TY - JOUR
T1 - Problem Behaviors in Autism Spectrum Disorder
T2 - Association with Verbal Ability and Adapting/Coping Skills
AU - For The Autism And Developmental Disorders Inpatient Research Collaborative (Addirc)
AU - Williams, Diane L.
AU - Siegel, Matthew
AU - Mazefsky, Carla A.
AU - Siegel, Matthew
AU - Erickson, Craig
AU - Gabriels, Robin L.
AU - Kaplan, Desmond
AU - Mazefsky, Carla
AU - Morrow, Eric M.
AU - Righi, Giulia
AU - Santangelo, Susan L.
AU - Wink, Logan
AU - Benevides, Jill
AU - Beresford, Carol
AU - Best, Carrie
AU - Bowen, Katie
AU - Dechant, Briar
AU - Flis, Tom
AU - Gastgeb, Holly
AU - Geer, Angela
AU - Hagopian, Louis
AU - Handen, Benjamin
AU - Klever, Adam
AU - Lubetsky, Martin
AU - MacKenzie, Kristen
AU - Meservy, Zenoa
AU - McGonigle, John
AU - McGuire, Kelly
AU - McNeil, Faith
AU - Montrenes, Joshua
AU - Palka, Tamara
AU - Pedapati, Ernest
AU - Pedersen, Kahsi A.
AU - Peura, Christine
AU - Pierri, Joseph
AU - Rogers, Christie
AU - Rossman, Brad
AU - Ruberg, Jennifer
AU - Sannar, Elise
AU - Small, Cathleen
AU - Stuckey, Nicole
AU - Tylenda, Barbara
AU - Troen, Brittany
AU - Verdi, Mary
AU - Vezzoli, Jessica
AU - Williams, Deanna
AU - Williams, Diane
N1 - Funding Information:
Funding The Autism Inpatient Collection (AIC) phenotypic database and biorepository is supported by a grant from the Simons Foundation Autism Research Initiative and the Nancy Lurie Marks Family Foundation, (SFARI #296318 to MS). This study was also supported a grant from the National Institute of Child Health and Human Development (R01HD079512 to CM) and Dr. Mazefsky received additional support from NICHD (K23HD060601).
Funding Information:
The ADDIRC is made up of the co-investigators: Matthew Siegel, MD (PI) (Maine Medical Center Research Institute; Tufts University), Craig Erickson, MD (Cincinnati Children?s Hospital; University of Cincinnati), Robin L. Gabriels, PsyD (Children?s Hospital Colorado; University of Colorado), Desmond Kaplan, MD (Sheppard Pratt Health System), Carla Mazefsky, PhD (Western Psychiatric Institute and Clinics; University of Pittsburgh), Eric M. Morrow, MD, PhD (Bradley Hospital; Brown University), Giulia Righi, PhD (Bradley Hospital; Brown University), Susan L. Santangelo, ScD (Maine Medical Center Research Institute; Tufts University), and Logan Wink, MD (Cincinnati Children?s Hospital; University of Cincinnati). Collaborating investigators and staff: Jill Benevides, BS, Carol Beresford, MD, Carrie Best, MPH, Katie Bowen, LCSW, Briar Dechant, BS, Tom Flis, BCBA, LCPC, Holly Gastgeb, PhD, Angela Geer, BS, Louis Hagopian, PhD, Benjamin Handen, PhD, BCBA-D, Adam Klever, BS, Martin Lubetsky, MD, Kristen MacKenzie, BS, Zenoa Meservy, MD, John McGonigle, PhD, Kelly McGuire, MD, Faith McNeil, BS, Joshua Montrenes, BS, Tamara Palka, MD, Ernest Pedapati, MD, Kahsi A. Pedersen, PhD, Christine Peura, BA, Joseph Pierri, MD, Christie Rogers, MS, CCC-SLP, Brad Rossman, MA, Jennifer Ruberg, LISW, Elise Sannar, MD, Cathleen Small, PhD, Nicole Stuckey, MSN, RN, Barbara Tylenda, PhD, Brittany Troen, MA, R-DMT, Mary Verdi, MA, Jessica Vezzoli, BS, Deanna Williams, BA, and Diane Williams, PhD, CCC-SLP. We gratefully acknowledge the contributions of the coordinating site advisory group: Donald L. St. Germain, MD and Girard Robinson, MD, and our scientific advisory group: Connie Kasari, PhD., Bryan King, MD, James McCracken, MD, Christopher McDougle, MD, Lawrence Scahill, MSN, PhD, Robert Schultz, PhD and Helen Tager-Flusberg, PhD, the input of the funding organizations and the families and children who participated. MS and CM conceived of the study and participated in its design and coordination; DW and CM performed the statistical analyses and drafted the manuscript; All authors participated in the interpretation of the data and read and approved the final manuscript. All ADDIRC sites participated in data collection. The Autism Inpatient Collection (AIC) phenotypic database and biorepository is supported by a grant from the Simons Foundation Autism Research Initiative and the Nancy Lurie Marks Family Foundation, (SFARI #296318 to MS). This study was also supported a grant from the National Institute of Child Health and Human Development (R01HD079512 to CM) and Dr. Mazefsky received additional support from NICHD (K23HD060601). The authors declare that they have no conflict of interest.
Publisher Copyright:
© 2017, Springer Science+Business Media New York.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Data from the Autism Inpatient Collection was used to examine the relationship between problem behaviors and verbal ability, which have generally, though not universally, been highly associated. In a comparison of 169 minimally-verbal and 177 fluently-verbal 4 to 20-year-old psychiatric inpatients with ASD, the severity of self-injurious behavior, stereotyped behavior, and irritability (including aggression and tantrums) did not significantly differ, when controlling for age and NVIQ. Verbal ability was not strongly related to the severity of problem behaviors. However, lower adapting/coping scores were significantly associated with increasing severity of each type of problem behavior, even when accounting for verbal ability. Interventions to develop adapting/coping mechanisms may be important for mitigation of problem behaviors across the spectrum of individuals with ASD.
AB - Data from the Autism Inpatient Collection was used to examine the relationship between problem behaviors and verbal ability, which have generally, though not universally, been highly associated. In a comparison of 169 minimally-verbal and 177 fluently-verbal 4 to 20-year-old psychiatric inpatients with ASD, the severity of self-injurious behavior, stereotyped behavior, and irritability (including aggression and tantrums) did not significantly differ, when controlling for age and NVIQ. Verbal ability was not strongly related to the severity of problem behaviors. However, lower adapting/coping scores were significantly associated with increasing severity of each type of problem behavior, even when accounting for verbal ability. Interventions to develop adapting/coping mechanisms may be important for mitigation of problem behaviors across the spectrum of individuals with ASD.
KW - Autism inpatient collection (AIC)
KW - Autism spectrum disorder (ASD)
KW - Challenging behavior
KW - Communication
KW - Coping skills
KW - Psychiatric inpatients
UR - http://www.scopus.com/inward/record.url?scp=85020447452&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85020447452&partnerID=8YFLogxK
U2 - 10.1007/s10803-017-3179-0
DO - 10.1007/s10803-017-3179-0
M3 - Article
C2 - 28597186
AN - SCOPUS:85020447452
SN - 0162-3257
VL - 48
SP - 3668
EP - 3677
JO - Journal of Autism and Developmental Disorders
JF - Journal of Autism and Developmental Disorders
IS - 11
ER -