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Intrinsic and Extrinsic Motivation for Stereotypic and Repetitive Behavior

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Abstract

This study provides evidence for intrinsic and extrinsic motivators for stereotypical and repetitive behavior in children with autism and intellectual disability and children with intellectual disability alone. We modified the Motivation Assessment Scale (MAS) (1988b); dividing it into intrinsic and extrinsic measures and adding items to assess anxiety as an intrinsic motivator. Rasch analysis of data from 279 MASs (74 children) revealed that the items formed two unidimensional scales. Anxiety was a more likely intrinsic motivator than sensory seeking for children with dual diagnoses; the reverse was true for children with intellectual disability only. Escape and gaining a tangible object were the most common extrinsic motivators for those with dual diagnoses and attention and escape for children with intellectual disability.

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References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC.

  • Baranek, G. T. (1999). Autism during infancy: A retrospective video analysis of sensory-motor and social behaviors at 9–12 months of age. Journal of Autism and Developmental Disorders, 29, 213–224. doi:10.1023/A:1023080005650.

    Article  PubMed  Google Scholar 

  • Barton-Arwood, S. M., Wehby, J. H., Gunter, P. L., & Lane, K. L. (2003). Functional behavior assessment rating scales: Interater reliability with students with emotional or behavioral disorders. Behavioral Disorders, 28, 386–400.

    Google Scholar 

  • Bauer, A. M., Quas, J. A., & Boyce, W. T. (2002). Associations between physiological reactivity and children’s behavior: Advantages of a multisystem approach. Developmental and Behavioral Pediatrics, 23(2), 102–113.

    Google Scholar 

  • Berkson, G., Guthermuth, L., & Baranek, G. (1995). Relative prevalence and relations among stereotype and similar behaviours. American Journal of Mental Retardation, 100(2), 137–145.

    PubMed  Google Scholar 

  • Bihm, E. M., Kienlen, T. L., Ness, M. E., & Poindexter, A. R. (1991). Factor structure of the Motivation Assessment Scale for persons with mental retardation. Psychological Reports, 68, 1235–1238. doi:10.2466/PR0.68.4.1235-1238.

    Google Scholar 

  • Blairs, S., & Slater, S. (2007). The clinical application of deep touch pressure with a man with autism presenting with severe anxiety and challenging behavior. British Journal of Learning Disabilities, 35(4), 214–220. doi:10.1111/j.1468-3156.2007.00452.x.

    Article  Google Scholar 

  • Bodfish, J. W. (2004). Treating the core features of autism: Are we there yet? Mental Retardation and Developmental Disabilities Research Reviews, 10, 318–326. doi:10.1002/mrdd.20045.

    Article  PubMed  Google Scholar 

  • Bonadonna, P. (1981). Effects of a vestibular stimulation program on stereotypic rocking behaviour. The American Journal of Occupational Therapy, 35(12), 775–781.

    PubMed  Google Scholar 

  • Bond, T. G., & Fox, C. M. (2007). Applying the Rasch model: Fundamental measurement in the human sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.

    Google Scholar 

  • Brereton, A. V., Tonge, B. J., & Einfeld, S. L. (2006). Psychopathology in children and adolescents with autism compared to young people with intellectual disability. Journal of Autism and Developmental Disorders, 36, 863–870. doi:10.1007/s10803-006-0125-y.

    Article  PubMed  Google Scholar 

  • Bright, T., Bittick, K., & Fleeman, B. (1981). Reduction of self-injurious behaviour using sensory integration techniques. The American Journal of Occupational Therapy, 35, 167–172.

    PubMed  Google Scholar 

  • Cunningham, A. B., & Schreibman, L. (2007). Stereotypy in autism: The importance of function. Research in Autism Spectrum Disorders, 2, 469–479. doi:10.1016/j.rasd.2007.09.006.

    Article  Google Scholar 

  • Didden, R., Duker, P. C., & Korzilius, H. (1997). Meta-analytic study on treatment effectiveness for problem behaviours with individuals who have mental retardation. American Journal of Mental Retardation, 101, 387–399.

    PubMed  Google Scholar 

  • Duker, P. C., & Sigafoos, J. (1998). The Motivation Assessment Scale: Reliability and construct validity across three typographies of behaviour. Research in Developmental Disabilities, 19(2), 131–141. doi:10.1016/S0891-4222(97)00047-4.

    Article  PubMed  Google Scholar 

  • Durand, V. M., & Carr, E. G. (1987). Social Influences on “self-stimulatory” behavior: Analysis and treatment applications. Journal of Applied Behavior Analysis, 20(2), 119–132. doi:10.1901/jaba.1987.20-119.

    Article  PubMed  Google Scholar 

  • Durand, V. M., & Crimmins, D. B. (1988). The Motivation Assessment Scale. Topeka, KS: Monaco & Associates.

    Google Scholar 

  • Einfeld, S. L., & Tonge, B. J. (1994). Manual for the developmental behaviour checklist. Melbourne: Monash University.

    Google Scholar 

  • Einfeld, S. L., & Tonge, B. J. (2002). Manual for the developmental behaviour checklist (2nd ed.). Melbourne: Monash University.

  • Frith, U. (1991). Autism and Asperger syndrome. London: Cambridge University Press.

    Google Scholar 

  • Glenn, E., Bihm, E. M., & Lammers, W. J. (2003). Depression, anxiety, and relevant cognitions in persons with mental retardation. Journal of Autism and Developmental Disorders, 33(1), 69–76. doi:10.1023/A:1022282521625.

    Article  PubMed  Google Scholar 

  • Groden, J., Cautela, J. R., Prince, S., & Berryman, J. (1994). The impact of stress and anxiety on individuals with autism and developmental disabilities. New York: Plenum Press.

    Google Scholar 

  • Hall, S., Thorns, T., & Oliver, C. (2003). Structural and environmental characteristics of stereotyped behaviors. American Journal of Mental Retardation, 108(6), 391–402. doi:10.1352/0895-8017(2003)108<391:SAECOS>2.0.CO;2.

    Article  PubMed  Google Scholar 

  • 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), 223–446. doi:10.1023/A:1020593922901.

    Article  Google Scholar 

  • Howlin, P. (1998). Practitioner review: Psychological and educational treatments for autism. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 39(3), 307–322. doi:10.1017/S0021963097002138.

    Article  PubMed  Google Scholar 

  • Iarocci, G., & McDonald, J. (2006). Sensory integration and the perceptual experience of persons with autism. Journal of Autism and Developmental Disorders, 36(1), 77–90. doi:10.1007/s10803-005-0044-3.

    Article  PubMed  Google Scholar 

  • Joosten, A. V., & Bundy, A. C. (2008). The motivation of stereotypic and repetitive behavior: Examination of construct validity of the Motivation Assessment Scale. Journal of Autism and Developmental Disorders, 38(7), 1341–1348. doi:10.1007/s10803-007-0523-9.

    Article  PubMed  Google Scholar 

  • Kagan, J., Reznick, J. S., & Snidman, N. (1988). Biological basis of childhood shyness. Science, 240, 167–171. doi:10.1126/science.3353713.

    Article  PubMed  Google Scholar 

  • Kahng, S., Iwata, B. A., & Lewin, A. B. (2002). Behavioral treatment of self-injury, 1964 to 2000. American Journal of Mental Retardation, 107(3), 212–221. doi:10.1352/0895-8017(2002)107<0212:BTOSIT>2.0.CO;2.

    Article  PubMed  Google Scholar 

  • Kearney, C. A. (1994). Interater reliability of the Motivation Assessment Scale: Another closer look. The Journal of the Association for Persons with Severe Handicaps, 19, 139–142.

    Google Scholar 

  • Koegel, R. L., & Covert, A. (1972). The relationship of self-stimulation to learning in autistic children. Journal of Applied Behavior Analysis, 5, 381–387. doi:10.1901/jaba.1972.5-381.

    Article  PubMed  Google Scholar 

  • Linacre, J. M. (1999). Investigating rating scale category utility. Journal of Outcome Measurement, 3(2), 103–122.

    PubMed  Google Scholar 

  • Linacre, J. M. (2005). A User’s guide to Winsteps Ministeps: Rasch-model computer programs. Chicago.

  • Linacre, J. M. (2006). Facets for Windows (Version 3.61).

  • Linacre, J. M. (2007). Noise and random error. Rasch Measurement Transactions, 21(2), 1103.

    Google Scholar 

  • Lovaas, O. I., Newsom, C., & Hickman, C. (1987). Self-stimulatory and perceptual reinforcement. Journal of Applied Behavior Analysis, 20, 45–68. doi:10.1901/jaba.1987.20-45.

    Article  PubMed  Google Scholar 

  • Loveland, K. A., & Tunali-Kotoski, B. (2005). The school aged child with an autistic spectrum disorder. In F. R. Volkmar, R. Paul, A. Klin & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (Vol. 1, pp. 247–287). Hoboken, New Jersey: Wiley.

    Google Scholar 

  • Machalicek, W., O’Reilly, M. F., Beretvas, N., Sigafoos, J., & Lancioni, G. E. (2007). A review of interventions to reduce challenging behavior in school settings for students with autism spectrum disorders. Research in Autism Spectrum Disorders, 1, 229–246. doi:10.1016/j.rasd.2006.10.005.

    Article  Google Scholar 

  • Murray-Slutsky, C., & Paris, B. (2000). Exploring the spectrum of autism and pervasive developmental disorders., 2000 USA: Therapy Skill Builders.

    Google Scholar 

  • Nijhof, G., Joha, D., & Pekelharing, H. (1998). Aspects of stereotypic behavior among autistic persons: A study of the literature. The British Journal of Developmental Disabilities, 44,1(86), 3–13.

    Google Scholar 

  • O’Neill, M., & Jones, R. S. P. (1997). Sensory-perceptual abnormalities in autism: A case for more research. Journal of Autism and Developmental Disorders, 27(3), 283–293. doi:10.1023/A:1025850431170.

    Article  PubMed  Google Scholar 

  • Oakley, F., Lai, J. S., & Sunderland, T. (1999). A validation study of the Daily Living Questionnaire: An activities of daily living assessment for people with Alzheimer’s disease. Journal of Outcome Measurement, 3(4), 297–307.

    PubMed  Google Scholar 

  • Oliver, C. (1995). Annotation: Self-injurious behavior in children with learning disabilities: recent advances in assessment and intervention. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 36, 909–928. doi:10.1111/j.1469-7610.1995.tb01341.x.

    Article  PubMed  Google Scholar 

  • Paclawskyj, T. R., Matson, J. L., Rush, K. S., Smalls, Y., & Vollmer, T. R. (2001). Assessment of the convergent validity of the questions about Behavioral Function Scale with analogue functional analysis and the Motivation Assessment Scale. Journal of International Disability Research, 45(6), 484–494. doi:10.1046/j.1365-2788.2001.00364.x.

    Article  Google Scholar 

  • Reeves, G. D. (2001). From neuron to Behavior: Regulation, arousal and attention as important substrates for the process of sensory integration. In S. Smith Roley, E. I. Blanche & R. C. Schaaf (Eds.), Understanding the nature of sensory integration with diverse populations (pp. 89–108). Therapy Skill Builders.

  • Rincover, A., Newson, C., & Carr, E. G. (1979). Sensory extinction and sensory reinforcement principles for programming multiple behavior adaptive change. Journal of Applied Behavior Analysis, 12, 221–233. doi:10.1901/jaba.1979.12-221.

    Article  PubMed  Google Scholar 

  • Ryan, R. M., & Deci, E. L. (2000). Self- determination theory and the facilitation of intrinsic motivation, social development, and well-being. The American Psychologist, 55(1), 68–77. doi:10.1037/0003-066X.55.1.68.

    Article  PubMed  Google Scholar 

  • Ryan, R. M., & Deci, E. L. (2006). Self-regulation and the problem of human autonomy: Does psychology need choice, self-determination, and will? Journal of Personality, 74(6), 1558–1585. doi:10.1111/j.1467-6494.2006.00420.x.

    Article  Google Scholar 

  • Salkind, N. J. (2006). Exploring research. Upper Saddle River, NJ: Pearson Education Ltd.

    Google Scholar 

  • Schaaf, R. C., & Anzalone, M. E. (2001). Sensory integration with high risk infants and young children. In S. Smith Roley, E. I. Blanche & R. C. Schaaf (Eds.), Understanding the nature of sensory integration with diverse populations (pp. 275–300). Therapy Skill Builders.

  • Schneck, C. M. (2000). The efficacy of a sensorimotor treatment approach by occupational therapists. In R. A. Huebner (Ed.), Autism: A sensorimotor approach to management (pp. 139–178). Austin: PRO-ED INC.

    Google Scholar 

  • Schore, A. N. (1994). Affect regulation and the origin of self: The neurobiology of emotional development. Hillside, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Shogren, K. A., & Rojahn, J. (2003). Convergent reliability and validity of the questions about behavioral function and the Motivation Assessment Scale: A replication study. Journal of Developmental and Physical Disabilities, 15(4), 367–375. doi:10.1023/A:1026314316977.

    Article  Google Scholar 

  • Sigafoos, J., Kerr, M., & Roberts, D. (1994). Interrater reliability of the Motivation Assessment Scale: Failure to replicate with aggressive behavior. Research in Developmental Disabilities, 15(5), 333–342. doi:10.1016/0891-4222(94)90020-5.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Donatelli, L. S., Best, A., Williams, D. E., Barrera, F. J., Lenz, M. W., et al. (1993). Factor structure of the Motivation Assessment Scale. Journal of Intellectual Disability Research, 37, 65–74.

    Article  PubMed  Google Scholar 

  • Smith, E. V., & Smith, R. M. (2004). Introduction to Rasch measurement. Minnesota: JAM Press.

    Google Scholar 

  • Spreat, S., & Connelly, L. (1996). Reliability analysis of the motivation assessment scale. American Journal of Mental Retardation, 100(5), 528–532.

    PubMed  Google Scholar 

  • Storey, K., Bates, P., McGhee, N., & Dycus, S. (1984). Reducing the self-stimulatory behavior of a profoundly retarded female through sensory awareness training. The American Journal of Occupational Therapy, 38(8), 510–516.

    PubMed  Google Scholar 

  • Streiner, D. L., & Norman, G. R. (2003). Health Measurement Scales—a practical guide to their development and use (3rd ed.). New York: Oxford University Press.

    Google Scholar 

  • Sturmey, P. (1994). Assessing the functions of aberrant behaviors: A review of psychometric instruments. Journal of Autism and Developmental Disorders, 24, 293–304. doi:10.1007/BF02172228.

    Article  PubMed  Google Scholar 

  • Sturmey, P., Carlsen, A., Crisp, G., & Newton, J. T. (1988). A functional analysis of multiple aberrant responses: A refinement and extension of Iwatas’ et al.’s (1982) methodology. Journal of Mental Deficiency Research, 32, 31–46.

    PubMed  Google Scholar 

  • Teresi, J. A. (2006). Different approaches to differential item functioning in health applications: Advantages, disadvantages and some neglected topics. Medical Care, 44(S), 152–170.

    Article  Google Scholar 

  • Turner, M. (1999). Annotation: Repetitive behavior in autism: A review of psychological research. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 40(6), 839–849. doi:10.1017/S0021963099004278.

    Article  PubMed  Google Scholar 

  • Wechsler, D. (1991). Wechsler Intelligence Scale for Children-111 (3rd ed.). San Antonio, TX: The Psychological Corporation.

  • Wieseler, N., Hanson, R. H., Chamberlain, T. P., & Thompson, T. (1985). Functional taxonomy of stereotypic and self-injurious behavior. Mental Retardation, 23, 230–234.

    PubMed  Google Scholar 

  • Willemsen-Swinkels, S. H., Buitelaar, J. K., Dekker, M., & van Engeland, H. (1998). Subtyping stereotypic behavior in children: The association between stereotypic behavior, mood and heart rate. Journal of Autism and Developmental Disorders, 28(6), 547–557. doi:10.1023/A:1026008313284.

    Article  PubMed  Google Scholar 

  • Zarcone, J. R., Rodgers, T. A., Iwata, B. A., Rourke, D. A., & Dorsey, M. F. (1991). Reliability analysis of the Motivation Assessment Scale: A failure to replicate. Research in Developmental Disabilities, 12, 349–360. doi:10.1016/0891-4222(91)90031-M.

    Article  PubMed  Google Scholar 

  • Zimball, J. G., Lynch, K. M., Stewart, K. C., Williams, N. E., Thomas, M. A., & Atwood, K. D. (2007). Using salivary cortisol to measure the effects of a Wilbarger protocol-based procedure on sympathetic arousal: A pilot study. The American Journal of Occupational Therapy, 61(4), 406–413.

    Google Scholar 

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This study was completed as partial fulfilment for the PhD degree of Annette V. Joosten.

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Joosten, A.V., Bundy, A.C. & Einfeld, S.L. Intrinsic and Extrinsic Motivation for Stereotypic and Repetitive Behavior. J Autism Dev Disord 39, 521–531 (2009). https://doi.org/10.1007/s10803-008-0654-7

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