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Published on: August 20, 2016
Evidence-based behavioral interventions for repetitive behaviors in autism
Brian A Boyd1, Stephen G McDonough, James W Bodfish
1Division of Occupational Science and Occupational Therapy, Department of Allied Health Sciences, University of North Carolina at Chapel Hill, CB# 7122, Bondurant Hall, Chapel Hill, NC 27599-7120, USA. brian_boyd@med.unc.edu
Interventions for restricted and repetitive behaviors (RRBs) in autism spectrum disorder (ASD) are limited, especially for higher-order behaviors. This review discusses barriers and evidence-based treatments for RRBs in ASD.
Area of Science:
- Neurodevelopmental Disorders
- Behavioral Science
Background:
- Restricted and repetitive behaviors (RRBs) are a core symptom of autism spectrum disorders (ASD).
- Current research on RRBs in ASD predominantly focuses on phenomenology and underlying mechanisms.
- The development of interventions for RRBs in ASD lags behind other research areas.
Purpose of the Study:
- To discuss barriers to intervention development for RRBs in ASD.
- To review evidence-based interventions for RRBs in ASD, with a specific emphasis on higher-order behaviors.
- To provide recommendations for clinical practice and future research.
Main Methods:
- Literature review of existing research on RRBs in ASD.
- Analysis of barriers hindering intervention development for RRBs.
- Synthesis of evidence-based interventions, distinguishing between lower-order and higher-order RRBs.
Main Results:
- Evidence-based practices exist for lower-order RRBs (e.g., stereotypies) in ASD.
- A significant gap exists in intervention research for higher-order RRBs (e.g., insistence on sameness) in ASD.
- Barriers to intervention development include conceptual and methodological challenges.
Conclusions:
- There is a critical need for focused intervention research on higher-order RRBs in ASD.
- Addressing barriers is essential for advancing treatment options.
- Recommendations are provided to guide both clinical practice and future research directions.
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