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Assessing Challenging Behaviors in Autism Spectrum Disorders: Prevalence, Rating Scales, and Autonomic Indicators

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Book cover International Handbook of Autism and Pervasive Developmental Disorders

Part of the book series: Autism and Child Psychopathology Series ((ACPS))

Abstract

Challenging behaviors (CBs) are relatively common concerns in persons with intellectual disabilities (ID) and autism spectrum disorders (ASD), have major impacts on the family, and seriously affect the ability of such individuals to reside in more “normalizing” environments. While the term “challenging behavior” covers a wide gamut of problems in people with ID/ASD, the focus of this chapter will be on CBs of most concern to families and professionals: aggression toward others, property destruction, and self-injury; their prevalence; as well as the use of rating scales to assess their frequency or severity. At the end of this section, we will also cover novel autonomic measures that may help in understanding, predicting (and perhaps preventing) their onset. Although we will not cover functional assessment of CBs, as these are discussed elsewhere in the handbook, brief mention of the possible causes of CBs in this population and assessment issues will be mentioned.

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Notes

  1. 1.

    1While synonymous, this chapter favors and thus uses the term challenging behavior over the term problem behavior commonly used in the literature.

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Acknowledgments

We would like to acknowledge the late Dr. Edward (Ted) Carr for his pioneering work in the field of functional behavior assessment, biological setting events for self-injury, and intervention for challenging behaviors in individuals with ASD and other developmental disabilities. The research performed at the Institute for Basic Research in Developmental Disabilities was supported by funds from the New York State Office of Mental Retardation and Developmental Disabilities. Research at the MIT Media Lab cited in this chapter is supported by grants from the Nancy Lurie Marks Family Foundation and Autism Speaks. The first author would also like to thank Dr. Paul Starker and his team at Overlook Hospital whose kindness, sensitivity, skills, and expertise enabled this chapter to have been written.

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Authors and Affiliations

  1. Department of Psychology, New York State Institute for Basic Research in Developmental Disabilities, Staten Island, NY, 10314, USA

    Ira L. Cohen

  2. Applied Behavior Analysis Laboratory, Department of Psychology, New York State Institute for Basic Research in Developmental Disabilities, Staten Island, NY, 10314, USA

    J. Helen Yoo

  3. Massachusetts Institute of Technology, Program in Media Arts and Sciences, Cambridge, MA, 02139-4307, USA

    Matthew S. Goodwin

  4. Department of Psychology, Stony Brook University, Stony Brook, NY, USA

    Lauren Moskowitz

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Correspondence to Ira L. Cohen .

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  1. Department of Psychology, Louisiana State University, Baton Rouge, 70803, Louisiana, USA

    Johnny L. Matson

  2. City University of New York, Department of Psychology, Queens College, Flushing, 11367, New York, USA

    Peter Sturmey

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Cohen, I.L., Yoo, J.H., Goodwin, M.S., Moskowitz, L. (2011). Assessing Challenging Behaviors in Autism Spectrum Disorders: Prevalence, Rating Scales, and Autonomic Indicators. In: Matson, J., Sturmey, P. (eds) International Handbook of Autism and Pervasive Developmental Disorders. Autism and Child Psychopathology Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8065-6_15

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