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A Cross-Sectional Survey of Repetitive Behaviors and Restricted Interests in A Typically Developing Turkish Child Population

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Abstract

This study examined compulsive-like behaviors (CLBs) which are higher-order types of Repetitive Behaviors And Restricted Interests (RBRIs) in typically developing children in Turkey. Caregivers of 1,204 children between 8 and 72 months were interviewed with Childhood Routines Inventory (CRI) by trained interviewers in a cross-sectional survey. Factor analysis of the CRI revealed two factor structures comprising “just right behaviors” and “repetitive/sensory sensitivity behaviors”. CLB frequency peaked at 2–4 years with declines after age four. In contrast to the previous CRI studies reporting no gender difference, CLBs were more common in males in 12–23 and 48–59 month age groups on both total CLB frequency and repetitive/sensory sensitivity behaviors. Also ages of onsets for CRI items were somewhat later than reported in other samples. Our findings supported the findings of the previous CRI studies while also revealing new perspectives in need of further investigation.

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References

  1. Lewis M, Kim SJ (2009) The pathophysiology of restricted repetitive behavior. J Neurodev Disord 1(2):114–132. Published online 2009 June 16. doi:10.1007/s11689-009-9019-6

    Google Scholar 

  2. Turner M (1999) Annotation: repetitive behavior in autism: a review of psychological research. J Child Psychol Psychiatry 40(6):839–849

    Article  PubMed  Google Scholar 

  3. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edition, text revision (DSM-V). Washington DC

  4. World Health Organization (1993) International classification of mental and behavioral disorders: clinical descriptions and diagnostic guidelines, 10th edn. Geneva, Switzerland

  5. Leekam SR, Prior MR, Uljarevic M (2011) Restricted and repetitive behaviors in autism spectrum disorders: a review of research in last decade. Psychol Bull 137(4):562–593. doi:10.1037/a0023341

    Google Scholar 

  6. Moss J, Oliver C, Arron K, Burbridge C, Berg K (2009) The prevalence and phenomenology of repetitive behavior in genetic syndromes. J Autism Dev Disord 39:572–588. doi:10.1007/s10803-008-0655-6 Epub 2008 Nov 27

    Article  PubMed  Google Scholar 

  7. Guzzetta A, Pizzardi A, Belmonti V, Boldrini A, Carotenuto M, D’Acunto G et al (2010) Hand movements at 3 months predict later hemiplegia in term infants with neonatal cerebral infarction. Dev Med Child Neurol 12(8):767–772. doi:10.1111/j.1469-8749.2009.03497.x Epub 2009 Oct 23

    Google Scholar 

  8. Cuccaro ML, Shao Y, Grubber J, Slifer M, Wolpert CM, Donnelly SL et al (2003) Factor analysis of restricted and repetitive behaviors in autism using the autism diagnostic ınterview-R. Child Psychiatry Hum Dev Fall 34(1):3–17

    Article  Google Scholar 

  9. Szatmari P, Georgiades S, Bryson S, Zwaigenbaum L, Roberts W, Mahoney W (2006) Investigating the structure of the restricted, repetitive behaviors and interests domain of autism. J Child Psychol Psychiatry 47(6):582–590

    Article  PubMed  Google Scholar 

  10. Lam KS, Aman M (2007) The repetitive behavior scale-revised: independent validation in individuals with autism spectrum disorders. J Autism Dev Disord 37(5):855–866

    Article  PubMed  Google Scholar 

  11. Lam KS, Bodfish JW, Piven J (2008) Evidence for three subtypes of repetitive behavior in autism that differ in familiality and association with other symptoms. J Child Psychol Psychiatry 49(11):1193–1200

    Article  PubMed Central  PubMed  Google Scholar 

  12. Richler J, Huerta M, Bishop SL, Lord C (2010) Developmental trajectories of restricted and repetitive behaviors and interests in children with autism spectrum disorders. Dev Psychopathol Winter 22(1):55–69. doi:10.1017/S0954579409990265

    Article  Google Scholar 

  13. Anagnostou E, Chaplin W, Watner D, Silverman JM, Smith CJ, Zagursky K et al (2011) Factor analysis of repetitive behaviors in Autism as measured by the Y-BOCS. J Neuropsychiatry Clin Neurosci Summer 23(3):332–339. doi:10.1176/appi.neuropsych.23.3.332

    Article  Google Scholar 

  14. Challman TD, Evans DW, Myers SM, Lazar, Orr PT, de Luca AM et al (2012) The childhood routine ınventory in children with autism spectrum disorders. Poster presentation at INSAR meeting

  15. Evans DW, Leckman JF, Carter A, Reznick S, Henshaw D, King RA et al (1997) Ritual, habit and perfectionism: the prevalence and development of compulsive-like behavior in normal young children. Child Dev 68(1):58–68

    Article  PubMed  Google Scholar 

  16. Leekam S, Tandos J, McConachie H, Meins E, Parkinson K, Wright C et al (2007) Repetitive behaviours in typically developing 2-year-olds. J Child Psychol Psychiatry 48(11):1131–1138

    Article  PubMed  Google Scholar 

  17. Glenn S, Cunningham C, Nananidou A (2012) A cross-sectional comparison of routinized and compulsive-like behaviours in typical children aged from 2 to 11 years. Eur J Dev Psychol 9(5):614–630

    Article  Google Scholar 

  18. Thelen E (1979) Rhythmical stereotypies in normal human infants. Animal Behav 27(Pt 3):699–715

    Article  Google Scholar 

  19. Evans DW, Gray FL, Leckman JF (1999) The rituals, fears and phobias of young children: insights from development, psychopathology and neurobiology. Child Psychiatry Hum Dev 29(4):261–275

    Article  PubMed  Google Scholar 

  20. Zohar AH, Felz L (2001) Ritualistic behaviour in young children. J Abnorm Child Psychol 29(2):121–128

    Article  PubMed  Google Scholar 

  21. Evans DW (2000) Rituals, compulsions and other syncretic tools: insights from Werner’s comparative psychology. J Adult Dev 7:49–61

    Article  Google Scholar 

  22. Pietrefesa AS, Evans DW (2007) Affective and neuropsychological correlates of children’s rituals and compulsive-like behaviors: continuities and discontinuities with obsessive–compulsive disorder. Brain Cogn 65:36–46

    Article  PubMed  Google Scholar 

  23. Marks I (1987) Fears, phobias and rituals. Oxford University Press, Oxford

    Google Scholar 

  24. Evans DW, Hesperger C, Capaldi PA (2011) Thought-action fusion in childhood: measurement, development and association with anxiety, rituals and other compulsive-like behaviors. Child Psychiatry Hum Dev 42(1):12–23

    Article  PubMed  Google Scholar 

  25. Evans DW, Milanak ME, Medeiros B, Ross JL (2002) Magical beliefs and rituals ın young children. Child Psychiatry Hum Dev 33(1):43–58

    Article  PubMed  Google Scholar 

  26. Dar R, Kahn DT, Carmeli R (2012) The relationship between sensory processing, childhood rituals and obsessive–compulsive symptoms. Behav Therapy Exp Psychiatry 43(1):679–684

    Article  Google Scholar 

  27. Tregay J, Gilmour J, Charman T (2009) Childhood rituals and executive functions. Br J Dev Psychol 27(P 2):283–296

    Google Scholar 

  28. Evans DW, Lewis M, Iobst E (2004) The role of the orbitofrontal cortex in normally developing compulsive behaviors and obsessive–compulsive disorder. Brain Cognit 55:220–234

    Article  Google Scholar 

  29. Evans DW, Maliken A (2011) Cortical activity and children’s rituals, habits and other repetitive behavior: a visual P300 study. Behav Brain Res 224(1):174–179. doi:10.1016/j.bbr.2011.05.025. Epub 2011 May 31

    Google Scholar 

  30. Clarke RA, Lee S, Eapen V (2012) Pathogenetic model for Tourette syndrome delineates overlap with related neurodevelopmental disorders including Autism. Transl Psychiatry 4(2):e158. doi:10.1038/tp.2012.75, Erratum in Translational Psychiatry, 2012;2:e163

  31. Judge PG, Evans DW, Schroepfer KK, Gross AC (2011) Perseveration on a reversal-learning task correlates with rates of self-directed behavior in nonhuman primates. Behav Brain Res 222(1):57–65. doi:10.1016/j.bbr.2011.03.016. Epub 2011 Mar 17

  32. Pauls DL (2010) The genetics of obsessive–compulsive disorder: a review. Dialogues Clin Neurosci 12(2):149–163

    PubMed Central  PubMed  Google Scholar 

  33. State MW (2010) The genetics of child psychiatric disorders: focus on autism and Tourette syndrome. Neuron 68(2):254–269. doi:10.1016/j.neuron.2010.10.004

    Article  PubMed Central  PubMed  Google Scholar 

  34. Bolton D, Rijsdijk F, Eley TC, O’Connor TG, Briskman J, Perrin S (2009) Normative childhood repetitive routines and obsessive compulsive symptomatology in 6-year-old twins. J Child Psychol Psychiatry 50(9):1139–1146. doi:10.1111/j.1469-7610.2009.02094.x. Epub 2009 May 12

    Google Scholar 

  35. Gesell A, Ames LB, Ilg FL (1974) Infant and the child in the culture today. Harper & Row, New York

    Google Scholar 

  36. Werner H (1948) The comparative psychology of mental development. International Universities Press, New York

    Google Scholar 

  37. Fiske AP, Haslam N (1997) Is obsessive–compulsive disorder a pathology of the human disposition to perform socially meaningful rituals. Evidence from similar content. J Nerv Mental Dis 85:211–222

    Article  Google Scholar 

  38. Lienard P, Boyer P (2006) Whence collective rituals? A cultural selection model of ritualized behavior. Am Anthropol 108(4):814–827

    Article  Google Scholar 

  39. TUIK (2000) Reports of census. Turkey Statistics Institute

  40. Shrout PE, Fleiss JL (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86(2):420–428

    Article  PubMed  Google Scholar 

  41. Kaiser HF (1960) The application of electronic computers to factor analysis. Educ Psychol Measur 20:141–151

    Article  Google Scholar 

  42. Cattell RB (1966) The scree test for the number of factors. Multivar Behav Res 1(2):245–276. doi:10.1207/s15327906mbr0102_10

    Article  Google Scholar 

  43. Horn JL (1965) A rationale and test for the number of factors in factor analysis. Psychometrika 30:179–185

    Article  PubMed  Google Scholar 

  44. Watkins MW (2000) Monte Carlo PCA for parallel analysis. www.allenandunwin.com/spss/furtherresources.html

  45. Cohen JW (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Hillsdale, pp 284–287

    Google Scholar 

  46. Arnott B, McConachie H, Meins E, Fernyhough C, Couteur AL, Turner M et al (2010) The frequency of restricted and repetitive behaviors in a community sample of 15-month-old infants. J Dev Behav Pediatr 31(3):223–229. doi:10.1097/DBP.0b013e3181d5a2ad

    Article  PubMed  Google Scholar 

  47. De Loache JS, Simcock G, Macari S (2008) Planes, trains, automobiles—and tea sets: extremely intense interests in very young children. Dev Psychol 43(6):1579–1586. doi:10.1037/0012-1649.43.6.1579

    Google Scholar 

  48. Allison C, Baron-Cohen S, Wheelwright S, Charman T, Richler J, Pasco G et al (2008) The Q-CHAT (Quantitative Checklist for Autism in Toddlers): a normally distributed quantitative measure of autistic traits at 18–24 months of age: preliminary report. J Autism Dev Disord 38(8):1414–1425. doi:10.1007/s10803-007-0509-7. Epub 2008 Feb 1

    Google Scholar 

  49. Baron-Cohen S (2002) The extreme male brain theory of autism. Trends Cogn Sci 6(6):248–254. doi:10.1016/S1364-6613(02)01904-6

    Article  PubMed  Google Scholar 

  50. Johnson KE, Alexander JM, Spencer S, Leibham ME, Neitze C (2004) Factors associated with the early emergence of intense interests within conceptual domains. Cogn Dev 19:325–343. doi:10.1016/j.cogdev.2004.03.001

    Article  Google Scholar 

  51. Campbell SB (1997) Behavior problems in preschool children: developmental and family issues. In: Ollendick T, Prinz R (eds) Advances in clinical child psychology, vol 19. Plenum Press, Newyork, pp 1–26

    Chapter  Google Scholar 

  52. Smith CL, Calkins SD, Keane SP, Anastopoulos AD, Shelton TL (2004) Predicting stability and change in toddler behavior problems: contributions of maternal behavior and child gender. Dev Psychol 40(1):29–42

    Article  PubMed  Google Scholar 

  53. Fiese BH, Hooker KA, Kotary L, Schwagler J (1993) Family rituals in the early stages of parenthood. J Marriage Family 55(3):633–642

    Article  Google Scholar 

  54. Seligman M (1971) Phobias and preparedness. Behav Ther 2:307–320

    Article  Google Scholar 

  55. Leckman JF, Mayes LC, Feldman R, Evans DW, King RA, Cohen DJ (1999) Early parental preoccupations and behaviors and their possible relationship to the symptoms of obsessive compulsive disorder. Acta Psychiatrica Scandinavica 100(Supplement S396):1–26. doi:10.1111/j.1600-0447.1999.tb10951.x

    Google Scholar 

  56. Peleg-Popko O, Dar R (2003) Ritual behavior in children and mothers’ perceptions of family patterns. J Anxiety Disord 17(6):667–681

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was partially supported by a research grant by Pfizer Pharmaceuticals, Turkey.

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Correspondence to Yankı Yazgan.

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Çevikaslan, A., Evans, D.W., Dedeoğlu, C. et al. A Cross-Sectional Survey of Repetitive Behaviors and Restricted Interests in A Typically Developing Turkish Child Population. Child Psychiatry Hum Dev 45, 472–482 (2014). https://doi.org/10.1007/s10578-013-0417-3

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