Potential Risk Factors for the Development of Self-Injurious Behavior among Infants at Risk for Autism Spectrum Disorder

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Abstract

Prevalence of self-injurious behavior (SIB) is as high as 50% among children with autism spectrum disorder (ASD). Identification of risk factors for the development of SIB is critical to early intervention and prevention. However, there is little empirical research utilizing a prospective design to identify early risk factors for SIB. The purpose of this study was to evaluate behavioral characteristics predicting SIB at age 2 years among 235 infants at high familial risk for ASD. Logistic regression results indicated that presence of SIB or proto-SIB and lower developmental functioning at age 12 months significantly predicted SIB at 24 months. A pattern of persistent SIB over this period was associated with a diagnosis of autism and poorer cognitive and adaptive outcomes.

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Most cited references 45

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Varieties of repetitive behavior in autism: comparisons to mental retardation.

J Bodfish, F Symons, D Parker … (2000)

Systematic study of abnormal repetitive behaviors in autism has been lacking despite the diagnostic significance of such behavior. The occurrence of specific topographies of repetitive behaviors as well as their severity was assessed in individuals with mental retardation with and without autism. The occurrence of each behavior category, except dyskinesias, was higher in the autism group and autistic subjects exhibited a significantly greater number of topographies of stereotypy and compulsions. Both groups had significant patterns of repetitive behavior co-occurrence. Autistic subjects had significantly greater severity ratings for compulsions, stereotypy, and self-injury. Repetitive behavior severity also predicted severity of autism. Although abnormal repetition is not specific to autism, an elevated pattern of occurrence and severity appears to characterize the disorder.

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Atypical behaviors in children with autism and children with a history of language impairment.

Kelli Dominick, Naomi Ornstein Davis, Janet E Lainhart … (2015)

The frequency, course, and inter-relationships of atypical eating, sleeping, self-injurious behavior, aggression and temper tantrums in children with autism and children with a history of language impairment (HLI), was investigated using a parent interview that was created to examine these problem behaviors. The relationships between these behaviors and language, IQ, severity of autistic symptoms and depression were also assessed. Atypical eating behavior, abnormal sleep patterns, temper tantrums, and self-injurious behavior were significantly more common in the children with autism than those with HLI. Within the autism group, children who exhibited more atypical behaviors tended to have a lower nonverbal IQ, lower levels of expressive language, more severe social deficits and more repetitive behaviors. No relationship between the number of atypical behaviors and measures of cognitive or language ability was noted in the HLI group. However, having more atypical behaviors was related to increased restricted, repetitive behaviors in children with HLI. The atypical behaviors could be divided into two groups: abnormal eating and sleeping, which were independent and tended to begin early in life; and self-injury, tantrums and aggression, which began later and were inter-related. Sleep abnormalities were more common in children (groups combined) diagnosed with major depression.

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Restricted and repetitive behaviors in young children with autism spectrum disorders.

Catherine Lord, Felicity Bishop, Jennifer J. Richler … (2006)

Restricted and repetitive behaviors (RRBs) on the Autism Diagnostic Interview- Revised (ADI-R: Lord, Rutter, & Le Couteur (1994) were examined in 165 children with Autism Spectrum Disorders (ASD), 49 children with non-spectrum developmental disorders (DD), and 65 children with typical development (TD) at approximately 2 years of age. A factor analysis found evidence for a repetitive sensorimotor (RSM) factor and an insistence on sameness (IS) factor. Behaviors that loaded on the RSM factor were prevalent in children with ASD and significantly more common and severe than in children with DD or TD. On average, children with ASD had more RSM behaviors. Behaviors that loaded on the IS factor were relatively uncommon and did not differ in prevalence or severity across groups.

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Author and article information

Contributors

Jason J. Wolff:

ORCID: http://orcid.org/0000-0003-4300-8195

jjwolff@umn.edu

Journal

Journal ID (nlm-ta): J Autism Dev Disord

Journal ID (iso-abbrev): J Autism Dev Disord

Title: Journal of Autism and Developmental Disorders

Publisher: Springer US (New York )

ISSN (Print): 0162-3257

ISSN (Electronic): 1573-3432

Publication date (Electronic): 20 February 2017

Publication date PMC-release: 20 February 2017

Publication date (Print): 2017

Volume: 47

Issue: 5

Pages: 1403-1415

Affiliations

[1 ]GRID grid.17635.36, Department of Educational Psychology, , University of Minnesota, ; 56 East River Rd., Minneapolis, MN 55455 USA

[2 ]GRID grid.4367.6, Department of Psychiatry, , Washington University in St. Louis, ; St. Louis, MO USA

[3 ]GRID grid.34477.33, Department of Radiology, , University of Washington, ; Seattle, WA USA

[4 ]GRID grid.17635.36, Institute of Child Development, , University of Minnesota, ; Minneapolis, MN USA

[5 ]GRID grid.34477.33, Department of Speech and Hearing Sciences, , University of Washington, ; Seattle, WA USA

[6 ]GRID grid.239552.a, Center for Autism Research, , Children’s Hospital of Philadelphia, ; Philadelphia, PA USA

[7 ]GRID grid.17089.37, Department of Pediatrics, , University of Alberta, ; Edmonton, AB Canada

[8 ]GRID grid.10698.36, Department of Psychiatry, , University of North Carolina at Chapel Hill, ; Chapel Hill, NC USA

Author information

Jason J. Wolff http://orcid.org/0000-0003-4300-8195

Article

Publisher ID: 3057

DOI: 10.1007/s10803-017-3057-9

PMC ID: 5385192

PubMed ID: 28220358

SO-VID: f67fc044-6ca4-44bf-9c09-dffb3eafd764

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

History

Funding

Funded by: FundRef http://dx.doi.org/10.13039/100000025, National Institute of Mental Health;

Award ID: K01MH101653

Award Recipient : Jason J. Wolff

Funded by: FundRef http://dx.doi.org/10.13039/100000071, National Institute of Child Health and Human Development;

Award ID: R01HD05574

Award ID: P30HD03110

Award Recipient : Joseph Piven

Funded by: FundRef http://dx.doi.org/10.13039/100000073, Autism Speaks;

Funded by: FundRef http://dx.doi.org/10.13039/100000893, Simons Foundation;

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ScienceOpen disciplines: Neurology

Keywords: self-injurious behavior,repetitive behavior,autism spectrum disorder,risk factors,infants

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ScienceOpen disciplines: Neurology

Keywords: self-injurious behavior, repetitive behavior, autism spectrum disorder, risk factors, infants

Potential Risk Factors for the Development of Self-Injurious Behavior among Infants at Risk for Autism Spectrum Disorder

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Most cited references 45

Varieties of repetitive behavior in autism: comparisons to mental retardation.

Atypical behaviors in children with autism and children with a history of language impairment.

Restricted and repetitive behaviors in young children with autism spectrum disorders.

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