Application of the Repetitive Behavior Scale-Revised - Italian version - in preschoolers with autism spectrum disorder

被引:46
作者
Fulceri, Francesca [1 ]
Narzisi, Antonio [1 ]
Apicella, Fabio [1 ]
Balboni, Giulia [2 ]
Baldini, Sara [1 ]
Brocchini, Jenny [1 ]
Domenici, Ilaria [1 ]
Cerullo, Sonia [1 ]
Igliozzi, Roberta [1 ]
Cosenza, Angela [1 ]
Tancredi, Raffaella [1 ]
Muratori, Filippo [1 ,3 ]
Calderoni, Sara [1 ]
机构
[1] IRCCS Stella Maria Fdn, Pisa, Italy
[2] Univ Pisa, Dept Surg, Med Mol & Crit Area Pathol, Pisa, Italy
[3] Univ Pisa, Dept Clin & Expt Med, Pisa, Italy
关键词
Restricted and repetitive behaviors (RRB); Autism spectrum disorders (ASD); Preschoolers; Repetitive Behaviors Scale-Revised (RBS-R); Diagnostic accuracy; OBSESSIVE-COMPULSIVE SCALE; YOUNG-CHILDREN; STEREOTYPED BEHAVIORS; SEX-DIFFERENCES; 2ND YEAR; INTERESTS; ASSOCIATION; STABILITY; SEVERITY; SYMPTOMS;
D O I
10.1016/j.ridd.2015.10.015
中图分类号
G76 [特殊教育];
学科分类号
040109 ;
摘要
Restricted repetitive and stereotyped patterns of behavior, interests, and activities (RRB) are mandatory features for a diagnosis of Autism Spectrum Disorder (ASD) according to the Diagnostic and Statistical Manual of mental disorders-fifth edition (DSM-5). Despite the strong diagnostic role of RRB, their expressiveness and their relationship with other clinical/demographic features in ASD is not fully elucidated. The Italian version of the Repetitive Behavior Scale-Revised (RBS-R) was applied to a relatively large sample of preschool-aged children with ASD who underwent a comprehensive clinical assessment. The relationship between RRB and sex, age, nonverbal IQ autism severity, as well as the diagnostic accuracy of the RBS-R were explored. Stereotyped and Ritualistic/Sameness behaviors were the most common RRB in preschoolers with ASD, without widespread differences between males and females. No significant correlations between RRB and chronological age, or non-verbal IQ were detected. The expressiveness of ritualistic/sameness behaviors positively correlated with autism severity, assessed through the Calibrated Severity Score (CSS) derived from the Autism Diagnostic Observation Schedule (ADOS). Receiver Operator Characteristic (ROC) analysis showed high diagnostic accuracy using the Global Rating Score, which represents the judgment of the parents of as the RRB affect the child's life. However, while the Global Rating Score performed well, the remaining subscales did not. This investigation extends the limited research on early pattern and associated features of RRB in young children with ASD. The use of the RBS-R may increase the knowledge of the RRB complexity and variability and in turn improve the diagnostic and therapeutic procedures within the autistic spectrum. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:43 / 52
页数:10
相关论文
共 59 条
[1]  
Achenbach T., 2000, ACHENBACH SYSTEM EMP
[2]   Pre-school children with suspected autism spectrum disorders: Do girls and boys have the same profiles? [J].
Andersson, Gunilla Westman ;
Gillberg, Christopher ;
Miniscalco, Carmela .
RESEARCH IN DEVELOPMENTAL DISABILITIES, 2013, 34 (01) :413-422
[3]  
[Anonymous], 1999, YALE SPECIAL I UNPUB
[4]  
[Anonymous], 2008, WPPSI 3 WECHSLER PRE
[5]  
[Anonymous], 2003, AUTISM DIAGNOSTIC IN
[6]  
[Anonymous], 1995, THESIS
[7]  
[Anonymous], 1997, Leiter International Performance Scale-Revised (Leiter-R)
[8]  
[Anonymous], EPIDEMIOL PSYCHIAT S
[9]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[10]  
[Anonymous], J AUTISM DEV DISORDE