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Articles

Relation between Restricted and Repetitive Behaviors and Anxiety in Autism Spectrum Disorder: A Meta-Analysis

, Ph.D. & , B.S.
Pages 1-22 | Received 26 Apr 2022, Accepted 30 Jul 2022, Published online: 19 Aug 2022

References

  • Allen, W. D. Jr. (2020). African American health and well-being. In A. G. James (Ed.), Black families: A systems approach (pp. 186–201). Cognella.
  • American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
  • Bal, V. H., & Lord, C. (2015). Replication of standardized ADOS domain scores in the Simons Simplex Collection. Autism Research, 8(5), 583–592. https://doi.org/10.1002/aur.1474.
  • Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: Comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30(3), 237–243. https://doi.org/10.1023/a:1005596502855.
  • Boyd, B. A., Baranek, G. T., Sideris, J., Poe, M. D., Watson, L. R., Patten, E., & Miller, H. (2010). Sensory features and repetitive behaviors in children with autism and developmental delays. Autism Research, 3(2), 78–87. https://doi.org/10.1002/aur.124.
  • Boyd, B. A., McDonough, S. G., & Bodfish, J. A. (2012). Evidence-based behavioral interventions for repetitive behaviors in autism. Journal of Autism and Developmental Disorders, 42(6), 1236–1248. https://doi.org/10.1007/s10803-011-1284-z.
  • Constantino, J. N., & Gruber, C. P. (2012). Social Responsiveness Scale (Second edition (SRS-2)). Western Psychological Services.
  • Corbett, B. A., Schwartzman, J. M., Libsack, E. J., Muscatello, R. A., Lerner, M. D., Simmons, G. L., & White, S. W. (2021). Camouflaging in autism: Examining sex‐based and compensatory models in social cognition and communication. Autism Research, 14(1), 127–142. https://doi.org/10.1002/aur.2440.
  • Courchesne, V., Bedford, R., Pickles, A., Duku, E., Kerns, C., Mirenda, P., Bennett, T., Georgiades, S., Smith, I. M., Ungar, W. J., Vaillancourt, T., Zaidman-Zait, A., Zwaigenbaum, L., Szatmari, P., Elsabbagh, M., & Team, P, Pathways Team. (2021). Non-verbal IQ and change in restricted and repetitive behavior throughout childhood in autism: A longitudinal study using the Autism Diagnostic Interview-Revised. Molecular Autism, 12(1), 57. https://doi.org/10.1186/s13229-021-00461-7.
  • Dow, D., Guthrie, W., Stronach, S. T., & Wetherby, A. M. (2017). Psychometric analysis of the Systematic Observation of Red Flags for autism spectrum disorder in toddlers. Autism, 21(3), 301–309. https://doi.org/10.1177/1362361316636760.
  • Duvekot, J., van der Ende, J., Verhulst, F. C., & Greaves‐Lord, L. K. (2018). Examining bidirectional effects between the autism spectrum disorder (ASD) core symptom domains and anxiety in children with ASD. Journal of Child Psychology and Psychiatry, 59(3), 277–284. https://doi.org/10.1111/jcpp.12829.
  • Dworzynski, K., Ronald, A., Bolton, P., & Happe, F. (2012). How different are girls and boys above and below the diagnostic threshold for autism spectrum disorders? Journal of the American Academy of Child and Adolescent Psychiatry, 51(8), 788–797. https://doi.org/10.1016/j.jaac.2012.05.018.
  • Esbensen, A. J., Seltzer, M. M., Lam, K. S. L., & Bodfish, J. W. (2009). Age-related differences in restricted repetitive behaviors in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 57–66. https://doi.org/10.1007/s10803-008-0599-x.
  • Evans, S. C., Boan, A. D., Bradley, C., & Carpenter, L. A. (2019). Sex/gender differences in screening for autism spectrum disorder: Implications for evidence-based assessment. Journal of Clinical Child and Adolescent Psychology, 48(6), 840–854. https://doi.org/10.1080/15374416.2018.1437734.
  • Factor, R. S., Ryan, S. M., Farley, J. P., Ollendick, T. H., & Scarpa, A. (2017). Does the presence of anxiety and ADHD symptoms add to social impairment in children with autism spectrum disorder? Journal of Autism and Developmental Disorders, 47(4), 1122–1134. https://doi.org/10.1007/s10803-016-3025-9.
  • Freeston, M. H., Rheaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17(6), 791–802. https://doi.org/10.1016/0191-8869(94)90048-5.
  • Frith, U., Morton, J., & Leslie, A. M. (1991). The cognitive basis of a biological disorder. Trends in Neurosciences, 14(10), 433–438.
  • Green, S. A., Ben-Sasson, A., Soto, T. W., & Carter, A. S. (2012). Anxiety and sensory over-responsivity in toddlers with autism spectrum disorders: Bidirectional effects across time. Journal of Autism and Developmental Disorders, 42(6), 1112–1119. https://doi.org/10.1007/s10803-011-1361-3.
  • Grove, R., Paynter, J., Joosten, A., Vivanti, G., Dissanayake, C., & Eapen, V. (2019). Factor structure of the Social Communication Questionnaire in preschool aged autistic children. Journal of Child and Family Studies, 28(12), 3385–3391. https://doi.org/10.1007/s10826-019-01519-0.
  • Hanson, E. M., Sideridis, G., Jackson, F. I., Porche, K., Campe, K. L., & Huntington, N. (2016). Behavior and Sensory Interests Questionnaire: Validation in a sample of children with autism spectrum disorder and other developmental disability. Research in Developmental Disabilities, 48, 160–175. https://doi.org/10.1016/j.ridd.2015.09.004.
  • Harrop, C., Gulsrud, A., & Kasari, C. (2015). Does gender moderate core deficits in ASD? An investigation into restricted and repetitive behaviors in girls and boys with ASD. Journal of Autism and Developmental Disorders, 45(11), 3644–3655. https://doi.org/10.1007/s10803-015-2511-9.
  • Harrop, C., McBee, M., & Boyd, B. A. (2016). How are child restricted and repetitive behaviors associated with caregiver stress over time? A parallel process multilevel growth model. Journal of Autism and Developmental Disorders, 46(5), 1773–1783. https://doi.org/10.1007/s10803-016-2707-7.
  • Henry, J. E., Kelley, M. E., LaRue, R. H., Kettering, T. L., Gadaire, D. M., & Sloman, K. N. (2021). Integration of experimental functional analysis procedural advancements: Progressing from brief to extended experimental analyses. Journal of Applied Behavior Analysis, 54(3), 1045–1061. https://doi.org/10.1002/jaba.841.
  • Hiller, R. M., Young, R. L., & Weber, N. (2014). Sex differences in autism spectrum disorder based on DSM-5 criteria: Evidence from clinician and teacher reporting. Journal of Abnormal Child Psychology, 42(8), 1381–1393. https://doi.org/10.1007/s10802-014-9881-x.
  • Hollocks, M. J., Lerh, J. W., Magiati, I., Meiser-Stedman, R., & Brugha, T. S. (2019). Anxiety and depression in adults with autism spectrum disorder: A systematic review and meta-analysis. Psychological Medicine, 49(4), 559–572. https://doi.org/10.1017/S0033291718002283.
  • Hooker, J. L., Dow, D., Morgan, L., Schatschneider, C., & Wetherby, A. M. (2019). Psychometric analysis of the Repetitive Behavior Scale‐Revised using confirmatory factor analysis in children with autism. Autism Research, 12(9), 1399–1410. https://doi.org/10.1002/aur.2159.
  • Inada, N., Ito, H., Yasunaga, K., Kuroda, M., Iwanaga, R., Hagiwara, T., Tani, I., Yukihiro, R., Uchiyama, T., Ogasahara, K., Hara, K., Inoue, M., Murakami, T., Someki, F., Nakamura, K., Sugiyama, T., Uchida, H., Ichikawa, H., Kawakubo, Y., Kano, Y., & Tsujii, M. (2015). Psychometric properties of the Repetitive Behavior Scale-Revised for individuals with autism spectrum disorder in Japan. Research in Autism Spectrum Disorders, 15–16, 60–68. https://doi.org/10.1016/j.rasd.2015.01.002.
  • Jenkinson, R., Milne, E., & Thompson, A. (2020). The relationship between intolerance of uncertainty and anxiety in autism: A systematic literature review and meta-analysis. Autism, 24(8), 1933–1944. https://doi.org/10.1177/1362361320932437.
  • Jones, C. R. G., Simonoff, E., Baird, G., Pickles, A., Marsden, A. J. S., Tregay, J., Happé, F., & Charman, T. (2018). The association between theory of mind, executive function, and the symptoms of autism spectrum disorder. Autism Research, 11(1), 95–109. https://doi.org/10.1002/aur.1873.
  • Joseph, L., Thurm, A., Farmer, C., & Shumway, S. (2013). Repetitive behavior and restricted interests in young children with autism: Comparisons with controls and stability over 2 years. Autism Research, 6(6), 584–595. https://doi.org/10.1002/aur.1316.
  • Kaat, A. J., Shui, A. M., Ghods, S. S., Farmer, C. A., Esler, A. N., Thurm, A., Georgiades, S., Kanne, S. M., Lord, C., Kim, Y. S., & Bishop, S. L. (2021). Sex differences in scores on standardized measures of autism symptoms: A multisite integrative data analysis. Journal of Child Psychology and Psychiatry, 62(1), 97–106. https://doi.org/10.1111/jcpp.13242.
  • Kalb, L. G., Singh, V., Hong, J. S., Holingue, C., Ludwig, N. N., Pfeiffer, D., Reetzke, R., Gross, A. L., & Landa, R. (2022). Analysis of race and sex bias in the Autism Diagnostic Observation Schedule (ADOS-2). JAMA Network Open, 5(4), e229498. https://doi.org/10.1001/jamanetworkopen.2022.9498.
  • Kim, S. Y., Kim, Y. A., Song, D. Y., Bong, G., Kim, J. M., Kim, J. H., & Yoo, H. J. (2021). State and trait anxiety of adolescents with autism spectrum disorders. Psychiatry Investigation, 18(3), 257–265. https://doi.org/10.30773/pi.2020.0328.
  • Klopper, F., Testa, R., Pantelis, C., & Skafidas, E. (2017). A cluster analysis exploration of autism spectrum disorder subgroups in children without intellectual disability. Research in Autism Spectrum Disorders, 36, 66–78. https://doi.org/10.1016/j.rasd.2017.01.006.
  • Kovac, M., Mosner, M., Miller, S., Hanna, E. K., & Dichter, G. S. (2016). Experience sampling of positive affect in adolescents with autism: Feasibility and preliminary findings. Research in Autism Spectrum Disorders, 29–30, 57–65. https://doi.org/10.1016/j.rasd.2016.06.003.
  • Lachance, K., Štětinová, K., Rieske, R., & Peer, S. (2021). Repetitive Behavior Scale for Early Childhood (RBS-EC): Psychometrics and developmental effects with a community sample. Child Psychiatry & Human Development, https://doi.org/10.1007/s10578-021-01166-x.
  • Leekam, S. R., Prior, M. R., & Uljarevic, M. (2011). Restricted and repetitive behaviors in autism spectrum disorders: A review of research in the last decade. Psychological Bulletin, 137(4), 562–593. https://doi.org/10.1037/a0023341.
  • Lidstone, J., Uljarević, M., Sullivan, J., Rodgers, J., McConachie, H., Freeston, M., Le Couteur, A., Prior, M., & Leekam, S. (2014). Relations among restricted and repetitive behaviours, anxiety and sensory features in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 8(2), 82–92. https://doi.org/10.1016/j.rasd.2013.10.001.
  • Loomes, R., Hull, L., & Mandy, W. P. L. (2017). What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 56(6), 466–474. https://doi.org/10.1016/j.jaac.2017.03.013.
  • Lord, C., Rutter, M., & Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685. https://doi.org/10.1007/bf02172145.
  • Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. L. (2012). Autism diagnostic observation schedule (ADOS-2) (2nd ed). Western Psychological Services.
  • Mackie, M., & Fan, J. (2016). Reduced efficiency and capacity of cognitive control in autism spectrum disorder. Autism Research, 9(3), 403–414. https://doi.org/10.1002/aur.1517.
  • Maddox, B. B., Lecavalier, L., Miller, J. S., Pritchett, J., Hollway, J., White, S. W., Gillespie, S., Evans, A. N., Schultz, R. T., Herrington, J. D., Bearss, K., & Scahill, L. (2020). Reliability and validity of the Pediatric Anxiety Rating Scale modified for autism spectrum disorder. Autism, 24(7), 1773–1782. https://doi.org/10.1177/1362361320922682.
  • Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., Lopez, M., Hudson, A., Baroud, T., Schwenk, Y., White, T., Rosenberg, C. R., Lee, L.-C., Harrington, R. A., Huston, M., … Dietz, P. M, PhD-7 (2020). Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 Sites, United States, 2016. Morbidity and Mortality Weekly Report, 69(4), 1–12. https://doi.org/10.15585/mmwr.ss6904a1.
  • Martínez-González, A. E., & Piqueras, J. A. (2018). Validation of the Repetitive Behavior Scale-Revised in Spanish-Speakers participants with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(1), 198–208. https://doi.org/10.1007/s10803-017-3276-0.
  • Mazefsky, C. A., Herrington, J., Siegel, M., Scarpa, A., Maddox, B. B., Scahill, L., & White, S. W. (2013). The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52(7), 679–688. https://doi.org/10.1016/j.jaac.2013.05.006.
  • McPartland, J., Law, K., & Dawson, G. (2016). Autism spectrum disorder. Encyclopedia of Mental Health (Vol.1, pp. 124–130). Elsevier.
  • Medeiros, K., Mazurek, M. O., & Kanne, S. (2017). Investigating the factor structure of the Child Behavior Checklist in a large sample of children with autism spectrum disorder. Research in Autism Spectrum Disorders, 40, 24–40. https://doi.org/10.1016/j.rasd.2017.06.001.
  • Mills, A. S., Tablon-Modica, P., Mazefksy, C. A., & Weiss, J. A. (2022). Emotion dysregulation in children with autism: A multimethod investigation of the role of child and parent factors. Research in Autism Spectrum Disorders, 91, 101911–101911. https://doi.org/10.1016/j.rasd.2021.101911.
  • Moore, H. L., Brice, S., Powell, L., Ingham, B., Freeston, M., Parr, J. R., & Rodgers, J. (2021). The mediating effects of alexithymia, intolerance of uncertainty, and anxiety on the relationship between sensory processing differences and restricted and repetitive behaviours in autistic adults. Journal of Autism and Developmental Disorders, https://doi.org/10.1007/s10803-021-05312-1.
  • Piaget, J. (1964). Part I: Cognitive development in children: Piaget development and learning. Journal of Research in Science Teaching, 2(3), 176–186. https://doi.org/10.1002/tea.3660020306.
  • Raulston, T. J., & Machalicek, W. (2018). Early intervention for repetitive behavior in autism spectrum disorder: A conceptual model. Journal of Developmental and Physical Disabilities, 30(1), 89–109. https://doi.org/10.1007/s10882-017-9566-9.
  • Richler, J., Bishop, S. L., Kleinke, J. R., & Lord, C. (2007). Restricted and repetitive behaviors in young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(1), 73–85. https://doi.org/10.1007/s10803-006-0332-6.
  • Roberts, K. M., Patterson, J. L., Burr, B. K., Jefferson, S., & Hubler, D. S. (2019). “We thought it would be easy”: Recruitment challenges, successes and best practices for low-income couple populations. Marriage & Family Review, 55(3), 277–297. https://doi.org/10.1080/01494929.2018.1469566.
  • Rodgers, J., Glod, M., Connolly, B., & McConachie, H. (2012). The relationship between anxiety and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 42(11), 2404–2409. https://doi.org/10.1007/s10803-012-1531-y.
  • Rojahn, J., Barnard, B. L., Medeiros, K., & Schroeder, S. R. (2016). Stereotyped behaviours as precursors of self‐injurious behaviours: A longitudinal study with infants and toddlers at risk for developmental delay. Journal of Intellectual Disability Research, 60(2), 156–166. https://doi.org/10.1111/jir.12224.
  • Ros, D. R., Bradley, C., Kanne, S. M., Warren, Z., Boan, A., Lajonchere, C., Park, J., & Carpenter, L. A. (2020). ASD symptoms in toddlers and preschoolers: An examination of sex differences. Autism Research, 13(1), 157–166. https://doi.org/10.1002/aur.2241.
  • Rutter, M., Bailey, A., & Lord, C. (2003). Social communication questionnaire-WPS (SCQ-WPS). Western Psychological Services.
  • Santore, L. A., Gerber, A., Gioia, A. N., Bianchi, R., Talledo, F., Peris, T. S., & Lerner, M. D. (2020). 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. Autism, 24(4), 983–994. https://doi.org/10.1177/1362361320909177.
  • Sipes, M., Matson, J. L., Worley, J. A., & Kozlowski, A. M. (2011). Gender differences in symptoms of autism spectrum disorders in toddlers. Research in Autism Spectrum Disorders, 5(4), 1465–1470. https://doi.org/10.1016/j.rasd.2011.02.007.
  • Smerbeck, A. (2019). The survey of favorite interests and activities: Assessing and understanding restricted interests in children with autism spectrum disorder. Autism, 23(1), 247–259. https://doi.org/10.1177/1362361317742140.
  • Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory. Consulting Psychologists Press.
  • Sturm, A., Huang, S., & Kuhfeld, M. (2022). Advancing methodologies to improve RRB outcome measures in autism research: Evaluation of the RBS-R. Psychological Assessment, 34(1), 30–42. https://doi.org/10.1037/pas0001062.supp.
  • Szatmari, P., Georgiades, S., Bryson, S., Zwaigenbaum, L., Roberts, W., Mahoney, W., Goldberg, J., & Tuff, L. (2006). Investigating the structure of the restricted, repetitive behaviours and interests domain of autism. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 47(6), 582–590. https://doi.org/10.1111/j.1469-7610.2005.01537.x.
  • Tomchek, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the short sensory profile. The American Journal of Occupational Therapy, 61(2), 190–200. https://doi.org/10.5014/ajot.61.2.190.
  • Uljarević, M., Carrington, S. J., Hardan, A. Y., & Leekam, S. R. (2022a). Subdomains of restricted and repetitive behaviors within autism: Exploratory structural equation modeling using the diagnostic interview for social and communication disorders. Autism Research, 15(5), 861–869. https://doi.org/10.1002/aur.2687.
  • Uljarević, M., Frazier, T. W., Jo, B., Billingham, W. D., Cooper, M. N., Youngstrom, E. A., Scahill, L., & Hardan, A. Y. (2022b). Big data approach to characterize restricted and repetitive behaviors in autism. Journal of the American Academy of Child & Adolescent Psychiatry, 61(3), 446–457. https://doi.org/10.1016/j.jaac.2021.08.006.
  • Uljarević, M., & Hamilton, A. (2013). Recognition of emotions in autism: A formal meta-analysis. Journal of Autism and Developmental Disorders, 43(7), 1517–1526. https://doi.org/10.1007/s10803-012-1695-5.
  • Uljarević, M., Hedley, D., Alvares, G. A., Varcin, K. J., & Whitehouse, A. J. O. (2017). Relationship between early motor milestones and severity of restricted and repetitive behaviors in children and adolescents with autism spectrum disorder. Autism Research, 10(6), 1163–1168. https://doi.org/10.1002/aur.1763.
  • Waisman-Nitzan, M., Schreuer, N., & Gal, E. (2020). Person, environment, and occupation characteristics: What predicts work performance of employees with autism? Research in Autism Spectrum Disorders, 78, 101643. https://doi.org/10.1016/j.rasd.2020.101643.
  • Wigham, S., Rodgers, J., South, M., McConachie, H., & Freeston, M. (2015). The interplay between sensory processing abnormalities, intolerance of uncertainty, anxiety and restricted and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(4), 943–952. https://doi.org/10.1007/s10803-014-2248-x.
  • Wilson, C. E., Murphy, C. M., McAlonan, G., Robertson, D. M., Spain, D., Hayward, H., Woodhouse, E., Deeley, P. Q., Gillan, N., Ohlsen, J. C., Zinkstok, J., Stoencheva, V., Faulkner, J., Yildiran, H., Bell, V., Hammond, N., Craig, M. C., & Murphy, D. G. (2016). Does sex influence the diagnostic evaluation of autism spectrum disorder in adults? Autism, 20(7), 808–819. https://doi.org/10.1177/1362361315611381.
  • Wolff, J. J., Boyd, B. A., & Elison, J. T. (2016). A quantitative measure of restricted and repetitive behaviors for early childhood. Journal of Neurodevelopmental Disorders, 8(1), 1–10. https://doi.org/10.1186/s11689-016-9161-x.

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