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Using Functional Communication Training to Reduce Self-Injurious Behavior for Individuals with Autism Spectrum Disorder / Maryam ALAKHZAMI in Journal of Autism and Developmental Disorders, 52-8 (August 2022)
[article]
Titre : Using Functional Communication Training to Reduce Self-Injurious Behavior for Individuals with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Maryam ALAKHZAMI, Auteur ; Morgan CHITIYO, Auteur Article en page(s) : p.3586-3597 Langues : Anglais (eng) Mots-clés : Antisocial Personality Disorder Autism Spectrum Disorder/therapy Child Communication Humans Reinforcement, Psychology Self-Injurious Behavior/prevention & control Autism Demand fading Functional communication training Resurgence Self-injurious behavior Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorders (ASD) have a high risk of developing self-injurious behavior (SIB), which is often a result of deficits in communication skills. The use of functional communication training (FCT) to address SIB maintained by negative reinforcement among children with ASD is supported by an emerging trend of behavioral research. The purpose of this study was to examine the effects of FCT on the SIB of children with ASD and to find out if the results would be maintained during periods of nonreinforcement. The results indicated significant reduction in SIB for all three participants and maintained for over two weeks following the withdrawal of the intervention. However, resurgence of SIB occurred when extinction was implemented for all participants. En ligne : http://dx.doi.org/10.1007/s10803-021-05246-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485
in Journal of Autism and Developmental Disorders > 52-8 (August 2022) . - p.3586-3597[article] Using Functional Communication Training to Reduce Self-Injurious Behavior for Individuals with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Maryam ALAKHZAMI, Auteur ; Morgan CHITIYO, Auteur . - p.3586-3597.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-8 (August 2022) . - p.3586-3597
Mots-clés : Antisocial Personality Disorder Autism Spectrum Disorder/therapy Child Communication Humans Reinforcement, Psychology Self-Injurious Behavior/prevention & control Autism Demand fading Functional communication training Resurgence Self-injurious behavior Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorders (ASD) have a high risk of developing self-injurious behavior (SIB), which is often a result of deficits in communication skills. The use of functional communication training (FCT) to address SIB maintained by negative reinforcement among children with ASD is supported by an emerging trend of behavioral research. The purpose of this study was to examine the effects of FCT on the SIB of children with ASD and to find out if the results would be maintained during periods of nonreinforcement. The results indicated significant reduction in SIB for all three participants and maintained for over two weeks following the withdrawal of the intervention. However, resurgence of SIB occurred when extinction was implemented for all participants. En ligne : http://dx.doi.org/10.1007/s10803-021-05246-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485 Brief Report: Associations Between Self-injurious Behaviors and Abdominal Pain Among Individuals with ASD-Associated Disruptive Mutations / E. C. KURTZ-NELSON in Journal of Autism and Developmental Disorders, 51-9 (September 2021)
[article]
Titre : Brief Report: Associations Between Self-injurious Behaviors and Abdominal Pain Among Individuals with ASD-Associated Disruptive Mutations Type de document : Texte imprimé et/ou numérique Auteurs : E. C. KURTZ-NELSON, Auteur ; S. W. THAM, Auteur ; K. AHLERS, Auteur ; D. CHO, Auteur ; Arianne S. WALLACE, Auteur ; E. E. EICHLER, Auteur ; Raphael BERNIER, Auteur ; R. K. EARL, Auteur Article en page(s) : p.3365-3373 Langues : Anglais (eng) Mots-clés : Abdominal Pain/genetics Autism Spectrum Disorder/epidemiology/genetics Humans Mutation Risk Factors Self-Injurious Behavior/epidemiology/genetics Abdominal pain Autism spectrum disorder Intellectual disability Rare genetic disorders Self-injurious behavior Inc. The remaining authors have no conflicts of interest to report. Index. décimale : PER Périodiques Résumé : Self-injurious behaviors (SIB) are elevated in autism spectrum disorder (ASD) and related genetic disorders, but the genetic and biological mechanisms that contribute to SIB in ASD are poorly understood. This study examined rates and predictors of SIB in 112 individuals with disruptive mutations to ASD-risk genes. Current SIB were reported in 30% of participants and associated with poorer cognitive and adaptive skills. History of severe abdominal pain predicted higher rates of SIB and SIB severity after controlling for age and adaptive behavior; individuals with a history of severe abdominal pain were eight times more likely to exhibit SIB than those with no history. Future research is needed to examine associations between genetic risk, pain, and SIB in this population. En ligne : http://dx.doi.org/10.1007/s10803-020-04774-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453
in Journal of Autism and Developmental Disorders > 51-9 (September 2021) . - p.3365-3373[article] Brief Report: Associations Between Self-injurious Behaviors and Abdominal Pain Among Individuals with ASD-Associated Disruptive Mutations [Texte imprimé et/ou numérique] / E. C. KURTZ-NELSON, Auteur ; S. W. THAM, Auteur ; K. AHLERS, Auteur ; D. CHO, Auteur ; Arianne S. WALLACE, Auteur ; E. E. EICHLER, Auteur ; Raphael BERNIER, Auteur ; R. K. EARL, Auteur . - p.3365-3373.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-9 (September 2021) . - p.3365-3373
Mots-clés : Abdominal Pain/genetics Autism Spectrum Disorder/epidemiology/genetics Humans Mutation Risk Factors Self-Injurious Behavior/epidemiology/genetics Abdominal pain Autism spectrum disorder Intellectual disability Rare genetic disorders Self-injurious behavior Inc. The remaining authors have no conflicts of interest to report. Index. décimale : PER Périodiques Résumé : Self-injurious behaviors (SIB) are elevated in autism spectrum disorder (ASD) and related genetic disorders, but the genetic and biological mechanisms that contribute to SIB in ASD are poorly understood. This study examined rates and predictors of SIB in 112 individuals with disruptive mutations to ASD-risk genes. Current SIB were reported in 30% of participants and associated with poorer cognitive and adaptive skills. History of severe abdominal pain predicted higher rates of SIB and SIB severity after controlling for age and adaptive behavior; individuals with a history of severe abdominal pain were eight times more likely to exhibit SIB than those with no history. Future research is needed to examine associations between genetic risk, pain, and SIB in this population. En ligne : http://dx.doi.org/10.1007/s10803-020-04774-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453 Drug-refractory aggression, self-injurious behavior, and severe tantrums in autism spectrum disorders: A chart review study / Benjamin A. ADLER in Autism, 19-1 (January 2015)
[article]
Titre : Drug-refractory aggression, self-injurious behavior, and severe tantrums in autism spectrum disorders: A chart review study Type de document : Texte imprimé et/ou numérique Auteurs : Benjamin A. ADLER, Auteur ; Logan K. WINK, Auteur ; Maureen EARLY, Auteur ; Rebecca SHAFFER, Auteur ; Noha MINSHAWI, Auteur ; Christopher J. MCDOUGLE, Auteur ; Craig ERICKSON, Auteur Article en page(s) : p.102-106 Langues : Anglais (eng) Mots-clés : aggression atypical antipsychotics autism autism spectrum disorders self-injurious behavior severe tantrums Index. décimale : PER Périodiques Résumé : Aggression, self-injurious behavior, and severe tantrums are impairing symptoms frequently experienced by individuals with autism spectrum disorders. Despite US Food and Drug Administration approval of two atypical antipsychotics targeting these symptoms in youth with autistic disorder, they remain frequently drug refractory. We define drug-refractory aggression, self-injurious behavior, and severe tantrums in people with autism spectrum disorders as behavioral symptoms requiring medication adjustment despite previous trials of risperidone and aripiprazole or previous trials of three psychotropic drugs targeting the symptom cluster, one of which was risperidone or aripiprazole. We reviewed the medical records of individuals of all ages referred to our clinic for autism spectrum disorder diagnostic evaluation, as well as pharmacotherapy follow-up notes for all people meeting autism spectrum disorder criteria, for drug-refractory symptoms. Among 250 consecutively referred individuals, 135 met autism spectrum disorder and enrollment criteria, and 53 of these individuals met drug-refractory symptom criteria. Factors associated with drug-refractory symptoms included age 12 years or older (p < 0.0001), diagnosis of autistic disorder (p = 0.0139), and presence of intellectual disability (p = 0.0273). This pilot report underscores the significance of drug-refractory aggression, self-injurious behavior, and severe tantrums; suggests the need for future study clarifying factors related to symptom development; and identifies the need for focused treatment study of this impairing symptom domain. En ligne : http://dx.doi.org/10.1177/1362361314524641 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=245
in Autism > 19-1 (January 2015) . - p.102-106[article] Drug-refractory aggression, self-injurious behavior, and severe tantrums in autism spectrum disorders: A chart review study [Texte imprimé et/ou numérique] / Benjamin A. ADLER, Auteur ; Logan K. WINK, Auteur ; Maureen EARLY, Auteur ; Rebecca SHAFFER, Auteur ; Noha MINSHAWI, Auteur ; Christopher J. MCDOUGLE, Auteur ; Craig ERICKSON, Auteur . - p.102-106.
Langues : Anglais (eng)
in Autism > 19-1 (January 2015) . - p.102-106
Mots-clés : aggression atypical antipsychotics autism autism spectrum disorders self-injurious behavior severe tantrums Index. décimale : PER Périodiques Résumé : Aggression, self-injurious behavior, and severe tantrums are impairing symptoms frequently experienced by individuals with autism spectrum disorders. Despite US Food and Drug Administration approval of two atypical antipsychotics targeting these symptoms in youth with autistic disorder, they remain frequently drug refractory. We define drug-refractory aggression, self-injurious behavior, and severe tantrums in people with autism spectrum disorders as behavioral symptoms requiring medication adjustment despite previous trials of risperidone and aripiprazole or previous trials of three psychotropic drugs targeting the symptom cluster, one of which was risperidone or aripiprazole. We reviewed the medical records of individuals of all ages referred to our clinic for autism spectrum disorder diagnostic evaluation, as well as pharmacotherapy follow-up notes for all people meeting autism spectrum disorder criteria, for drug-refractory symptoms. Among 250 consecutively referred individuals, 135 met autism spectrum disorder and enrollment criteria, and 53 of these individuals met drug-refractory symptom criteria. Factors associated with drug-refractory symptoms included age 12 years or older (p < 0.0001), diagnosis of autistic disorder (p = 0.0139), and presence of intellectual disability (p = 0.0273). This pilot report underscores the significance of drug-refractory aggression, self-injurious behavior, and severe tantrums; suggests the need for future study clarifying factors related to symptom development; and identifies the need for focused treatment study of this impairing symptom domain. En ligne : http://dx.doi.org/10.1177/1362361314524641 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=245 Mapping the time course of overt emotion dysregulation, self-injurious behavior, and aggression in psychiatrically hospitalized autistic youth: A naturalistic study / Jessie B. NORTHRUP in Autism Research, 15-10 (October 2022)
[article]
Titre : Mapping the time course of overt emotion dysregulation, self-injurious behavior, and aggression in psychiatrically hospitalized autistic youth: A naturalistic study Type de document : Texte imprimé et/ou numérique Auteurs : Jessie B. NORTHRUP, Auteur ; Matthew S. GOODWIN, Auteur ; Christine B. PEURA, Auteur ; Qi CHEN, Auteur ; Briana J. TAYLOR, Auteur ; Matthew S. SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur Article en page(s) : p.1855-1867 Langues : Anglais (eng) Mots-clés : aggressive behavior autism inpatient collection autism spectrum disorder emotion dysregulation self-injurious behavior Index. décimale : PER Périodiques Résumé : Challenges with emotion dysregulation, self-injurious behavior (SIB), and aggression are common in autistic individuals. Prior research on the relationships between these behaviors is limited mainly to cross-sectional correlations of parent-report data. Understanding how emotion dysregulation, SIB, and aggression present and relate to one another in real-time could add to our understanding of the context and function of these behaviors. The present study examined the real-time occurrence and temporal relationships between these behaviors in 53 psychiatrically hospitalized autistic youth. Over 500 hours of behavioral observation occurred during everyday activities in the hospital. Start and stop times for instances of overt emotion dysregulation, SIB, and aggression were coded live using a custom mobile phone app. Results indicated large individual variability in the frequency and duration of these behaviors and their co-occurrence. Both SIB and aggression co-occurred with overt emotion dysregulation at above-chance levels, suggesting a role for emotional distress in the occurrence of these behaviors. However, there was substantial variability within and between individuals in co-occurrence, and SIB and aggression often (and for some individuals, almost always) occurred without overt emotion dysregulation. Relatedly, cross-recurrence quantitative analysis revealed that SIB and aggression preceded emotion dysregulation more often than emotion dysregulation preceded SIB and aggression. Future research, perhaps using ambulatory psychophysiological measures, is needed to understand whether emotion dysregulation may sometimes be present but not easily observed during SIB and aggression. LAY SUMMARY: This study provides insight into how overt emotion dysregulation (i.e., visible distress), aggression, and self-injury unfold in real-time for autistic individuals. Participants were 53 autistic youth staying in a psychiatric hospital. Research staff observed participants in everyday activities on the hospital unit and noted instances of aggression, self-injurious behavior, and emotion dysregulation. Results suggest that aggression and self-injury sometimes occur with visible signs of distress but also often occur without visible distress. In addition, observable distress was more common in the moments after these behaviors than in the moments before. En ligne : http://dx.doi.org/10.1002/aur.2773 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488
in Autism Research > 15-10 (October 2022) . - p.1855-1867[article] Mapping the time course of overt emotion dysregulation, self-injurious behavior, and aggression in psychiatrically hospitalized autistic youth: A naturalistic study [Texte imprimé et/ou numérique] / Jessie B. NORTHRUP, Auteur ; Matthew S. GOODWIN, Auteur ; Christine B. PEURA, Auteur ; Qi CHEN, Auteur ; Briana J. TAYLOR, Auteur ; Matthew S. SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur . - p.1855-1867.
Langues : Anglais (eng)
in Autism Research > 15-10 (October 2022) . - p.1855-1867
Mots-clés : aggressive behavior autism inpatient collection autism spectrum disorder emotion dysregulation self-injurious behavior Index. décimale : PER Périodiques Résumé : Challenges with emotion dysregulation, self-injurious behavior (SIB), and aggression are common in autistic individuals. Prior research on the relationships between these behaviors is limited mainly to cross-sectional correlations of parent-report data. Understanding how emotion dysregulation, SIB, and aggression present and relate to one another in real-time could add to our understanding of the context and function of these behaviors. The present study examined the real-time occurrence and temporal relationships between these behaviors in 53 psychiatrically hospitalized autistic youth. Over 500 hours of behavioral observation occurred during everyday activities in the hospital. Start and stop times for instances of overt emotion dysregulation, SIB, and aggression were coded live using a custom mobile phone app. Results indicated large individual variability in the frequency and duration of these behaviors and their co-occurrence. Both SIB and aggression co-occurred with overt emotion dysregulation at above-chance levels, suggesting a role for emotional distress in the occurrence of these behaviors. However, there was substantial variability within and between individuals in co-occurrence, and SIB and aggression often (and for some individuals, almost always) occurred without overt emotion dysregulation. Relatedly, cross-recurrence quantitative analysis revealed that SIB and aggression preceded emotion dysregulation more often than emotion dysregulation preceded SIB and aggression. Future research, perhaps using ambulatory psychophysiological measures, is needed to understand whether emotion dysregulation may sometimes be present but not easily observed during SIB and aggression. LAY SUMMARY: This study provides insight into how overt emotion dysregulation (i.e., visible distress), aggression, and self-injury unfold in real-time for autistic individuals. Participants were 53 autistic youth staying in a psychiatric hospital. Research staff observed participants in everyday activities on the hospital unit and noted instances of aggression, self-injurious behavior, and emotion dysregulation. Results suggest that aggression and self-injury sometimes occur with visible signs of distress but also often occur without visible distress. In addition, observable distress was more common in the moments after these behaviors than in the moments before. En ligne : http://dx.doi.org/10.1002/aur.2773 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach / Noha F. MINSHAWI in Journal of Autism and Developmental Disorders, 45-6 (June 2015)
[article]
Titre : Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach Type de document : Texte imprimé et/ou numérique Auteurs : Noha F. MINSHAWI, Auteur ; Sarah HURWITZ, Auteur ; Danielle MORRISS, Auteur ; Christopher J. MCDOUGLE, Auteur Article en page(s) : p.1541-1568 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Intellectual disability Self-injurious behavior Behavior therapy Pharmacotherapy Index. décimale : PER Périodiques Résumé : The objective of this review is to consider the psychological (largely behavioral) and biological [neurochemical, medical (including genetic), and pharmacological] theories and approaches that contribute to current thinking about the etiology and treatment of self-injurious behavior (SIB) in individuals with autism spectrum disorder and/or intellectual disability. Algorithms for the assessment and treatment of SIB in this context, respectively, from a multidisciplinary, integrative perspective are proposed and challenges and opportunities that exist in clinical and research settings are discussed. En ligne : http://dx.doi.org/10.1007/s10803-014-2307-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=259
in Journal of Autism and Developmental Disorders > 45-6 (June 2015) . - p.1541-1568[article] Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach [Texte imprimé et/ou numérique] / Noha F. MINSHAWI, Auteur ; Sarah HURWITZ, Auteur ; Danielle MORRISS, Auteur ; Christopher J. MCDOUGLE, Auteur . - p.1541-1568.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 45-6 (June 2015) . - p.1541-1568
Mots-clés : Autism spectrum disorder Intellectual disability Self-injurious behavior Behavior therapy Pharmacotherapy Index. décimale : PER Périodiques Résumé : The objective of this review is to consider the psychological (largely behavioral) and biological [neurochemical, medical (including genetic), and pharmacological] theories and approaches that contribute to current thinking about the etiology and treatment of self-injurious behavior (SIB) in individuals with autism spectrum disorder and/or intellectual disability. Algorithms for the assessment and treatment of SIB in this context, respectively, from a multidisciplinary, integrative perspective are proposed and challenges and opportunities that exist in clinical and research settings are discussed. En ligne : http://dx.doi.org/10.1007/s10803-014-2307-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=259 Potential Risk Factors for the Development of Self-Injurious Behavior among Infants at Risk for Autism Spectrum Disorder / Adele F. DIMIAN in Journal of Autism and Developmental Disorders, 47-5 (May 2017)
PermalinkThe Persistence of Self-injurious and Aggressive Behavior in Males with Fragile X Syndrome Over 8 Years: A Longitudinal Study of Prevalence and Predictive Risk Markers / Hayley CRAWFORD in Journal of Autism and Developmental Disorders, 49-7 (July 2019)
PermalinkAutistic adults' subjective experiences of hoarding and self-injurious behaviors / Yael GOLDFARB in Autism, 25-5 (July 2021)
PermalinkAutistic adults' subjective experiences of hoarding and self-injurious behaviors / Yael GOLDFARB in Autism, 26-5 (July 2022)
PermalinkAnalysis of risk factors and early predictors of challenging behavior for children with autism spectrum disorder / Aoife MCTIERNAN in Research in Autism Spectrum Disorders, 5-3 (July-September 2011)
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