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http://dx.doi.org/10.5765/jkacap.2015.26.1.22

Clinical Characteristics of Children with Autism Spectrum Disorder According to the Presence of Motor Stereotypes  

Kim, Ji-Soon (Department of Neuropsychiatry, Seoul National University Hospital)
Yoo, Hee-Jeong (Department of Neuropsychiatry, Seoul National University Bundang Hospital)
Bae, Jeong-Hoon (Department of Neuropsychiatry, Bongseng Memorial Hospital)
Cho, In-Hee (In-Hee Cho Neuropsychiatric Clinic)
Park, Tae-Won (Department of Psychiatry, Chonbuk National University Hospital)
Son, Jung-Woo (Department of Psychiatry, Chungbuk National University Hospital)
Chung, Un-Sun (Department of Psychiatry, Kyungpook National University Hospital)
Shin, Min-Sup (Department of Neuropsychiatry, Seoul National University Hospital)
Kim, Bung-Nyun (Department of Neuropsychiatry, Seoul National University Hospital)
Kim, Jae-Won (Department of Neuropsychiatry, Seoul National University Hospital)
Yang, Young-Hui (Department of Neuropsychiatry, Seoul National Hospital)
Kang, Je-Wook (Department of Psychiatry, Busan Paik Hospital)
Song, Sook-Hyung (Department of Psychiatry, Yong-in Mental Hospital)
Cho, Soo-Churl (Department of Psychiatry, The Korea Armed Forces Capital Hospital)
Publication Information
Journal of the Korean Academy of Child and Adolescent Psychiatry / v.26, no.1, 2015 , pp. 22-29 More about this Journal
Abstract
Objectives : Repetitive and stereotyped behaviors are core symptoms in children with autism spectrum disorders (ASD). The purpose of our study was to investigate the frequency of motor stereotypes in ASD children and their clinical features. Methods : Among 171 ASD children (age range, 3-15), the ASD group with motor stereotypes was defined according to two items in the Korean version of Autism Diagnostic Interview-Revised (K-ADI-R). We compared the clinical features, behavior problems and severity of other domains in the K-ADI-R and executive functions between the ASD group with motor stereotypes and the ASD group without motor stereotypes. Results : Ninety (52.6%) of 171 ASD children had motor stereotypes. The ASD group with motor stereotypes had a lower intelligence quotient score (62.23 vs. 84.94, p<.001) compared to the ASD group without motor stereotypes. The ASD group with motor stereotypes had more impairments in the social interaction domain [adjusted odds ratio (AOR) 1.11, p=.001] and communication domain (AOR 1.15, p=.008). Thought problems and lethargy were more frequent in the ASD group with motor stereotypes than the ASD group without motor stereotypes (AOR 2.059, p=.034 ; adjusted OR 1.045, p=.046). However, no significant differences in executive function were observed between the ASD group with motor stereotypes and the ASD group without motor stereotypes. Conclusion : The ASD group with motor stereotypes showed more impairment in social interaction and communication domains, which are core symptoms of autism. Motor stereotypes may indicate greater severity of ASD.
Keywords
Autism Spectrum Disorder; Stereotypes; Motor Stereotypes;
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1 American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Association;2013.
2 Turner M. Annotation: repetitive behaviour in autism: a review of psychological research. J Child Psychol Psychiatry 1999;40:839-849.   DOI
3 Durand VM, Carr EG. Social influences on “self-stimulatory” behavior: analysis and treatment application. J Appl Behav Anal 1987; 20:119-132.   DOI
4 Morrison K, Rosales-Ruiz J. The effect of object preferences on task performance and stereotypy in a child with autism. Res Dev Disabil 1997;18:127-137.   DOI
5 Goldman S, Wang C, Salgado MW, Greene PE, Kim M, Rapin I. Motor stereotypies in children with autism and other developmental disorders. Dev Med Child Neurol 2009;51:30-38.
6 Lord C. Follow-up of two-year-olds referred for possible autism. J Child Psychol Psychiatry 1995;36:1365-1382.   DOI
7 Volkmar FR, Cohen DJ, Paul R. An evaluation of DSM-III criteria for infantile autism. J Am Acad Child Psychiatry 1986;25:190-197.   DOI
8 Militerni R, Bravaccio C, Falco C, Fico C, Palermo MT. Repetitive behaviors in autistic disorder. Eur Child Adolesc Psychiatry 2002; 11:210-218.   DOI
9 Turner M. Towards an executive dysfunction account of repetitive behaviour in autism. In: Russell J, editor. Autism as an executive disorder. Oxford, New York: Oxford University Press;1997.
10 Volkmar FR. Autism and pervasive developmental disorders 2nd ed. New York: Cambridge University Press;2007.
11 Yoo HJ. Korean version of autism diagnostic interview-revised (ADI-R). Seoul: Hakjisa;2007.
12 Yoo HJ, Kwak Y. Korean version of autism diagnostic observation schedule (ADOS). Seoul: Hakjisa;2007.
13 Shin MS, Cho SC. Korean Leiter international performance scalerevised (K-Leiter-R). Seoul: Hakjisa;2010.
14 Leiter RG. Leiter international performance scale. Chicago: Stoelting; 1948.
15 Roid GH, Miller LJ. Leiter international performance scale-revised: examiner's manual. Wood Dale: Stoelting Co.;1997.
16 Oh KJ, Lee H. Development of Korean Child Behavior Checklist: a preliminary study. J Korean Neuropsychiatr Assoc 1990;29:452-462.
17 Aman MG, Singh NN, Stewart AW, Field CJ. The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects. Am J Ment Defic 1985;89:485-491.
18 Gabriels RL, Cuccaro ML, Hill DE, Ivers BJ, Goldson E. Repetitive behaviors in autism: relationships with associated clinical features. Res Dev Disabil 2005;26:169-181.   DOI
19 Kennedy CH, Meyer KA, Knowles T, Shukla S. Analyzing the multiple functions of stereotypical behavior for students with autism: implications for assessment and treatment. J Appl Behav Anal 2000; 33:559-571.   DOI
20 Leekam SR, Prior MR, Uljarevic M. Restricted and repetitive behaviors in autism spectrum disorders: a review of research in the last decade. Psychol Bull 2011;137:562-593.   DOI
21 Ventola PE, Kleinman J, Pandey J, Barton M, Allen S, Green J, et al. Agreement among four diagnostic instruments for autism spectrum disorders in toddlers. J Autism Dev Disord 2006;36:839-847.   DOI
22 Bishop SL, Richler J, Lord C. Association between restricted and repetitive behaviors and nonverbal IQ in children with autism spectrum disorders. Child Neuropsychol 2006;12:247-267.   DOI
23 Richler J, Bishop SL, Kleinke JR, Lord C. Restricted and repetitive behaviors in young children with autism spectrum disorders. J Autism Dev Disord 2007;37:73-85.   DOI
24 Fecteau S, Mottron L, Berthiaume C, Burack JA. Developmental changes of autistic symptoms. Autism 2003;7:255-268.   DOI
25 Rogers SJ. What are infant siblings teaching us about autism in infancy? Autism Res 2009;2:125-137.   DOI
26 Yerys BE, Wallace GL, Harrison B, Celano MJ, Giedd JN, Kenworthy LE. Set-shifting in children with autism spectrum disorders: reversal shifting deficits on the Intradimensional/Extradimensional Shift Test correlate with repetitive behaviors. Autism 2009;13:523-538.   DOI