Relations of Restricted and Repetitive Behaviors to Social Skills in Toddlers with Autism

J Autism Dev Disord. 2022 Apr;52(4):1423-1434. doi: 10.1007/s10803-021-05014-8. Epub 2021 May 6.

Abstract

We examined the relations of restricted and repetitive behaviors (RRB; insistence on sameness, repetitive sensory-motor, self-injurious behavior) to social skills overall and aspects that comprise social skills as measured by the VABS-II (coping skills, play/leisure time, interpersonal relationships) in 24- (n = 63) and 36-month old (n = 35), high-familial-risk toddlers with ASD. Hierarchical linear regression results indicated that repetitive sensory-motor was the best predictor of social skills overall. Secondary results indicated that all three RRB subtypes were associated with each subdomain of social skills; however, repetitive sensory-motor was the strongest and most consistent among these effects. While our results suggests a general negative relation of subtypes of RRB to aspects of adaptive social function, repetitive sensory-motor behaviors may be of particular relevance to the development of social skills during toddlerhood.

Keywords: Autism; Insistence on sameness; Repetitive sensory-motor; Restricted repetitive behavior; Self-injurious behavior; Social skills.

MeSH terms

  • Autism Spectrum Disorder*
  • Autistic Disorder*
  • Child, Preschool
  • Cognition
  • Humans
  • Social Skills
  • Stereotyped Behavior