Cited by 320Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesGenetics and Neurodevelopmental Disorders

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Factor Analysis of Restricted and Repetitive Behaviors in Autism Using the Autism Diagnostic Interview-R

Abstract

The current study examined the factor structure of restricted and repetitive behaviors (RRB) in children with autism. Factor extraction procedures of 12 items from the Autism Diagnostic Interview-Revised (ADI-R) were applied in N = 207 individuals with autism. Two interpretable factors were identified: Factor 1--repetitive sensory motor actions and Factor 2--resistance to change. There was a significant negative correlation between an index of level of adaptive functioning and Factor 1. Intraclass correlations were not significant for either factor in a subset of families with two or more siblings with autism (multiplex). No differences in scores were apparent for either factor when multiplex families and families containing only one affected individual with autism (singleton) were compared. RRB in autism are represented by two distinct factors which may reflect two separate groups within autism. Defining subgroups within autism will allow for reduction of clinical heterogeneity and enhance our ability to dissect the genetic etiology of this complex disorder.

Overview

Integrity signals

Registry

Crossref · 10.1023/a:1025321707947

Cites

24 of 24 references verified0 citation errors · 0 not checkable

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  • Multiple studies have identified two factors that may represent unique phenotypes of repetitive and restricted behaviors among individuals with ASD: "repetitive sensory-motor behaviors" and "insistence on sameness".

    “Multiple studies (Bishop et al. 2006, 2013; Cuccaro et al. 2003) have identified two factors that may represent unique phenotypes of RRBs among individuals with ASD: (1) “repetitive sensory-motor behaviors” and (2) “insistence on sameness”.”

    From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Cuccaro et al. 2003

  • Factor 1 consists of motor mannerisms, sensory seeking behaviors, repetitive use of objects, and more generally self-stimulatory behaviors.

    “Factor 1 consists of motor mannerisms, sensory seeking behaviors, repetitive use of objects, and more generally self-stimulatory behaviors (Cuccaro et al. 2003; Bishop et al. 2006).”

    From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Cuccaro et al. 2003

  • Factor 2 encompasses behaviors related to compulsions, rituals, and resistance to change.

    “Factor 2 encompasses behaviors related to compulsions, rituals, and resistance to change (Cuccaro et al. 2003; Bishop et al. 2006).”

    From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Cuccaro et al. 2003

  • Although extensive data exist about the presence of each defined RRB in children with autism, the groupings themselves were not empirically derived.

    “Though extensive data exist about the presence of each of the defined RRBs in children with autism (Cuccaro et al. 2003, Honey et al. 2012, Mandy et al. 2012, Szatmari et al. 2006), the groupings themselves were not empirically derived.”

Citations

Cites

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Research works printed but not linked: 2

  1. Bodfish JW, Symons F, Lewis M: The Repetitive Behavior Scales: A test manual, Morganton, North Carolina, Western Carolina Center Research Reports; 1999.
  2. Sparrow, S. S., Balla, D., and Cicchetti, D. Vineland Adaptive Behavior Scales, Interview Edition, Survey Form. 1984. Circle Pines, MN, American Guidance Service. (GENERIC) Ref Type: Pamphlet

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Metadata

Authors
Cuccaro, M. L., Shao, Y., Grubber, J., Slifer, M., Wolpert, C. M., Donnelly, S. L., Abramson, R. K., Ravan, S. A., Wright, H. H., DeLong, G. R., & Pericak-Vance, M. A.
Affiliations
  • Duke University (US)
  • Duke Medical Center (US)
  • University of South Carolina (US)
Corresponding author
Cuccaro, Michael L.
Venue
Child Psychiatry and Human Development
Published
2003-09
Volume
34
Issue
1
Pages
3-17
ISSN
  • 0009-398X (ISSN-L)
  • 1573-3327
OpenAlex
W1241721946
Cited by
299
References
24
Citations by year
2026: 4 · 2025: 3 · 2024: 15 · 2023: 7 · 2022: 20 · 2021: 31 · 2020: 10 · 2019: 9 · 2018: 13 · 2017: 4 · 2016: 9 · 2015: 23 · 2014: 16 · 2013: 25 · 2012: 16
FWCI
3.43
Type
journal article
Language
en
Open access
closed
Locations
  • Child Psychiatry & Human Development (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Neurological Disorders and Stroke (R01 NS36768, R01NS036768)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
Keywords
restricted and repetitive behaviors, autism spectrum disorder, factor structure, resistance to change, adaptive behavior, multiplex families, autism subgroups, clinical heterogeneity, genetic etiology
MeSH terms
Adolescent, Adult, Autistic Disorder, Child, Child, Preschool, Factor Analysis, Statistical, Female, Humans, Interview, Psychological, Male, Phenotype, Stereotyped Behavior

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