A mindfulness-based strategy for self-management of aggressive behavior in adolescents with autism |
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Authors: | Nirbhay N. Singh Giulio E. Lancioni Ramasamy Manikam Alan S.W. Winton Ashvind N.A. Singh Judy Singh Angela D.A. Singh |
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Affiliation: | 1. American Health and Wellness Institute, Verona, VA, USA;2. University of Bari, Italy;3. Massey University, Palmerston North, New Zealand;1. Lega del Filo d’Oro Research Center, Molfetta, Italy;2. Lega del Filo d’Oro Research Center, Lesmo, Italy;3. Department of Educational Sciences, Psychology, Communication, University of Bari, Italy;1. Radboud University Nijmegen Medical Centre, Department of Medical Psychology, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;2. Radboud University Nijmegen Medical Centre, Department of Primary and Community Health Care, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;3. Dr. Leo Kannerhuis, Centre for Autism, Department of Research & Development, P.O. Box 62, 6865 ZH Doorwerth, The Netherlands;4. HAN University of Applied Sciences, Research group Autism through the Lifespan, P.O. Box 6960, 6503 GL Nijmegen, The Netherlands;1. Young Researchers and Elite Club, Mashhad Branch, Islamic Azad University, Mashhad, Iran;2. Department of Physical Education, University of Tehran, Iran;3. Department of Physical Education, Kharazmi University, Iran;4. Department of Physical Education, Islamic Azad University of Tehran, Iran;5. Research Center for Psychiatry and Behavioral Sciences, Department of Psychiatry, Shiraz University of Medical Sciences, School of Medicine, Shiraz, Iran;1. Long Island University Post, 720 Northern Blvd., Brookville, NY 11548, United States;2. Manhattan Childrens Center, New York, NY 10025, United States;3. Proud Moments, 333 Pearsall Ave., Cedarhurst, NY 11561, United States |
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Abstract: | Some individuals with autism engage in physical aggression to an extent that interferes with not only their quality of life, but also that of their parents and siblings. Behavioral and psychopharmacological treatments have been the mainstay of treatments for aggression in children and adolescents with autism. We evaluated the effectiveness of a mindfulness-based procedure, Meditation on the Soles of the Feet, in helping three adolescents to manage their physical aggression. This procedure required the adolescents to rapidly shift the focus of their attention from the aggression-triggering event to a neutral place on their body, the soles of their feet. Incidents of aggression across the three adolescents ranged from a mean of 14–20 per week during baseline, 4–6 per week during mindfulness training, including zero rates during the last 4 weeks of intervention. Aggression occurred a rate of about 1 per year during a 3-year follow-up. Our results suggest adolescents with autism can learn, and effectively use, a mindfulness-based procedure to self-manage their physical aggression over several years. |
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