Exploring the Heterogeneity of Self-Injurious Behaviors in Autistic Youth: Patterns, Predictors, and Implications for Intervention.

Autor: Ferguson EF; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA., Spackman E; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA., Cai RY; Aspect Research Centre for Autism Practice, Autism Spectrum Australia, Frenchs Forest, New South Wales, Australia.; Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia., Hardan AY; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA., Uljarević M; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA.
Jazyk: angličtina
Zdroj: Autism research : official journal of the International Society for Autism Research [Autism Res] 2024 Nov 22. Date of Electronic Publication: 2024 Nov 22.
DOI: 10.1002/aur.3269
Abstrakt: Self-injurious behaviors (SIB) encompass a heterogeneous set of self-inflicted aggressive behaviors that are highly prevalent in autistic youth. Existing research on SIB in autism spectrum disorder (ASD) has been limited by significant methodological and conceptual inconsistencies. Thus, the current study leveraged item-level data capturing the severity of unique SIB topographies to further understanding of factors associated with distinct SIB in a sample of 582 autistic youth (M age  = 12.12, SD age  = 3.68; range: 3-19 years; 13% females). Results suggest variation in severity endorsements for specific SIB topographies amongst autistic youth, such that 30%-50% of caregivers endorsed slight to very serious concern regarding the SIB topographies of bites nails/skin/fingers, scratches self, hits head/face/neck, bangs head against things, and picks skin. Generalized additive models demonstrated distinct patterns of associations between each SIB topography and dysregulation, sensory hypersensitivity, age, sex, IQ, and language level. Findings underscore the importance of exploring SIB as a multifaceted construct to capture unique correlates of distinct SIB that vary in severity and functional impact, which is critical for the development of effective interventions. This study represents an important step towards more individualized characterization of SIB and support for diverse presentations of these behaviors in autistic youth.
(© 2024 International Society for Autism Research and Wiley Periodicals LLC.)
Databáze: MEDLINE
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