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Aggression in low functioning children and adolescents with autistic disorder
Guillaume Bronsard1, Michel Botbol, Sylvie Tordjman
1Maison Départementale de l'Adolescent et Centre Médico-Psycho-Pédagogique, Conseil Général des Bouches-du-Rhône, Laboratoire de Santé Publique EA3279 de la Faculté de Médecine de la Timone, Marseille, France.
Aggressive behaviors, specifically other-injurious behaviors (OIB), are more frequent in children with autism during stressful events like blood draws. Environmental factors and observer perception significantly influence the assessment and management of OIB in autistic individuals.
Area of Science:
- Neurodevelopmental Disorders
- Child and Adolescent Psychiatry
- Behavioral Science
Background:
- Aggression and violence are frequently reported in children and adolescents with autistic disorder, but empirical data remain limited.
- Previous observations of aggression in autism have largely relied on anecdotal reports.
- This study aimed to characterize aggressive behaviors in a large cohort of individuals with autism across different settings.
Purpose of the Study:
- To characterize and understand the different types of aggressive behaviors displayed by individuals with autism.
- To compare the frequency and nature of aggressive behaviors in autistic individuals versus typically developing controls.
- To explore the influence of observational situations and environmental factors on aggressive behaviors.
Main Methods:
- The study included 74 children and adolescents with autism and 115 typically developing controls, matched for sex, age, and pubertal stage.
- Other-Injurious Behaviors (OIB) were assessed in three distinct observational situations: home, day-care, and during a blood draw.
- Validated scales were used to assess OIB, and concurrent behaviors preceding OIB were recorded.
Main Results:
- Individuals with autism exhibited significantly higher frequencies of OIB during blood drawing compared to controls (23% vs. 0%).
- Parental observation reported fewer OIB compared to caregiver observations (34% vs. 58%).
- Anxiety-related behaviors and excitation were the most frequent concurrent behaviors preceding OIB in individuals with autism.
Conclusions:
- Stressful situations, like blood draws, may trigger OIB in individuals with autism as a stress-release mechanism.
- Typically developing individuals tend to use cognitive and communication strategies to manage stress.
- Environmental context and observer perception play a crucial role in assessing OIB and developing effective therapeutic interventions for autism.
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