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Early features of autism

Repetitive behaviours in young children

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Abstract

This study examined whether repetitive behaviours were a differentiating feature of autism in children aged less than 51 months. The study also examined the relationship between age (chronological and developmental) and repetitive behaviours in young children with autism. Standardised developmental and diagnostic assessments were conducted on 55 children aged between 22 and 51 months, consisting of 40 developmentally delayed children with DSM-IV-TR Autistic Disorder and 15 developmentally delayed children without Autistic Disorder. Results indicated that several measures of repetitive behaviour, particularly more complex high-level ones, were significantly positively associated with the probability of receiving a diagnosis of autism. No significant relationships were found between developmental age and the presence of repetitive behaviours in children with autism, but younger chronological age was associated more with simple or low-level repetitive behaviours.

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References

  1. Adrien JL, Bathelemy C, Perrot A, Roux S, Lenoir P, Hameury L, et al. (1992) Validity and reliability of the infant behavioural summarised evaluation (IBSE): A rating scale for the assessment of young children with autism and developmental disorders. J Autism Dev Disord 22(3):375–394

    Article  CAS  PubMed  Google Scholar 

  2. Adrien JL, Lenoir P, Martineau J, Perrot A, Hameury L, Larmande C, et al. (1993) Blind ratings of early symptoms of autism based upon family home videos. J Am Acad Child Adolesc Psychiatry, 32:617–626

    CAS  PubMed  Google Scholar 

  3. American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders—Text Revision 4th edn. Washington, DC: American Psychiatric Association

  4. Bryson SE (1996) Brief report: Epidemiology of autism. J Autism Dev Disord 26(2):165–167

    Article  CAS  PubMed  Google Scholar 

  5. Charman T, Baird G (2002) Practitioner review: Diagnosis of autism spectrum disorder in 2- and 3-year-old children. J Child Psychol Psychiatry 43(3):289–305

    Article  PubMed  Google Scholar 

  6. Cox A, Klein K, Charman T, Baird G, Baron-Cohen S, Swettenham J, et al. (1999) Autism spectrum disorders at 20 and 42 months of age: Stability of clinical and ADI-R diagnosis. J Child Psychol 40(5):719–732

    CAS  Google Scholar 

  7. Dahlgren SO, Gillberg C (1989) Symptoms in the first two years of life: A preliminary population study of infantile autism. Eur Arch Psychiatry Neurol Sci 238:169–174

    CAS  PubMed  Google Scholar 

  8. Einfeld SL, Tonge BJ (2002). Manual for the Developmental Behavioural Checklist: Primary Carer Version (DBC-P) and Teacher Version (DBC-T) 2nd edn. Melbourne: University of New South Wales and Monash University

  9. Evans DW, Leckman JF, Carter A, Reznick JS, Henshaw D, King RA, et al. (1997) Ritual, habit, and perfectionism: The prevalence and development of compulsive-like behaviour in normal young children. Child Dev 68(1):58–68

    CAS  PubMed  Google Scholar 

  10. Frith U (1989) Autism: Explaining the enigma. Oxford: Blackwell

  11. Gesell A (1928) Infancy and human growth. New York: MacMillan

    Google Scholar 

  12. Gray KM, Tonge BJ (2001) Are there early identifying features of autism in infants and preschool children? J Paediatr Child Health 37:221–226

    CAS  PubMed  Google Scholar 

  13. Hoshino Y, Kumashiro H, Yashima Y, Tachibana R, Watanabe M, Furukawa H (1982) Early symptoms of autistic children and its diagnostic significance. Folia Psychiatrica et Neurology Japan, 36(4):367–374

    CAS  Google Scholar 

  14. Howlin P, Moore A (1997) Diagnosis in autism: A survey of over 1,200 patients in the UK. J Autism Dev Disord 1:135–162

    Google Scholar 

  15. Lord C (1997) Diagnostic instruments in autism spectrum disorders. In: Cohen DJ, Volkmar FR (eds) Handbook of autism and pervasive developmental disorders. New York: John Wiley and Sons, pp 460–483

    Google Scholar 

  16. Lord C, Rutter M, DiLavore PC, Risi S (1999) Autism Diagnostic Observation Schedule. USA: Western Psychological Services

  17. Lord C, Rutter M, Le Couteur A (1994) Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 24(5):659–685

    Article  CAS  PubMed  Google Scholar 

  18. Lord C, Storoschuk S, Rutter M, Pickles A (1993) Using the ADI-R to diagnose autism in preschool children. Infant Mental Health Journal 14(3):234–252

    Google Scholar 

  19. Osterling JA, Dawson G, Munson JA (2002) Early recognition of 1-year-old infants with autism spectrum disorder versus mental retardation. Dev Psychopathol 14:239–251

    Article  PubMed  Google Scholar 

  20. Rogers SJ (1996) Early intervention in autism. J Autism Dev Disord 26(2):243–246

    Article  CAS  PubMed  Google Scholar 

  21. Rutter M (1978) Diagnosis and definitions of childhood autism. J Autism Child Schizophr 8(2):139–161

    Article  CAS  PubMed  Google Scholar 

  22. Rutter M, Le Couteur A, Lord C (2003) Autism Diagnostic Interview-Revised. Los Angeles, CA: Western Psychologist Services

  23. Rutter M, Schopler E (1987) Autism and pervasive developmental disorders: Concepts and diagnostic issues. J Autism Dev Disord 17(2):159–186

    Article  CAS  PubMed  Google Scholar 

  24. Rutter M, Schopler E (1988) Autism and pervasive developmental disorders: Concepts and diagnostic issues. In: Schopler E, Mesibov GB (eds) Diagnosis and assessment in autism. New York: Plenum Press, pp 15–36

    Google Scholar 

  25. Sallustro F, Atwell CW (1978) Body rocking, head banging and head rolling in normal children. J Pediatr 93(4):704–708

    CAS  PubMed  Google Scholar 

  26. Schopler E, Reichler RJ, Bashford A, Lansing MD, Marcus LM (1990) Individualized assessment and treatment for autistic and developmentally disabled children—Volume 1: Psychoeducational Profile—Revised (PEP-R) (Vol. 1). Texas: ProEd

  27. Siegal B, Pliner C, Eschler J, Elliot GR (1988) How children with autism are diagnosed: Difficulties in identification of children with multiple developmental delays. Dev Behav Pediatr 9(4):199–204

    Google Scholar 

  28. Sparrow SS, Balla DA, Cicchetti DV (1984) Vineland Adaptive Behaviour Scales. Circle Pines, MN: American Guidance Services

  29. Stone WL (1997) Autism in infancy and early childhood. In: Cohen DJ, Volkmar FR (eds) Handbook of autism and pervasive developmental disorders. New York: John Wiley and Sons

    Google Scholar 

  30. Stone WL, Hoffman EL, Lewis SE, Ousley OY (1994) Early recognition of autism: Parental reports vs clinical observation. Arch Pediatr Adolesc Med 48:174–179

    Google Scholar 

  31. Stone WL, Lee EB, Ashford L, Brissie J (1999) Can autism be diagnosed accurately in children under 3 years? J Child Psychol Psychiatry 40(2):219–226

    Article  CAS  PubMed  Google Scholar 

  32. Tabachnick BG, Fidell LS (2001) Using multivariate statistics (4th ed.). Boston: Allyn and Bacon

  33. Thelen E (1979) Rhythmical stereotypies in normal human infants. Animal Behaviour 27:699–715

    Article  CAS  PubMed  Google Scholar 

  34. Turner M (1999) Repetitive behaviour in autism:A review of psychological research. J Child Psychol Psychiatry 40(6):839–849

    CAS  PubMed  Google Scholar 

  35. Vig S, Jedrysek E (1999) Autistic features in young children with significant cognitive impairment: Autism or mental retardation? J Autism Dev Disord 29(3):235–248

    Article  CAS  PubMed  Google Scholar 

  36. Vostanis P, Smith B, Corbett J, Sungum-Paliwal R, Edwards A, Gingell K, et al. (1998) Parental concerns of early development in children with autism and related disorders. J Autism Dev Disord 2(3):229–242

    Google Scholar 

  37. Wing L, Gould J (1979) Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. J Autism Dev Disord 9(1):11–29

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Monash University Centre of Developmental Psychiatry and Psychology, Department of Child and Adolescent Psychiatry Monash Medical Centre, 246 Clayton Rd., Clayton (VIC) 3168, Australia

    Erin L. Mooney BSc (Honours), Kylie M. Gray PhD & Bruce J. Tonge MD, FRANZCP

Authors
  1. Erin L. Mooney BSc (Honours)
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  2. Kylie M. Gray PhD
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  3. Bruce J. Tonge MD, FRANZCP
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Correspondence to Kylie M. Gray PhD.

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Mooney, E.L., Gray, K.M. & Tonge, B.J. Early features of autism. Europ.Child & Adolescent Psych 15, 12–18 (2006). https://doi.org/10.1007/s00787-006-0499-6

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