Structure of Restricted Repetitive Behaviors of Individuals Referred for Autism Spectrum Disorder Assessment.

Purpose: Restricted and/or repetitive displays of behavior, interests, or activities (RRBs) are one of the core symptom domains of autism spectrum disorder (ASD). Current and past research indicates two 'clusters' of RRBs in children with ASD: repetitive sensorimotor (e.g., hand/finger and more comp...

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Published in:Journal of Autism & Developmental Disorders Vol. 56; no. 1; pp. 100 - 110
Main Authors: Root, Helen Kay, Abdul-Chani, Monica M., Arnold, Zachary Enos, Cottle, Jeremy J., Hilty, Timothy, Guest, Kristi Carter, O'Kelley, Sarah E.
Format: research tables/charts Journal Article
Published: Springer Nature Jan2026
Online Access:View this record in EBSCOhost
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      dt: Jan2026
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10803-024-06536-7
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        atl: Structure of Restricted Repetitive Behaviors of Individuals Referred for Autism Spectrum Disorder Assessment.
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          Root, Helen Kay
          Abdul-Chani, Monica M.
          Arnold, Zachary Enos
          Cottle, Jeremy J.
          Hilty, Timothy
          Guest, Kristi Carter
          O'Kelley, Sarah E.
        affil: https://ror.org/008s83205 Department of Psychology, The University of Alabama at Birmingham, Campbell Hall 415 1720 2nd Avenue South, 34294, Birmingham, AL, USA
      sug:
        subj:
          Autism Spectrum Disorder Diagnosis
          Mental Disorders Diagnosed in Childhood Diagnosis
          Referral and Consultation
          Child Behavior
          Behavioral Symptoms
          Autism Spectrum Disorder Symptoms
          Human
          Tertiary Health Care
          Factor Analysis
          Interview Guides
          Intellectual Disability Diagnosis
          Language Disorders Diagnosis
          Attention Deficit Hyperactivity Disorder Diagnosis
          Infant
          Child, Preschool
          Child
          Female
          Male
          Retrospective Design
          Record Review
          Descriptive Statistics
          Chi Square Test
          Unpaired T-Tests
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Female
          Male
      ab: Purpose: Restricted and/or repetitive displays of behavior, interests, or activities (RRBs) are one of the core symptom domains of autism spectrum disorder (ASD). Current and past research indicates two 'clusters' of RRBs in children with ASD: repetitive sensorimotor (e.g., hand/finger and more complex motor mannerisms) and insistence on sameness (e.g., resistance to changes in the environment) behaviors. The current study aims to fill a gap by examining how RRBs may diverge in individuals with ASD and with other neurodevelopmental disorders (ONDD) in a clinical sample. Methods: A total of 558 individuals were seen at a tertiary care clinic for a comprehensive clinical assessment of ASD. The sample was split into ASD (n = 292 individuals) and ONDD (n = 266) groups based on clinical diagnosis. Exploratory factor analyses were conducted using Autism Diagnostic Interview-Revised (ADI-R) RRB item scores for the overall sample, the ASD group, and the ONDD group. Results: Exploratory factor analysis of ADI-R RRB items indicated a 2-factor solution for the full sample and ASD group. Items loaded onto two factors comprised of "Repetitive Sensorimotor" and "Insistence on Sameness" behaviors, consistent with previous literature. Results demonstrated a unique loading pattern for the non-ASD group, with items clustering into "Higher Order" (e.g., circumscribed interests) and "Lower Order" (e.g., hand and finger mannerisms) behaviors. Conclusion: The results of the current study may point towards using RRBs to guide screening of children who are referred for an ASD evaluation to better identify children who are at higher risk of having ASD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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