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Symptom severity and challenging behavior in children with ASD
Authors:Jina Jang  Dennis R Dixon  Jonathan Tarbox  Doreen Granpeesheh
Institution:1. ASD Roadmap, 5 Nine Gates Road, Chadds Ford, PA 19317, USA;2. Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06519, USA;3. Developmental Disorders Unit, Foundations Behavioral Health, 833 East Butler Avenue, Doylestown, PA 18901, USA;4. Neurobehavioral Inpatient Unit, Kennedy Krieger Institute, The Johns Hopkins School of Medicine, 707 North Broadway, Baltimore, MD 21205, USA;5. Neurobehavioral Inpatient Unit, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, The Johns Hopkins School of Medicine, 707 North Broadway, Baltimore, MD 21205, USA;1. Associazione di Volontariato “Una Breccia nel Muro”, Rome, Italy;2. Autism Treatment and Research Centre “Una Breccia nel Muro”, Rome, Italy;3. Association and School of Specialization in Cognitive Psychotherapy – SPC, Rome, Italy
Abstract:The prevalence of challenging behaviors in the autism spectrum disorders (ASD) population is often assumed to be high but relatively little research has actually been published on it. Furthermore, challenging behaviors are likely to impede progress in evidence-based treatment programs, such as early intensive behavioral intervention (EIBI). Little or no previous research has evaluated the prevalence of various topographies of challenging behavior in a population of children with ASD receiving EIBI services, nor evaluated the relationship between such behaviors and the severity of ASD symptoms. Using data from the ASD–DC and the ASD–BPC in 84 children with autism receiving EIBI services, the current study conducted a regression analysis of relations between endorsement of challenging behaviors and ASD symptom severity. Results indicated that 94% of the sample reported the presence of challenging behavior, stereotypical behaviors were the most commonly reported, and that the presence of challenging behavior was predicted by ASD severity.
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