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Repetitive Behavior Scale for Early Childhood (RBS-EC): Psychometrics and Developmental Effects with a Community Sample

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Abstract

Restricted, repetitive behaviors and interests (RRBIs) occur commonly in young children in the course of typical development, but too frequent or persistent RRBIs have been linked to a variety of psychosocial and neurodevelopmental disorders. Unfortunately, a lack of psychometrically sound, feasible instruments stymies RRBI study and intervention in early childhood. Therefore, this study validated an extant RRBI measure (i.e., Repetitive Behavior Scale for Early Childhood; RBS-EC) for predominately neurotypical community children ages 2–7 years via an MTurk survey of 300 caregivers. Confirmatory factor analyses best supported a 4-factor model for the RBS-EC (i.e., repetitive motor, rituals and routines, restricted interests, self-directed behaviors). RBS-EC scores varied significantly with age and gender; namely, RRBIs were typically (1) less frequent but more problematic with older versus younger children and (2) more frequent and problematic with boys versus girls. Findings extend the RBS-EC’s utility in RRBI assessment and treatment during early childhood.

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References

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

    Google Scholar 

  2. 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(4):162–173

    Article  PubMed  PubMed Central  Google Scholar 

  3. Oakes A, Thurman AJ, McDuffie A, Bullard LM, Hagerman RJ, Abbeduto L (2015) Characterising repetitive behaviours in young boys with fragile X syndrome. J Intell Disabil Res 60(1):54–67

    Article  Google Scholar 

  4. Tröster H (1994) Prevalence and functions of stereotyped behaviors in nonhandicapped children in residential care. J Abnorm Child Psychol 22(1):79–97

    Article  PubMed  Google Scholar 

  5. Moss J, Oliver C, Arron K, Burbidge C, Berg K (2009) The prevalence and phenomenology of repetitive behavior in genetic syndromes. J Autism Dev Disord 39(4):572–588

    Article  PubMed  Google Scholar 

  6. Ruzzano L, Borsboom D, Geurts HM (2015) Repetitive behaviors in autism and obsessive–compulsive disorder: new perspectives from a network analysis. J Autism Dev Disord 45(1):192–202

    Article  PubMed  Google Scholar 

  7. Evans DW, Leckman JF, Carter A, Reznick JS, Henshaw D, King RA, Pauls D (1997) Ritual, habit, and perfectionism: the prevalence and development of compulsive-like behavior in normal young children. Child Dev 68:58–68

    Article  PubMed  Google Scholar 

  8. Larkin F, Meins E, Centifanti LCM, Fernyhough C, Leekam SR (2017) How does restricted and repetitive behavior relate to language and cognition in typical development? Dev Psychopathol 29:863–874

    Article  PubMed  Google Scholar 

  9. Leekam S, Tandos J, Mcconachie H et al (2007) Repetitive behaviours in typically developing 2-year-olds. J Child Psychol Psychiat 48(11):1131–1138

    Article  PubMed  Google Scholar 

  10. Wolff JJ, Boyd BA, Elison JT (2016) A quantitative measure of restricted and repetitive behaviors for early childhood. J Neurodev Disord 8:27–37

    Article  PubMed  PubMed Central  Google Scholar 

  11. Pietrefesa AS, Evans DW (2007) Affective and neuropsychological correlates of children’s rituals and compulsive-like behaviors: continuities and discontinuities with obsessive-compulsive disorder. Brain Cogn 65:36–46

    Article  PubMed  Google Scholar 

  12. Berkson G, Tupa M (2000) Early development of stereotyped and self-injurious behaviors. J Early Interv 23:1–19

    Article  Google Scholar 

  13. Kravitz H, Boehm JJ (1971) Rhythmic habit patterns in infancy: their sequence, age of onset, and frequency. Child Dev 42:399–413

    Article  PubMed  Google Scholar 

  14. Thelen E (1981) Rhythmical behavior in infancy: an ethological perspective. Dev Psychol 17:237–257

    Article  Google Scholar 

  15. Arnott B, McConachie H, Meins E et al (2010) The frequency of restricted and repetitive behaviors in a community sample of 15-month-old infants. J Dev Behav Pediatr 31:223–229

    Article  PubMed  Google Scholar 

  16. Piaget J (1952) The origins of intelligence in children. International Universities Press, New York

    Book  Google Scholar 

  17. Harrop C, McConachie H, Emsley R, Leadbitter K, Green J (2014) PACT consortium. Restricted and repetitive behaviors in autism spectrum disorders and typical development: cross-sectional and longitudinal comparisons. J Autism Dev Disord 44(5):1207–1219. https://doi.org/10.1007/s10803-013-1986-5

    Article  PubMed  Google Scholar 

  18. Macdonald R, Green G, Mansfield R et al (2007) Stereotypy in young children with autism and typically developing children. Res Dev Disabil 28(3):266–277. https://doi.org/10.1016/j.ridd.2006.01.004

    Article  PubMed  Google Scholar 

  19. 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

    Article  PubMed  PubMed Central  Google Scholar 

  20. Zohar AH, Felz L (2001) Ritualistic behavior in young children. J Abnormal Child Psychol 29(2):121–128

    Article  Google Scholar 

  21. Evans DW, Kleinpeter FL, Slane MM, Boomer KB (2014) Adaptive and maladaptive correlates of repetitive behavior and restricted interests in persons with Down syndrome and developmentally-matched typical children: a two-year longitudinal sequential design. PLoS ONE 9(4):e93951

    Article  PubMed  PubMed Central  Google Scholar 

  22. Whitehouse AJ, Watt HJ, Line EA, Bishop DV (2009) Adult psychosocial outcomes of children with specific language impairment, pragmatic language impairment and autism. Int J Lang Commun Disord 44(4):511–528

    Article  PubMed  PubMed Central  Google Scholar 

  23. Cevikaslan A, Evans DW, Dedeoglu C, Kalaca S, Yazgan Y (2014) A cross-sectional survey of repetitive behaviors and restricted interests in a typically developing Turkish child population. Child Psychiatry Hum Dev 45:472–482

    Article  PubMed  Google Scholar 

  24. Glenn S, Cunningham C, Nananidou A (2012) A cross-sectional comparison of routinized and compulsive-like behaviors in typical children aged from 2 to 11 years. Eur J Dev Psychol 1:1–17

    Google Scholar 

  25. Glenn S, Cunningham C (2007) Typical or pathological? Routinized and compulsive-like behaviours in children and young people with Down syndrome. Intellect Dev Disabil 45:246–256

    Article  PubMed  Google Scholar 

  26. Tregay J, Gilmour J, Charman T (2009) Childhood rituals and executive functions. Br J Dev Psychol 27:283–296

    Article  PubMed  Google Scholar 

  27. Hiller RM, Young RL, Weber N (2014) Sex differences in autism spectrum disorder based on DSM-5 criteria: evidence from clinician and teacher reporting. J Abnorm Child Psychol 42(8):1381–1393

    Article  PubMed  Google Scholar 

  28. Antezana L, Factor RS, Condy EE, Strege MV, Scarpa A, Richey JA (2019) Gender differences in restricted and repetitive behaviors and interests in youth with autism. Autism Res 12(2):274–283

    Article  PubMed  Google Scholar 

  29. Van Wijngaarden-Cremers PJ, van Eeten E, Groen WB, Van Deurzen PA, Oosterling IJ, Van der Gaag RJ (2014) Gender and age differences in the core triad of impairments in autism spectrum disorders: a systematic review and meta-analysis. J Autism Dev Disord 44(3):627–635

    Article  PubMed  Google Scholar 

  30. Tillmann J, Ashwood K, Absoud M et al (2018) Evaluating sex and age differences in ADI-R and ADOS scores in a large European multi-site sample of individuals with autism spectrum disorder. J Autism Dev Disord 48(7):2490–2505

    Article  PubMed  PubMed Central  Google Scholar 

  31. McFayden TC, Albright J, Muskett AE, Scarpa A (2019) Brief report: sex differences in ASD diagnosis-a brief report on restricted interests and repetitive behaviors. J Autism Dev Disord 49(4):1693–1699

    Article  PubMed  Google Scholar 

  32. Lord C, Rutter M, DiLavore PC, Risi S, Gotham K, Bishop SL (2012) Autism diagnostic observation schedule, second edition (ADOS-2) manual (Part I): modules 1–4. Western Psychological Services, Torrance, CA

    Google Scholar 

  33. Ozonoff S, Macari S, Young GS, Goldring S, Thompson M, Rogers SJ (2008) Atypical object exploration at 12 months of age is associated with autism in a prospective sample. Autism 12:457–472

    Article  PubMed  PubMed Central  Google Scholar 

  34. Watt N, Wetherby AM, Barber A, Morgan L (2008) Repetitive and stereotyped behaviors in children with autism spectrum disorders in the second year of life. J Autism Dev Disord 38:1518–1533

    Article  PubMed  PubMed Central  Google Scholar 

  35. Glasgow RE (2013) What does it mean to be pragmatic? Pragmatic methods, measures, and models to facilitate research translation. Health Educ Behav 40(3):257–265

    Article  PubMed  Google Scholar 

  36. Glasgow RE, Riley WT (2013) Pragmatic measures: what they are and why we need them. Am J Prev Med 45(2):237–243

    Article  PubMed  Google Scholar 

  37. Lewis CC, Proctor EK, Brownson RC (2018) Measurement issues in dissemination and implementation research. In: Brownson RC, Ga C, Proctor EK (eds) Disssemination and implementation research in health: translating science to practice, 2nd edn. Oxford University Press, New York

    Google Scholar 

  38. Lewis CC, Mettert KD, Dorsey CN et al (2018) An updated protocol for a systematic review of implementation-related measures. Syst Rev 7(1):66

    Article  PubMed  PubMed Central  Google Scholar 

  39. American Academy of Pediatrics (2001) Committee on children with disabilities. Developmental surveillance and screening of infants and young children. Pediatrics 108:192–196

    Article  Google Scholar 

  40. Lam KS, Aman MG (2007) The repetitive behavior scale-revised: independent validation in individuals with autism spectrum disorders. J Autism Dev Disord 37(5):855–866

    Article  PubMed  Google Scholar 

  41. Bodfish JW, Symons FW, Lewis MH (1999) The Repetitive Behavior Scale. Western Carolina Center Research Reports

  42. Esbensen AJ, Seltzer MM, Lam KS, Bodfish JW (2009) Age-related differences in restricted repetitive behaviors in autism spectrum disorders. J Autism Dev Disord 39(1):57–66

    Article  PubMed  Google Scholar 

  43. 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

    Article  PubMed  Google Scholar 

  44. 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(1):55–69

    Article  PubMed  PubMed Central  Google Scholar 

  45. 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

    Article  PubMed  Google Scholar 

  46. Lasch C, Wolff J, Elison J (2019) Examining criterion-oriented validity of the repetitive behavior scales for early childhood (RBS-EC) and the video-referenced rating of reciprocal social behavior (vrRSB). Dev Psychopathol. https://doi.org/10.1017/S0954579419001159

    Article  Google Scholar 

  47. Carter AS, Briggs-Gowan MJ, Jones SM, Little TD (2003) The infant–toddler social and emotional assessment (ITSEA): factor structure, reliability, and validity. J Abnorm Child Psychol 31:495–514. https://doi.org/10.1023/A:1025449031360

    Article  PubMed  Google Scholar 

  48. Buhrmester MD, Talaifar S, Gosling S (2018) An evaluation of amazon’s mechanical turk, its rapid rise, and its effective use. Perspect Psychol Sci 13(2):149–154

    Article  PubMed  Google Scholar 

  49. Meade AW, Craig SB (2012) Identifying careless responses in survey data. Psychol Methods 17(3):437–455

    Article  PubMed  Google Scholar 

  50. Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B Methodol 57:289–300

    Google Scholar 

  51. Schermelleh-Engel K, Moosbrugger H, Müller H (2003) Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. Methods Psychol Res Online 8(2):23–74

    Google Scholar 

  52. Schumacker RE, Lomax RG (2004) A beginner’s guide to structural equation modeling. Psychology Press, London

    Book  Google Scholar 

  53. Hu LT, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 6(1):1–55

    Article  Google Scholar 

  54. Muthén LK, Muthén BO (1998) Mplus user’s guide. Author, Los Angeles, CA

    Google Scholar 

  55. Walters K, Christakis DA, Wright DR (2018) Are Mechanical Turk worker samples representative of health status and health behaviors in the U.S.? PLoS ONE 13(6):e0198835

    Article  PubMed  PubMed Central  Google Scholar 

  56. Powell BJ, Stanick CF, Halko HM et al (2017) Toward criteria for pragmatic measurement in implementation research and practice: a stakeholder-driven approach using concept mapping. Implement Sci 12(1):118

    Article  PubMed  PubMed Central  Google Scholar 

  57. Stanick CF, Halko HM et al (2019) Pragmatic measures for implementation research: development of the psychometric and pragmatic evidence rating scale (PAPERS). Transl Behav Med. https://doi.org/10.1093/tbm/ibz164

    Article  PubMed Central  Google Scholar 

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Funding

Funding for this project provided by Idaho State University Office of Research and Department of Psychology.

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Correspondence to Robert Rieske.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Idaho State University Human Subjects Committee: IRB-FY2018-268) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Lachance, K., Štětinová, K., Rieske, R. et al. Repetitive Behavior Scale for Early Childhood (RBS-EC): Psychometrics and Developmental Effects with a Community Sample. Child Psychiatry Hum Dev 53, 863–875 (2022). https://doi.org/10.1007/s10578-021-01166-x

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