International Meeting for Autism Research (London, May 15-17, 2008): Examining the Structure of the Repetitive Behavior Scale-Revised in Young Children with Autism Spectrum Disorder

Examining the Structure of the Repetitive Behavior Scale-Revised in Young Children with Autism Spectrum Disorder

Saturday, May 17, 2008: 5:00 PM
Mancy (Novotel London West)
S. Georgiades , Offord Centre for Child Studies & McMaster University, Hamilton, ON, Canada
E. Duku , Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada
I. M. Smith , Dalhousie University, Halifax, NS, Canada
P. Mirenda , University of British Columbia
P. Szatmari , Offord Centre for Child Studies & McMaster University, Hamilton, ON, Canada
S. E. Bryson , Pediatrics and Psychology, Dalhousie University/IWK Health Centre, Halifax, NS, Canada
E. Fombonne , Montreal Children's Hospital & McGill University
W. Roberts , The Hospital for Sick Children & University of Toronto
T. Vaillancourt , Offord Centre for Child Studies & McMaster University, Hamilton, ON, Canada
J. Volden , University of Alberta
C. Waddell , Simon Fraser University
L. Zwaigenbaum , Glenrose Rehabilitation Hospital & University of Alberta
P. I. ASD Study Team
Background: The Repetitive Behavior Scale-Revised (RBS-R; Bodfish et al., 2000) was designed to examine restricted/repetitive behaviors in ASD. A recent factor analytic study by Lam and Aman (2007), using a sample of older children and adults (mean CA=184 months), revealed five factors. Objectives: To examine the factor structure and correlates of the RBS-R in preschool children with ASD. Methods: The RBS-R was completed by parents of newly-diagnosed children with ASD, participating in a Canadian longitudinal study (Pathways in ASD). Our sample consisted of 225 children (193 males; mean CA=39.80 months; mean MA=26.00 months; 69.8% Caucasian). Principal axis factor analysis was used to examine the structure of the RBS-R. Pearson correlations were calculated to examine relationships between derived factors and other ASD symptoms, as well as cognitive and adaptive function. Results: A three-factor solution explaining 40.2% of the variance was selected, using scree plot and goodness-of-fit criteria. The three factors were: Compulsive Ritualistic Sameness Behaviour (CRSB), Self Injurious Behaviour (SIB), and Stereotyped Restricted Behaviour (SRB). Children with higher CRSB scores were significantly older (r=.22), showed more severe autism symptoms (SRS and ADI-R, r=.15 to .58), and had poorer adaptive behavior (Vineland II, r=-.29). High scores on SIB were associated with higher SRS scores (r=.21). Children with high scores on SRB were younger (r=-.15), had more severe autism (ADI-R, ADOS & SRS, r=.11 to .23), and were more impaired on both cognitive (M-P-R) and adaptive (Vineland II) skills (r=-.17 to -.33). Males scored higher on the SRB factor (p<.01). Conclusions: The structure of the RBS-R is best captured using fewer, more inclusive factors in a population of preschool children, compared with a previous factor analysis in an older sample. This ongoing longitudinal study may reveal useful information on increasing differentiation of repetitive behaviours, as well as potential factors associated with their development.
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