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

Autor/inn/en	Santore, Lee A.; Gerber, Alan; Gioia, Ayla N.; Bianchi, Rebecca; Talledo, Fanny; Peris, Tara S.; Lerner, Matthew D.
Titel	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
Quelle	In: Autism: The International Journal of Research and Practice, 24 (2020) 4, S.983-994 (12 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Santore, Lee A.) ORCID (Gerber, Alan) ORCID (Lerner, Matthew D.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361320909177
Schlagwörter	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; New York; Kaufman Brief Intelligence Test; Autism Diagnostic Observation Schedule; Social Responsiveness Scale + Suchen Sie Ihr Suchwort? Wiederholung; Messtechnik; Korrelation; Psychiatrische Symptomatik; Autismus; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Beobachtung; Interaktion; Intelligence test; Intelligenztest; Diagnostic test; Diagnostischer Test; Medizinisches Personal; Eltern
Abstract	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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01