Restricted, Repetitive Behaviors in Autism Spectrum Disorder and Obsessive–Compulsive Disorder: A Comparative Review

Abstract

This review paper critically examines literature regarding restricted and repetitive behaviors (RRBs) in Autism Spectrum Disorder (ASD) and Obsessive–Compulsive Disorder (OCD). The similar behavioral profiles of these disorders presents the potential for confusion regarding diagnoses and intervention efforts. As such, this review highlights the similarities and differences between RRBs in ASD and OCD. The developmental trajectories of RRBs are presented, followed by an exploration of three constructs implicated in RRB manifestation: anxiety, executive functioning, and sensory phenomena. While RRBs tend to develop with some similarity in both disorders, the differing role of anxiety highlights important distinctions between ASD and OCD. We urge researchers and clinicians to think critically about the dimensions that affect RRB presentation. Future research should use this review as a starting point to further elucidate the differences between RRBs in these two populations.

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References

  1. 1.

    Lewis M, Kim SJ (2009) The pathophysiology of restricted repetitive behavior. J Neurodev Disord 1:114–132

    PubMed  PubMed Central  Article  Google Scholar 

  2. 2.

    Zandt F, Prior M, Kyrios M (2007) Repetitive behavior in children with high functioning autism and obsessive–compulsive disorder. J Autism Dev Disord 37:251–259

    PubMed  Article  Google Scholar 

  3. 3.

    American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington

    Google Scholar 

  4. 4.

    Zwaigenbaum L, Bryson S, Rogers T, Roberts W, Brian J, Szatmari P (2005) Behavioral manifestations of autism in the first year of life. Int J Dev Neurosci 23:143–152

    PubMed  Article  Google Scholar 

  5. 5.

    Shumway S, Wetherby AM (2009) Communicative acts of children with autism spectrum disorders in the second year of life. J Speech Lang Hear Res 52:1139–1156

    PubMed  PubMed Central  Article  Google Scholar 

  6. 6.

    Christensen DL, Baio J, Braun KV, Bilder D, Charles J, Constantino JN et al (2016) Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR CDC Surveill Summ 65:1–23

    Article  Google Scholar 

  7. 7.

    Joseph RM, Tager-Flusberg H, Lord C (2002) Cognitive profiles and social-communicative functioning in children with autism spectrum disorder. J Child Psychol Psychiatry 43:807–821

    PubMed  PubMed Central  Article  Google Scholar 

  8. 8.

    Kjelgaard MM, Tager-Flusberg H (2001) An investigation of language impairments in autism: implications for genetic subgroups. Lang Cogn Process 16:287–308

    PubMed  PubMed Central  Article  Google Scholar 

  9. 9.

    Bodfish JW, Symons FJ, Parker DE, Lewis MH (2000) Varieties of repetitive behavior in autism: comparisons to mental retardation. J Autism Dev Disord 30:237–243

    PubMed  Article  Google Scholar 

  10. 10.

    Lord C, Rutter M, Le Couteur A (1994) Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 24:659–685

    PubMed  Article  Google Scholar 

  11. 11.

    Lord C, Risi S, Lambrecht L, Cook EH, Leventhal BL, DiLavore PC et al (2000) The Autism Diagnostic Observation Schedule-Generic: a standard measure of social and communication deficits associated with the spectrum of autism. J Autism Dev Disord 30:205–223

    PubMed  Article  Google Scholar 

  12. 12.

    Bishop SL, Hus V, Duncan A, Huerta M, Gotham K, Lord C (2013) Subcategories of restricted and repetitive behaviors in children with autism spectrum disorders. J Autism Dev Disord 43:1287–1297

    PubMed  PubMed Central  Article  Google Scholar 

  13. 13.

    Bishop SL, Richler J, Lord C (2006) Association between restricted and repetitive behaviors and nonverbal IQ in children with autism spectrum disorders. Child Neuropsychol 12:247–267

    PubMed  Article  Google Scholar 

  14. 14.

    Richler J, Huerta M, Bishop SL, Lord C (2010) Developmental trajectories of restricted and repetitive behaviors and interests in children with autism spectrum disorders. Dev Psychopathol 22:55–69

    PubMed  PubMed Central  Article  Google Scholar 

  15. 15.

    Kim SH, Lord C (2010) Restricted and repetitive behaviors in toddlers and preschoolers with autism spectrum disorders based on the Autism Diagnostic Observation Schedule (ADOS). Autism Res 3:162–173

    PubMed  PubMed Central  Article  Google Scholar 

  16. 16.

    Stratis EA, Lecavalier L (2013) Restricted and repetitive behaviors and psychiatric symptoms in youth with autism spectrum disorders. Res Autism Spectr Disord 7:757–776

    Article  Google Scholar 

  17. 17.

    Spiker MA, Lin CE, Dyke MV, Wood JJ (2012) Restricted interests and anxiety in children with autism. Autism 16:306–320

    PubMed  Article  Google Scholar 

  18. 18.

    Turner-Brown LM, Lam KS, Holtzclaw TN, Dichter GS, Bodfish JW (2011) Phenomenology and measurement of circumscribed interests in autism spectrum disorders. Autism 15:437–456

    PubMed  PubMed Central  Article  Google Scholar 

  19. 19.

    Lam KSL, Bodfish JW, Piven J (2008) Evidence for three subtypes of repetitive behavior in autism that differ in familiality and association with other symptoms. J Child Psychol Psychiatry 49:1193–1200

    PubMed  PubMed Central  Article  Google Scholar 

  20. 20.

    Esbensen AJ, Seltzer MM, Lam KSL, Bodfish JW (2009) Age-related differences in restricted repetitive behaviors in autism spectrum disorders. J Autism Dev Disord 39:57–66

    PubMed  Article  Google Scholar 

  21. 21.

    Banach R, Thompson A, Szatmari P, Goldberg J, Tuff L, Zwaigenbaum L et al (2009) Brief report: relationship between non-verbal IQ and gender in autism. J Autism Dev Disord 39:188–193

    PubMed  Article  Google Scholar 

  22. 22.

    Carter AS, Black DO, Tewani S, Connolly CE, Kadlec MB, Tager-Flusberg H (2007) Sex differences in toddlers with autism spectrum disorders. J Autism Dev Disord 37:86–97

    PubMed  Article  Google Scholar 

  23. 23.

    Mandy W, Chilvers R, Chowdhury U, Salter G, Seigal A, Skuse D (2011) Sex differences in autism spectrum disorder: evidence from a large sample of children and adolescents. J Autism Dev Disord 42:1304–1313

    Article  Google Scholar 

  24. 24.

    Szatmari P, Liu X, Goldberg J, Zwaigebaum L, Paterson AD, Woodbury-Smith M et al (2011) Sex differences in repetitive stereotyped behaviors in autism: implications for genetic liability. Am J Med Genet B 159:5–12

    Google Scholar 

  25. 25.

    Starcevic V, Berle D, Brakoulias V, Sammut P, Moses K, Milicevic D et al (2011) Functions of compulsions in obsessive-compulsive disorder. Aust N Z J Psychiatry 45:449–457

    PubMed  Article  Google Scholar 

  26. 26.

    Swedo SE, Rapoport JL, Leonard H, Lenane M, Cheslow D (1989) Obsessive–compulsive disorder in children and adolescents. Clinical phenomenology of 70 consecutive cases. Arch Gen Psychiatry 46:335–341

    PubMed  Article  Google Scholar 

  27. 27.

    Anholt GE, Aderka IM, Van Balkom AJ, Smit JH, Schruers K, Van der Wee NJ et al (2014) Age of onset in obsessive–compulsive disorder: admixture analysis with a large sample. Psychol Med 44:185–194

    PubMed  Article  Google Scholar 

  28. 28.

    Kessler RC, Chiu WT, Demler O, Walters EE (2005) Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Arch Gen Psychiatry 62:617–627

    PubMed  PubMed Central  Article  Google Scholar 

  29. 29.

    Ruscio AM, Stein DJ, Chiu WT, Kessler RC (2010) The epidemiology of obsessive–compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatry 15:53–63

    PubMed  Article  Google Scholar 

  30. 30.

    Butwicka A, Gmitrowicz A (2010) Symptom clusters in obsessive–compulsive disorder (OCD): influence of age and age of onset. Eur Child Adolesc Psychiatry 19:365–370

    PubMed  Article  Google Scholar 

  31. 31.

    Farrell L, Barrett P, Piacentini J (2006) Obsessive-compulsive disorder across the developmental trajectory: clinical correlates in children, adolescents, and adults. Behav Change 23:103–120

    Article  Google Scholar 

  32. 32.

    Selles RR, Storch EA, Lewin AB (2014) Variations in symptom prevalence and clinical correlates in younger versus older youth with obsessive–compulsive disorder. Child Psychiatry Hum Dev 45:666–674

    PubMed  Article  Google Scholar 

  33. 33.

    Torresan RC, Ramos-Cerqueira AT, Shavitt RG, Conceição do Rosário M, de Mathis MA, Miguel EC et al (2013) Symptom dimensions, clinical course and comorbidity in men and women with obsessive–compulsive disorder. Psychiatry Res 209:186–195

    PubMed  Article  Google Scholar 

  34. 34.

    Anthony LG, Kenworthy L, Yerys BE, Jankowski KF, James JD, Harms MB et al (2013) Interests in high-functioning autism are more intense, interfering, and idiosyncratic than those in neurotypical development. Dev Psychopathol 25:643–665

    PubMed  PubMed Central  Article  Google Scholar 

  35. 35.

    Klin A, Danovitch JH, Merz AB, Volkmar FR (2007) Circumscribed interests in higher functioning individuals with autism spectrum disorders: an exploratory study. Res Pract Persons Severe Disabil 32:89–100

    Article  Google Scholar 

  36. 36.

    Bokor G, Anderson PD (2014) Obsessive–compulsive disorder. J Pharm Pract 27:116–130

    PubMed  Article  Google Scholar 

  37. 37.

    Piacentini J, Bergman RL, Keller M, McCracken J (2003) Functional impairment in children and adolescents with obsessive–compulsive disorder. J Child Adolesc Psychopharmacol 13:61–69

    Article  Google Scholar 

  38. 38.

    American Psychiatric Association (2006) Diagnostic and statistical manual of mental disorders; volume IV-TR. American Psychiatric Association, Washington, DC

    Google Scholar 

  39. 39.

    Kerns CM, Kendall PC (2012) The presentation and classification of anxiety in autism spectrum disorder. Clin Psychol 19:323–347

    Google Scholar 

  40. 40.

    Ruta L, Mugno D, D’Arrigo VG, Vitiello B, Mazzone L (2010) Obsessive–compulsive traits in children and adolescents with Asperger syndrome. Eur Child Adolesc Psychiatry 19:17–24

    PubMed  Article  Google Scholar 

  41. 41.

    Bitsika V, Sharpley CF (2015) Variation in the profile of anxiety disorders in boys with an ASD according to method and source of assessment. J Autism Dev Disord 45:1825–1835

    PubMed  Article  Google Scholar 

  42. 42.

    Mack H, Fullana MA, Russell AJ, Mataix-Cols D, Nakatani E, Heyman I (2010) Obsessions and compulsions in children with asperger’s syndrome or high-functioning autism: a case-control study. Australas Psychiatry 44:1082–1088

    Article  Google Scholar 

  43. 43.

    Lewin AB, Wood JJ, Gunderson S, Murphy TK, Storch EA (2011) Phenomenology of comorbid autism spectrum and obsessive-compulsive disorders among children. J Dev Phys Disabil 23:543–553

    Article  Google Scholar 

  44. 44.

    Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G et al (2002) The obsessive–compulsive inventory: development and validation of a short version. Psychol Assess 14:485–496

    PubMed  Article  Google Scholar 

  45. 45.

    Cadman T, Spain D, Johnston P, Russell A, Mataix-Cols D, Craig M et al (2015) Obsessive–compulsive disorder in adults with high-functioning autism spectrum disorder: what does self-report with the OCI-R tell us? Autism Res 8:477–485

    PubMed  Article  Google Scholar 

  46. 46.

    Cath DC, Ran N, Smith JH, van Balkom AM, Comijs HC (2008) Symptom overlap between autism spectrum disorder, generalized social anxiety disorder and obsessive–compulsive disorder in adults: a preliminary case-controlled study. Psychopathology 41:101–110

    PubMed  Article  Google Scholar 

  47. 47.

    Nadeau JM, Arnold EB, Storch EA, Lewin AB (2014) Family cognitive-behavioural treatment for a child with autism and comorbid obsessive compulsive disorder. Clin Case Stud 13:22–36

    Article  Google Scholar 

  48. 48.

    Chok JT, Koesler B (2014) Distinguishing obsessive–compulsive behavior from stereotypy: a preliminary investigation. Behav Modif 38:344–373

    PubMed  Article  Google Scholar 

  49. 49.

    Stronach S, Wetherby AM (2014) Examining restricted and repetitive behaviors in young children with autism spectrum disorder during two observational contexts. Autism 18:127–136

    PubMed  Article  Google Scholar 

  50. 50.

    Morgan L, Wetherby AM, Barber A (2008) Repetitive and stereotyped movements in children with autism spectrum disorders late in the second year of life. J Child Psychol Psychiatry 49:826–837

    PubMed  PubMed Central  Article  Google Scholar 

  51. 51.

    Elison JT, Wolff JJ, Reznick S, Botteron KN, Estes AM, Gu H et al (2014) Repetitive behavior in 12-month-olds later classified with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry 53:1216–1224

    PubMed  PubMed Central  Article  Google Scholar 

  52. 52.

    Lord C, Bishop S, Anderson D (2015) Developmental trajectories as autism phenotypes. Am J Med Genet C 169:198–208

    Article  Google Scholar 

  53. 53.

    Joseph L, Thurm A, Farmer C, Shumway C (2013) Repetitive behavior and restricted interests in young children with autism: comparisons with controls and stability over two years. Autism Res 6:584–595

    PubMed  Article  Google Scholar 

  54. 54.

    Ray-Subramanian CE, Weismer SE (2012) Receptive and expressive language as predictors of restricted and repetitive behaviors in young children with autism spectrum disorders. J Autism Dev Disord 42:2113–2120

    PubMed  PubMed Central  Article  Google Scholar 

  55. 55.

    Chowdhury M, Benson BA, Hillier A (2010) Changes in restricted repetitive behaviors with age: a study of high-functioning adults with autism spectrum disorders. Res Autism Spectr Disord 4:210–216

    Article  Google Scholar 

  56. 56.

    Johnson SA, Filliter JH, Murphy RR (2009) Discrepancies between self- and parent-perceptions of autistic traits and empathy in high functioning children and adolescents on the autism spectrum. J Autism Dev Disord 39:1706–1714

    PubMed  Article  Google Scholar 

  57. 57.

    Schriber RA, Robins RW, Solomon M (2014) Personality and self-insight in individuals with autism spectrum disorder. J Personal Soc Psychol 106:112–130

    Article  Google Scholar 

  58. 58.

    Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL et al (1989) The Yale-Brown obsessive compulsive scale. I. Development, use, and reliability. Arch Gen Psychiatry 46:1006–1011

    PubMed  Article  Google Scholar 

  59. 59.

    Farrell L, Barrett P (2006) Obsessive-compulsive disorder across the developmental trajectory: cognitive processing of threat in children, adolescents and adults. Br J Psychol 97:95–114

    PubMed  Article  Google Scholar 

  60. 60.

    Geller DA (2006) Obsessive-compulsive and spectrum disorders in children and adolescents. Psychiatr Clin North Am 29:353–370

    PubMed  Article  Google Scholar 

  61. 61.

    Williams MT, Farris SG (2011) Sexual orientation obsessions in obsessive compulsive disorder: prevalence and correlates. Psychiatry Res 187:156–159

    PubMed  Article  Google Scholar 

  62. 62.

    Coles ME, Ravid A (2016) Clinical presentation of not-just right experiences (NJREs) in individuals with OCD: characteristics and response to treatment. Behav Res Ther 87:182–187

    PubMed  Article  Google Scholar 

  63. 63.

    Murray K, Jassi A, Mataix-Cols D, Barrow F, Krebs G (2015) Outcomes of cognitive behaviour therapy for obsessive-compulsive disorder in young people with and without autism spectrum disorders: a case controlled study. Psychiatry Res 228:8–13

    PubMed  Article  Google Scholar 

  64. 64.

    Berardis DD, Campanella D, Serroni N, Gambi F, Carano A, La Rovere R et al (2008) Insight and perceived expressed emotion among adult outpatients with obsessive-compulsive disorder. J Psychiatr Pract 14:154–159

    PubMed  Article  Google Scholar 

  65. 65.

    Catapano F, Perris F, Fabrazzo M, Cioffi V, Giacco D, De Santis V et al (2010) Obsessive-compulsive disorder with poor insight: a three-year prospective study. Prog Neuropsychopharmacol Biol Psychiatry 34:323–330

    PubMed  Article  Google Scholar 

  66. 66.

    Jacob ML, Larson MJ, Storch EA (2014) Insight in adults with obsessive-compulsive disorder. Compr Psychiatry 55:896–903

    PubMed  Article  Google Scholar 

  67. 67.

    Jakubovski E, Pittenger C, Torres AR, Fontenelle LF, Do Rosario MC, Ferrão YA et al (2011) Dimensional correlates of poor insight in obsessive-compulsive disorder. Prog Neuropsychopharmacol Biol Psychiatry 35:1677–1681

    PubMed  PubMed Central  Article  Google Scholar 

  68. 68.

    Eisen JL, Phillips KA, Baer L, Beer DA, Atala KD, Rasmussen SA (1998) The brown assessment of beliefs scale: reliability and validity. Am J Psychiatry 155:102–108

    PubMed  Article  Google Scholar 

  69. 69.

    Rodgers J, Glod M, Connolly B, McConachie H (2012) The relationship between anxiety and repetitive behaviors in autism spectrum disorder. J Autism Dev Disord 42:2404–2409

    PubMed  Article  Google Scholar 

  70. 70.

    Rodgers J, Riby DM, Janes E, Connolly B, McConachie H (2012) Anxiety and repetitive behaviors in autism spectrum disorders and Williams syndrome: a cross-syndrome comparison. J Autism Dev Disord 42:175–180

    PubMed  Article  Google Scholar 

  71. 71.

    van Steensel FA, Bögels SM, Perrin S (2011) Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clin Child Fam Psychol Rev 14:302–317

    PubMed  PubMed Central  Article  Google Scholar 

  72. 72.

    Achenbach TM, Rescorla LA (2001) Manual for the ASEBA adult forms & profiles. University of Vermont, Research Center for Children, Youth, & Families, Burlington

    Google Scholar 

  73. 73.

    Gotham K, Bishop SL, Hus V, Huerta M, Lund S, Buja A et al (2013) Exploring the relationship between anxiety and insistence on sameness in autism spectrum disorders. Autism Res 6:33–41

    PubMed  Article  Google Scholar 

  74. 74.

    Lidstone J, Uljarevic M, Sullivan J, Rodgers J, McConachie H, Freeston M et al (2014) Relations among restricted and repetitive behaviors, anxiety and sensory features in children with autism spectrum disorders. Res Autism Spectr Disord 8:82–92

    Article  Google Scholar 

  75. 75.

    Green VA, Sigafoos J, Pituch KA, Itchon J, O’Reilly M, Lancioni GE (2006) Assessing behavioral flexibility in individuals with developmental disabilities. Focus Autism Other Dev Disabl 21:230–236

    Article  Google Scholar 

  76. 76.

    Ollington N, Green VA, O’Reilly MF, Lancioni GE, Didden R (2012) Functional analysis of insistence on sameness in an 11-year old boy with Asperger syndrome. Dev Neurorehabil 15:154–159

    PubMed  Article  Google Scholar 

  77. 77.

    Sasson NJ, Dichter GS, Bodfish JW (2012) Affective responses by adults with autism are reduced to social images but elevated to images related to circumscribed interests. PLoS One 7:e42457

    PubMed  PubMed Central  Article  Google Scholar 

  78. 78.

    Mercier C, Mottron L, Belleville S (2000) A psychosocial study on restricted interests in high-functioning persons with pervasive developmental disorders. Autism 4:406–425

    Article  Google Scholar 

  79. 79.

    Morgado P, Freitas D, Bessa JM, Sousa N, Cerqueira JJ (2013) Perceived stress in obsessive-compulsive disorder is related with obsessive but not compulsive symptoms. Front Psychiatry 4:1–6

    Article  Google Scholar 

  80. 80.

    Abramovitch A, Doron G, Sar-El D, Altenburger E (2013) Subtle threats to moral self-perceptions trigger obsessive-compulsive related cognitions. Cogn Ther Res 37:1132–1139

    Article  Google Scholar 

  81. 81.

    Rachman S (1997) A cognitive theory of obsessions. Behav Res Ther 35:793–802

    PubMed  Article  Google Scholar 

  82. 82.

    Simons JS, Gaher RM (2005) The distress tolerance scale: development and validation of a self-report measure. Motiv Emot 29:83–102

    Article  Google Scholar 

  83. 83.

    Cougle JR, Timpano KR, Fitch KE, Hawkins KA (2011) Distress tolerance and obsessions: an integrative analysis. Depress Anxiety 28:906–914

    PubMed  Article  Google Scholar 

  84. 84.

    Laposa JM, Collimore KC, Hawley LL, Rector NA (2015) Distress tolerance in OCD and anxiety disorders, and its relationship with anxiety sensitivity and intolerance of uncertainty. J Anxiety Disord 33:8–14

    PubMed  Article  Google Scholar 

  85. 85.

    Lee HJ, Kwon SM (2003) Two different types of obsession: autogenous obsessions and reactive obsessions. Behav Res Ther 41:11–29

    PubMed  Article  Google Scholar 

  86. 86.

    Wood JJ, Gadow KD (2010) Exploring the nature and function of anxiety in youth with autism spectrum disorders. Clin Psychol 17:281–292

    Google Scholar 

  87. 87.

    Zandt F, Prior M, Kyrios M (2009) Similarities and differences between children and adolescents with autism spectrum disorder and those with obsessive-compulsive disorder. Autism 13:43–57

    PubMed  Article  Google Scholar 

  88. 88.

    Anderson V, Northam E, Hendy J, Wrennall, J (2001) Developmental neuropsychology: a clinical approach. Psychology Press, East Sussex

    Google Scholar 

  89. 89.

    Rosenthal M, Lawson R, Dixon E, Wallace GL, Wills MC, Yerys BE (2013) Impairments in real-world executive function increase from childhood to adolescence in autism spectrum disorders. Neuropsychology 27:13–18

    PubMed  PubMed Central  Article  Google Scholar 

  90. 90.

    Corbett BA, Constantine LJ, Hendren R, Rocke D, Ozonoff S (2009) Examining executive functioning in children with autism spectrum disorder, attention deficit hyperactivity disorder, and typical development. Psychiatry Res 166:210–222

    PubMed  PubMed Central  Article  Google Scholar 

  91. 91.

    Yerys BE, Wallace GL, Harrison B, Celano MJ, Giedd JN, Kenworthy LE (2009) Set-shifting in children with autism spectrum disorders. Autism 13:523–538

    PubMed  PubMed Central  Article  Google Scholar 

  92. 92.

    Lopez BR, Lincoln AJ, Ozonoff S, Lai Z (2005) Examining the relationship between executive functions and restricted, repetitive symptoms of autistic disorder. J Autism Dev Disord 35:445–460

    PubMed  Article  Google Scholar 

  93. 93.

    South M, Ozonoff S, McMahon WM (2007) The relationship between executive functioning, central coherence, and repetitive behaviors in the high-functioning autism spectrum. Autism 11:437–451

    PubMed  Article  Google Scholar 

  94. 94.

    D’Cruz A-M, Ragozzino ME, Cook EH, Mosconi MW, Shrestha S, Sweeney JA (2013) Reduced behavioral flexibility in autism spectrum disorders. Neuropsychology 27:152–160

    PubMed  PubMed Central  Article  Google Scholar 

  95. 95.

    Robinson S, Goddard L, Dritschel B, Wisley M, Howlin P (2009) Executive functions in children with autism spectrum disorders. Brain Cogn 71:362–368

    PubMed  Article  Google Scholar 

  96. 96.

    South M, Chamberlain PD, Wigham S, Newton T, Le Couteur A, McConachie H et al (2014) Enhanced decision making and risk avoidance in high-functioning autism spectrum disorder. Neuropsychology 28:222–228

    PubMed  Article  Google Scholar 

  97. 97.

    Miller HL, Ragozzino ME, Cook EH, Sweeney JA, Mosconi MW (2015) Cognitive set shifting deficits and their relationship to repetitive behaviors in autism spectrum disorder. J Autism Dev Disord 45:805–815

    PubMed  PubMed Central  Article  Google Scholar 

  98. 98.

    LeMonda BC, Holtzer R, Goldman S (2012) Relationship between executive functions and motor stereotypies in children with autistic disorder. Res Autism Spectr Disord 6:1099–1106

    PubMed  PubMed Central  Article  Google Scholar 

  99. 99.

    De Vries M, Geurts HM (2012) Cognitive flexibility in ASD; task switching with emotional faces. J Autism Dev Disord 42:2558–2568

    PubMed  PubMed Central  Article  Google Scholar 

  100. 100.

    Mosconi MW, Kay M, D’Cruz AM, Seidenfeld A, Guter S, Standord LD et al (2009) Impaired inhibitory control is associated with higher-order repetitive behaviors in autism spectrum disorders. Psychol Med 39:1559–1566

    PubMed  PubMed Central  Article  Google Scholar 

  101. 101.

    Bannon S, Gonsalvez CJ, Croft RJ, Boyce PM (2006) Executive functions in obsessive-compulsive disorder: state or trait deficits? Aust N Z J Psychiatry 40:1031–1038

    PubMed  Google Scholar 

  102. 102.

    Bradbury C, Cassin SE, Rector NA (2011) Obsessive beliefs and neurocognitive flexibility in obsessive-compulsive disorder. Psychiatry Res 187:160–165

    PubMed  Article  Google Scholar 

  103. 103.

    Britton JC, Rauch SL, Rosso IM, Killgore WDS, Price LM, Ragan J et al (2010) Cognitive inflexibility and frontal-cortical activation in pediatric obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry 49:944–953

    PubMed  PubMed Central  Article  Google Scholar 

  104. 104.

    Cavedini P, Zorzi C, Piccinni M, Cavallini MC, Bellodi L (2010) Executive dysfunctions in obsessive-compulsive patients and unaffected relatives: searching for a new intermediate phenotype. Biol Psychiatry 67:1178–1184

    PubMed  Article  Google Scholar 

  105. 105.

    Lawrence NS, Wooderson S, Mataix-Cols D, David R, Speckens A, Phillips ML (2006) Decision making and set shifting impairments are associated with distinct symptom dimensions in obsessive-compulsive disorder. Neuropsychology 20:409–419

    PubMed  Article  Google Scholar 

  106. 106.

    Sternheim L, Van Der Burgh M, Berkhout LJ, Dekker MR, Ruiter C (2014) Poor cognitive flexibility, and the experience thereof, in a subclinical sample of female students with obsessive-compulsive symptoms. Scand J Psychol 55:573–577

    PubMed  Article  Google Scholar 

  107. 107.

    Dittrich WH, Johansen T (2013) Cognitive deficits of executive functions and decision-making in obsessive-compulsive disorder. Scand J Psychol 54:393–400

    PubMed  Article  Google Scholar 

  108. 108.

    Harsányi A, Csigó K, Rajkai C, Demeter G, Németh A, Racsmány M (2014) Two types of impairments in OCD: obsessions, as problems of thought suppression; compulsions, as behavioral-executive impairment. Psychiatry Res 215:651–658

    PubMed  Article  Google Scholar 

  109. 109.

    Kashyap H, Kumar JK, Kandavel T, Reddy YCJ (2013) Neuropsychological functioning in obsessive-compulsive disorder: are executive functions the key deficit? Compr Psychiatry 54:533–540

    PubMed  Article  Google Scholar 

  110. 110.

    Watkins LH, Sahakian BJ, Robertson MM, Veale DM, Rogers RD, Pickard K et al (2005) Executive function in Tourette’s syndrome and obsessive compulsive disorder. Psychol Med 35:571–582

    PubMed  Article  Google Scholar 

  111. 111.

    Da Victoria MS, Nascimento AL, Fontenelle LF (2012) Symptom-specific attentional bias to threatening stimuli in obsessive-compulsive disorder. Compr Psychiatry 53:783–788

    Article  Google Scholar 

  112. 112.

    Sasson NJ, Elison JT, Turner-Brown LM, Dichter GS, Bodfish JW (2011) Brief report: circumscribed attention in young children with autism. J Autism Dev Disord 41:242–247

    PubMed  PubMed Central  Article  Google Scholar 

  113. 113.

    Sasson NJ, Touchstone EW (2014) Visual attention to competing social and object images by preschool children with autism spectrum disorder. J Autism Dev Disord 44:584–592

    PubMed  Article  Google Scholar 

  114. 114.

    Sasson NJ, Turner-Brown LM, Holtzclaw TN, Lam KSL, Bodfish JW (2008) Children with autism demonstrate circumscribed attention during passive viewing of complex social and nonsocial picture arrays. Autism Res 1:31–42

    PubMed  Article  Google Scholar 

  115. 115.

    Bechara A, Damasio AR, Damasio H, Anderson SW (1994) Insensitivity to future consequences following damage to human prefrontal cortex. Cognition 50:7–15

    PubMed  Article  Google Scholar 

  116. 116.

    Grassi G, Pallanti S, Righi L, Figee M, Mantione M, Denys D et al (2015) Think twice: impulsivity and decision making in obsessive-compulsive disorder. J Behav Addict 4:263–272

    PubMed  PubMed Central  Article  Google Scholar 

  117. 117.

    Kim HW, Kang JI, Namkoong K, Jhung K, Ha RY, Kim SJ (2015) Further evidence of a dissociation between decision-making under ambiguity and decision-making under risk in obsessive-compulsive disorder. J Affect Disord 176:118–124

    PubMed  Article  Google Scholar 

  118. 118.

    Martoni RM, Brombin C, Nonis A, Salgari GC, Buongiorno A, Cavallini MC et al (2015) Evaluating effect of symptoms heterogeneity on decision-making ability in obsessive-compulsive disorder. Psychiatry Clin Neurosci 69:402–410

    PubMed  Article  Google Scholar 

  119. 119.

    Gabriels RL, Agnew JA, Miller LJ, Gralla J, Pan Z, Goldson E et al (2008) Is there a relationship between restricted, repetitive, stereotyped behaviors and interests and abnormal sensory response in children with autism spectrum disorders? Res Autism Spectr Disord 2:660–670

    Article  Google Scholar 

  120. 120.

    Kinsbourne M (1980) Do repetitive movement patterns in children and animals serve a dearousing function? J Dev Behav Pediatr 1:39–42

    PubMed  Google Scholar 

  121. 121.

    Chen Y, Rodgers J, McConachie H (2009) Restricted and repetitive behaviors, sensory processing and cognitive style in children with autism spectrum disorders. J Autism Dev Disord 39:635–664

    PubMed  Article  Google Scholar 

  122. 122.

    Foss-Feig JH, Heacock JL, Cascio CJ (2012) Tactile responsiveness patterns and their association with core features in autism spectrum disorders. Res Autism Spectr Disord 6:337–344

    PubMed  PubMed Central  Article  Google Scholar 

  123. 123.

    Joosten AV, Bundy AC, Einfeld SL (2009) Intrinsic and extrinsic motivation for stereotypic and repetitive behavior. J Autism Dev Disord 39:521–531

    PubMed  Article  Google Scholar 

  124. 124.

    Joosten AV, Bundy AC, Einfeld SL (2012) Context influences the motivation for stereotypic and repetitive behavior in children diagnosed with intellectual disability with and without autism. J Appl Res Intellect Disabil 25:262–270

    PubMed  Article  Google Scholar 

  125. 125.

    Baranek GT, David FJ, Poe MD, Stone WL, Watson LR (2006) Sensory experiences questionnaire: discriminating sensory features in young children with autism, developmental delays, and typical development. J Child Psychol Psychiatry 47:591–601

    PubMed  Article  Google Scholar 

  126. 126.

    Durand VM, Crimmins DB (1988) Identifying the variables maintaining self-injurious behavior. J Autism Dev Disord 18:99–117

    PubMed  Article  Google Scholar 

  127. 127.

    Ferrão YA, Shavitt RG, Prado H, Fontenelle LF, Malavazzi DM, De Mathis MA et al (2012) Sensory phenomena associated with repetitive behaviors in obsessive-compulsive disorder: an exploratory study of 1001 patients. Psychiatry Res 197:253–258

    PubMed  Article  Google Scholar 

  128. 128.

    Lee JC, Prado HS, Diniz JB, Borcato S, Da Silva CB, Hounie AG et al (2009) Perfectionism and sensory phenomena: phenotypic components of obsessive-compulsive disorder. Compr Psychiatry 50:431–436

    PubMed  Article  Google Scholar 

  129. 129.

    Pietrefesa AS, Coles ME (2008) Moving beyond an exclusive focus on harm avoidance in obsessive compulsive disorder: considering the role of incompleteness. Behav Ther 39:224–231

    PubMed  Article  Google Scholar 

  130. 130.

    Summers BJ, Fitch KE, Cougle JR (2014) Visual, tactile, and auditory “Not Just Right” experiences: associations with obsessive-compulsive symptoms and perfectionism. Behav Ther 45:678–689

    PubMed  Article  Google Scholar 

  131. 131.

    Coles ME, Frost RO, Heimberg RG, Rheaume J (2003) “Not just right experiences”: perfectionism, obsessive-compulsive features and general psychopathology. Behav Res Ther 41:681–700

    PubMed  Article  Google Scholar 

  132. 132.

    Dar R, Kahn DT, Carmeli R (2012) The relationship between sensory processing, childhood rituals and obsessive-compulsive symptoms. J Behav Ther Exp Psychiatry 43:679–684

    PubMed  Article  Google Scholar 

  133. 133.

    Geller DA, March J (2012) Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry 51:98–113

    Article  Google Scholar 

  134. 134.

    Storch EA, Merlo LJ (2006) Obsessive-compulsive disorder: strategies for using CBT and pharmacotherapy. J Fam Pract 55:329–333

    PubMed  Google Scholar 

  135. 135

    Elliott SJ, Fitzsimons L (2014) Modified CBT for treatment of OCD in a 7-year-old boy with ASD—a case report. J Child Adolesc Psychiatr Nurs 27:156–159

    PubMed  Article  Google Scholar 

  136. 136

    Boyd BA, McDonough SG, Bodfish JW (2012) Evidence-based behavioral interventions for repetitive behaviors in autism. J Autism Dev Disord 42:1236–1248

    PubMed  PubMed Central  Article  Google Scholar 

  137. 137

    Furlano R, Kelley EA, Hall L, Wilson DE (2015) Self-perception of competencies in adolescents with autism spectrum disorders. Autism Res 8:761–770

    PubMed  Article  Google Scholar 

  138. 138

    McDougle CJ, Kresch LE, Goodman WK, Naylor ST, Volkmar FR, Cohen DJ et al (1995) A case-controlled study of repetitive thoughts and behavior in adults with autistic disorder and obsessive-compulsive disorder. Am J Psychiatry 152:772–777

    PubMed  Article  Google Scholar 

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Correspondence to Elizabeth Kelley.

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Jiujias, M., Kelley, E. & Hall, L. Restricted, Repetitive Behaviors in Autism Spectrum Disorder and Obsessive–Compulsive Disorder: A Comparative Review. Child Psychiatry Hum Dev 48, 944–959 (2017). https://doi.org/10.1007/s10578-017-0717-0

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Keywords

  • Repetitive behavior
  • Autism spectrum disorder
  • Obsessive–compulsive disorder
  • Compulsive behavior
  • Anxiety