Evidence-Based Behavioral Interventions for Repetitive Behaviors in Autism
Open accessAbstract
Restricted and repetitive behaviors (RRBs) are a core symptom of autism spectrum disorders (ASD). There has been an increased research emphasis on repetitive behaviors; however, this research primarily has focused on phenomenology and mechanisms. Thus, the knowledge base on interventions is lagging behind other areas of research. The literature suggests there are evidence-based practices to treat "lower order" RRBs in ASD (e.g., stereotypies); yet, there is a lack of a focused program of intervention research for "higher order" behaviors (e.g., insistence on sameness). This paper will (a) discuss barriers to intervention development for RRBs; (b) review evidence-based interventions to treat RRBs in ASD, with a focus on higher order behaviors; and (c) conclude with recommendations for practice and research.
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A relatively new area of research proposes that behavior inflexibility may encompass and measure several of the repetitive and restricted behaviors observed in ASD, and thus may represent a subdimension within core ASD symptoms.
“Additionally, a relatively new area of research proposes that behavior inflexibility (i.e., patterns of rigid behavior that contrast with the need to adapt to changing environments) may encompass and measure several of the RRBs observed in ASD, and thus may represent a subdimension within core ASD symptoms (Boyd et al. 2012; Lecavalier et al. 2020).”
From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Boyd et al. 2012
The Introduction describes rigid behavior as characteristic of several higher-order repetitive behaviors, and the Conclusion identifies behavioral inflexibility as an underlying aspect of those behaviors. The paper does not establish inflexibility as a measured subdimension of core ASD symptoms; it discusses higher- and lower-order repetitive-behavior subtypes instead. Page numbers were not available in our copy. (LLM, conf=0.84)
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- Authors
- Boyd, B. A., McDonough, S. G., & Bodfish, J. W.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- North Carolina State University (US)
- Corresponding author
- Boyd, Brian A.
- ORCID
- Boyd, Brian A.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2011-05-17
- Volume
- 42
- Issue
- 6
- Pages
- 1236-1248
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC3709868
- OpenAlex
- W2090970173
- Cited by
- 275
- References
- 137
- Citations by year
- 2026: 20 · 2025: 18 · 2024: 18 · 2023: 20 · 2022: 23 · 2021: 38 · 2020: 23 · 2019: 21 · 2018: 18 · 2017: 18 · 2016: 13 · 2015: 18 · 2014: 15 · 2013: 9 · 2012: 2
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institute of Mental Health (R21MH085254, R01MH073402)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- restricted and repetitive behaviors, autism spectrum disorder, evidence-based interventions, insistence on sameness, stereotypy, behavioral interventions
- MeSH terms
- Behavior Therapy, Child, Child Development Disorders, Pervasive, Humans, Stereotyped Behavior, Stereotypic Movement Disorder, Evidence-Based Practice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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