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Advances in Neurodevelopmental Disorders

, Volume 2, Issue 2, pp 206–215 | Cite as

Topography and Function of Challenging Behaviors in Individuals with Autism Spectrum Disorder

  • Esther Hong
  • Dennis R. Dixon
  • Elizabeth Stevens
  • Claire O. Burns
  • Erik Linstead
ORIGINAL PAPER

Abstract

Individuals with autism spectrum disorder (ASD) are at a greater risk for challenging behavior than individuals with other developmental disabilities. An essential step in the treatment of these behaviors is the identification of the function of the behavior. In the current study, data were collected from a large database, in which supervising clinicians from a community-based behavioral health agency recorded the topography and function(s) of behaviors treated as a part of an individual’s behavior intervention plan. In a sample of 3216 individuals (mean age = 10.67, SD = 4.61) with ASD, the frequency of the most common challenging behaviors and the identified function of the behavior were examined. Stereotypy was the most commonly reported topography, followed by noncompliance and aggression. Overall, escape was the most commonly reported function of behavior. To further evaluate how clinicians operationally define these behaviors, a part-of-speech text analysis was conducted and found a high degree of overlap in the operational definitions of challenging behavior (i.e., aggression, disruption and tantrum; noncompliance and tantrum; obsessive behavior and stereotypy; self-injurious behavior and aggression). These data are discussed in further detail.

Keywords

Applied behavior analysis Autism spectrum disorder Challenging behavior Function Topography 

Notes

Author Contributions

EH: designed and executed the study, assisted with the textual data analysis, and wrote the paper. DDR: designed the study and assisted with data analyses and writing of the study. ES: wrote software and analyzed the data. COB: collaborated in the writing and editing of the final manuscript. EL: analyzed the data and wrote the methods and results.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

For this type of retrospective analysis, formal consent was not required.

References

  1. Ahearn, W. H., Clark, K. M., MacDonald, R. P., & Chung, B. I. (2007). Assessing and treating vocal stereotypy in children with autism. Journal of Applied Behavior Analysis, 40(2), 3–275.CrossRefGoogle Scholar
  2. Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985). The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficiency, 89, 485–491.PubMedGoogle Scholar
  3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev. ed.). Washington, DC: American Psychiatric Association.Google Scholar
  4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Association.CrossRefGoogle Scholar
  5. Baeza-Yates, R., & Ribeiro-Neto, B. (1999). Modern information retrieval (Vol. 463). New York: ACM Press.Google Scholar
  6. Carr, E. G. (1977). The motivation of self-injurious behavior: A review of some hypotheses. Psychological Bulletin, 84(4), 800–816.CrossRefPubMedGoogle Scholar
  7. Cooper, J. O., Heron, T. E., & Heward, W. L. (2014). Applied behavior analysis. Upper Saddle River: Pearson/Merrill-Prentice Hall.Google Scholar
  8. Didden, R., Korzilius, H., van Oorsouw, W., & Sturmey, P. (2006). Behavioral treatment of challenging behaviors in individuals with mild mental retardation: meta-analysis of single-subject research. American Journal on Mental Retardation, 111, 290–298.CrossRefPubMedGoogle Scholar
  9. Dixon, D. R., Vogel, T., & Tarbox, J. (2012). A brief history of functional analysis and applied. Behavior analysis. In J. L. Matson (Ed.), Functional assessment for challenging. behaviors (pp. 3–24). New York: Springer.CrossRefGoogle Scholar
  10. Durand, V. M., & Carr, E. G. (1987). Social influences on “self-stimulatory” behavior: Analysis. and treatment application. Journal of Applied Behavior Analysis, 20, 119–132.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Emerson, E. (1995). Challenging behaviour: Analysis and intervention in people with severe. intellectual disabilities. Cambridge: Cambridge University Press.Google Scholar
  12. Granpeesheh, D., Tarbox, J., Najdowski, A. C., & Kornack, J. (2014). Evidence-Based Treatment for. Children with Autism: The CARD Model. Waltham: Elsevier.Google Scholar
  13. Hagopian, L. P., Wilson, D. M., & Wilder, D. A. (2001). Assessment and treatment of problem. behavior maintained by escape from attention and access to tangible items. Journal of Applied Behavior Analysis, 34, 229–232.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Hall, S. S. (2005). Comparing descriptive, experimental, and informant-base assessments of. problem behaviors. Research in Developmental Disabilities, 26, 1514–1526.CrossRefGoogle Scholar
  15. Hellings, J. A., Nickel, M. A., Weckbaugh, R. N., McCarter, K., Mosier, M., & Schroeder, S. R. (2005). The Overt Aggression Scale for rating youth with autistic disorder: Preliminary. findings. The Journal of Neuropsychiatry and Clinical Neuroscience, 17, 29–35.CrossRefGoogle Scholar
  16. Hiebert, R., Martin, G. L., Yu, C. T., Thorsteinsson, J. R., & Martin, T. L. (2009). Predicting. compliance of children with and without developmental delay. Canadian Journal of Behavioral Science, 41, 31–36.CrossRefGoogle Scholar
  17. Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior. interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32(5), 423–446.CrossRefPubMedGoogle Scholar
  18. Horovitz, M. (2015). Challenging Behaviors. In J. L. Matson & M. L. Matson (Eds.), Comorbid Conditions in Individuals with Intellectual Disabilities. Switzerland: Springer International Publishing.Google Scholar
  19. Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a. functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197–209.CrossRefPubMedPubMedCentralGoogle Scholar
  20. Jang, J., Dixon, D. R., Tarbox, J., & Granpeesheh, D. (2011). Symptom severity and challenging. behavior in children with ASD. Research in Autism Spectrum Disorders, 5(3), 1028–1032.CrossRefGoogle Scholar
  21. Jessel, J., Hanley, G. P., & Ghaemmaghami, M. (2016). Interview-informed synthesized. contingency analyses: Thirty replications and reanalysis. Journal of Applied Behavior Analysis, 49(3), 1–22.CrossRefGoogle Scholar
  22. Lipschultz, J. L., & Wilder, D. A. (2017). Behavioral assessment and treatment of. noncompliance: A review of the literature. Education and Treatment of Children, 40(2), 236–298.CrossRefGoogle Scholar
  23. Mace, F. C., Page, T. J., Ivancic, M. T., & O’Brien, S. (1986). Analysis of environmental. determinants of aggression and disruption in mentally retarded children. Applied Research in Mental Retardation, 7, 203–221.CrossRefPubMedGoogle Scholar
  24. Mace, F. C., Browder, D. M., & Lin, Y. (1987). Analysis of demand conditions associated with. stereotypy. Journal of Behavior Therapy and Experimental Psychiatry, 18(1), 25–31.CrossRefPubMedGoogle Scholar
  25. Matson, J. L. (2009). Aggression and tantrums in children with autism: A review of behavioral. treatments and maintaining variables. Journal of Mental Health Research in Intellectual Disabilities, 2, 169–187.CrossRefGoogle Scholar
  26. Matson, J. L., & González, M. L. (2007). Autism Spectrum Disorders – Behavior Problems – Child Version. Baton Rouge: Disability Consultants, LLC..Google Scholar
  27. Matson, J. L., & LoVullo, S. V. (2008). A review of behavioral treatments for self-injurious. behaviors of persons with autism spectrum disorders. Behavior Modification, 32(1), 61–76.CrossRefPubMedGoogle Scholar
  28. Matson, J. L., & Nebel-Schwalm, M. (2007). Assessing challenging behaviors in children with. autism spectrum disorders: A review. Research in Developmental Disabilities, 28, 567–579.CrossRefPubMedGoogle Scholar
  29. Matson, J. L., & Vollmer, T. R. (1995). User’s guide: Questions About Behavioral Function (QABF). Baton Rouge: Disability Consultants, LLC..Google Scholar
  30. Matson, J. L., Bamburg, J. W., Cherry, K. E., & Paclawskyj, T. R. (1999). A validity study on. the questions about behavioral function (QABF) scale: Predicting treatment success for. self-injury, aggression, and stereotypies. Research in Developmental Disabilities, 20(2), 163–175.CrossRefPubMedGoogle Scholar
  31. Matson, J. L., Kuhn, D. E., Dixon, D. R., Mayville, S. B., Laud, R. B., Cooper, C. L., et al. (2003). The development and factor structure of the functional assessment for multiple causality (FACT). Research in Developmental Disabilities, 21, 485–495.CrossRefGoogle Scholar
  32. Matson, J. L., Dixon, D. R., & Matson, M. L. (2005). Assessing and treating aggression in. children and adolescents with developmental disabilities: A 20-year overview. Educational Psychology, 25(2–3), 151–181.CrossRefGoogle Scholar
  33. Matson, J. L., Gonzalez, M. L., & Rivet, T. T. (2008). Reliability of Autism Spectrum Disorder-. Behavior Problems for Children (ASD-BPC). Research in Autism Spectrum Disorders, 2, 696–706.CrossRefGoogle Scholar
  34. Matson, J. L., Mahan, S., Hess, J. A., Fodstad, J. C., & Neal, D. (2010). Progression of. challenging behaviors in children and adolescents with autism spectrum disorders as. measured by the Autism Spectrum Disorders-Problem Behaviors for Children (ASD-PBC). Research in Autism Spectrum Disorders, 4, 400–404.CrossRefGoogle Scholar
  35. McCarthy, J., Hemmings, C., Kravariti, E., Dworzynski, K., Holt, G., Bouras, N., & Tsakanikos, E. (2010). Challenging behavior and co-morbid psychopathology in adults with. intellectual disability and autism spectrum disorders. Research in Developmental Disabilities, 31, 362–366.CrossRefPubMedGoogle Scholar
  36. Murphy, O., Healy, O., & Leader, G. (2009). Risk factors for challenging behaviors among 157. children with autism spectrum disorder in Ireland. Research in Autism Spectrum Disorders, 3, 474–482.CrossRefGoogle Scholar
  37. Persicke, A., Bishop, M. R., Coffman, C. M., Najdowski, A. C., Tarbox, J., Chi, K., et al. (2014). Evaluation of the concurrent validity of a skills assessment for autism treatment. Research in Autism Spectrum Disorders, 8(3), 281–285.CrossRefGoogle Scholar
  38. Piazza, C. C., Hanley, G. P., Bowman, L. G., Ruyter, J. M., Lindauer, S. E., & Saiontz, D. M. (1997). Functional analysis and treatment of elopement. Journal of Applied Behavior Analysis, 30(4), 653–672.CrossRefPubMedPubMedCentralGoogle Scholar
  39. Rapp, J. T., & Vollmer, T. R. (2005). Stereotypy I: A review of behavioral assessment and. treatment. Research in Developmental Disabilities, 26, 527–547.CrossRefPubMedGoogle Scholar
  40. Reimers, T. M., Wacker, D. P., Cooper, L. J., Sasso, G. M., Berg, W. K., & Steege, M. W. (1993). Assessing the functional properties of noncompliant behavior in an outpatient setting. Child & Family Behavior Therapy, 15(3), 1–15.CrossRefGoogle Scholar
  41. Rojahn, J., Matson, J. L., Esbensen, A. J., & Smalls, Y. (2001). The Behavior Problems Inventory: an instrument for the assessment of self-injury, stereotyped behavior, and aggression/destruction in individuals with developmental disabilities. Journal of Autism and Developmental Disorders, 31(6), 577–588.CrossRefPubMedGoogle Scholar
  42. Shoham-Vardi, I., Davidson, P. W., Cain, N. N., Sloane-Reeves, J. E., Giesow, V. E., Quijano, L. E., & Houser, K. D. (1996). Factors predicting re-referral following crisis intervention for community-based persons with developmental disabilities and behavioral and psychiatric disorders. American Journal on Mental Retardation, 101, 109–117.PubMedGoogle Scholar
  43. Stevens, E., Atchison, A., Stevens, L., Hong, E., Granpeesheh, D., Dixon, D., Linstead, E. (2017). A cluster analysis of challenging behaviors in autism spectrum disorder. In Machine Learning and Applications (ICMLA), 2017 I.E. 16th International Conference on (to appear).Google Scholar
  44. Sturmey, P. (1995). Analog baselines: A critical review of the methodology. Research in Developmental Disabilities, 16, 269–284.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Esther Hong
    • 1
  • Dennis R. Dixon
    • 1
  • Elizabeth Stevens
    • 2
  • Claire O. Burns
    • 1
  • Erik Linstead
    • 2
  1. 1.Center for Autism and Related DisordersLos AngelesUSA
  2. 2.Schmid College of Science and TechnologyChapman UniversityOrangeUSA

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