020-04776-x