Self-injurious behaviors in children with autism spectrum disorder enrolled in the Study to Explore Early Development

Autism. 2018 Jul;22(5):625-635. doi: 10.1177/1362361316689330. Epub 2017 Jun 21.

Abstract

We assessed potential factors associated with "current" or "ever" self-injurious behaviors, reported in the Autism Diagnostic Interview-Revised, among children with autism spectrum disorder (n = 692) from the Study to Explore Early Development. Data on factors examined were obtained from questionnaires, standardized clinical instruments, and birth certificates. We employed a log-binomial regression to assess these associations. Although most associations were quite similar for currently and ever exhibiting self-injurious behaviors, a few differences were noted. We documented previously unreported associations of current self-injurious behaviors with maternal age and cesarean delivery, and ever self-injurious behaviors with maternal age, child sex, gestational age, and maternal race. We also confirmed previously reported associations with adaptive skills, somatic conditions (sleep, gastrointestinal, and sensory abnormalities), and other behavioral problems. These findings are informative for clinical practice and future research.

Keywords: autism; autism spectrum disorder; challenging behaviors; developmental disabilities; self-injurious behaviors.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Autism Spectrum Disorder / epidemiology*
  • Case-Control Studies
  • Cesarean Section / statistics & numerical data*
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Gastrointestinal Diseases / epidemiology
  • Gestational Age*
  • Humans
  • Male
  • Maternal Age*
  • Problem Behavior
  • Protective Factors
  • Racial Groups
  • Regression Analysis
  • Risk Factors
  • Self-Injurious Behavior / epidemiology*
  • Sex Factors
  • Sleep Wake Disorders / epidemiology