ERIC Number: EJ1255164
Record Type: Journal
Publication Date: 2020-May
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1362-3613
EISSN: N/A
Felt but Not Seen: Observed Restricted Repetitive Behaviors Are Associated with Self-Report--but Not Parent-Report--Obsessive-Compulsive Disorder Symptoms in Youth with Autism Spectrum Disorder
Santore, Lee A.; Gerber, Alan; Gioia, Ayla N.; Bianchi, Rebecca; Talledo, Fanny; Peris, Tara S.; Lerner, Matthew D.
Autism: The International Journal of Research and Practice, v24 n4 p983-994 May 2020
Repetitive behaviors are observed in autism spectrum disorder and obsessive-compulsive disorder. Clinically, obsessive-compulsive disorder obsessions are thought to drive repetitive or ritualistic behavior designed to neutralize subjective distress, while restricted and repetitive behaviors are theorized to be reward- or sensory-driven. Both behaviors are notably heterogeneous and often assessed with parent- or clinician-report, highlighting the need for multi-informant, multi-method approaches. We evaluated the relationship between parent- and child self-reported obsessive-compulsive disorder symptoms with parent-reported and clinician-indexed restricted and repetitive behaviors among 92 youth with autism spectrum disorder (ages 7-17years). Regression analyses controlling for the social communication and interaction component of parent-reported autism spectrum disorder symptoms indicated child self-reported, but not parent-reported, symptoms of obsessive-compulsive disorder were associated with clinician-observed restricted and repetitive behaviors. Although both parent- and child self-reported obsessive-compulsive disorder symptoms were associated with parent-reported restricted and repetitive behaviors, the overlap between parent-reports of obsessive-compulsive disorder symptoms and restricted and repetitive behaviors were likely driven by their shared method of parent-reported measurement. Results suggest that children experience restricted and repetitive behaviors in ways that more closely resemble traditional obsessive-compulsive disorder-like compulsions, whereas their parents view such behaviors as symptoms of autism spectrum disorder. These findings provide guidance for better understanding, distinguishing, and ultimately treating obsessive-compulsive disorder behavior in youth with autism spectrum disorder and introduce new conceptualizations of the phenotypic overlap between these conditions.
Descriptors: Repetition, Measurement Techniques, Correlation, Symptoms (Individual Disorders), Anxiety Disorders, Autism, Pervasive Developmental Disorders, Children, Adolescents, Observation, Interaction, Intelligence Tests, Diagnostic Tests, Behavior Patterns, Health Personnel, Parents
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute of Mental Health (DHHS/NIH)
Authoring Institution: N/A
Identifiers - Location: New York
Identifiers - Assessments and Surveys: Kaufman Brief Intelligence Test; Autism Diagnostic Observation Schedule; Social Responsiveness Scale
Grant or Contract Numbers: R01MH110585