Potential Risk Factors for the Development of Self-Injurious Behavior among Infants at Risk for Autism Spectrum Disorder

Adele F. Dimian, Kelly N. Botteron, Stephen R. Dager, Jed T. Elison, Annette M. Estes, John R. Pruett, Robert T. Schultz, Lonnie Zwaigenbaum, Joseph Piven, Jason J. Wolff, The Ibis Network

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Prevalence of self-injurious behavior (SIB) is as high as 50% among children with autism spectrum disorder (ASD). Identification of risk factors for the development of SIB is critical to early intervention and prevention. However, there is little empirical research utilizing a prospective design to identify early risk factors for SIB. The purpose of this study was to evaluate behavioral characteristics predicting SIB at age 2 years among 235 infants at high familial risk for ASD. Logistic regression results indicated that presence of SIB or proto-SIB and lower developmental functioning at age 12 months significantly predicted SIB at 24 months. A pattern of persistent SIB over this period was associated with a diagnosis of autism and poorer cognitive and adaptive outcomes.

Original languageEnglish (US)
Pages (from-to)1403-1415
Number of pages13
JournalJournal of Autism and Developmental Disorders
Volume47
Issue number5
DOIs
StatePublished - May 1 2017

Bibliographical note

Funding Information:
This work was supported by grants from the National Institutes of Health under awards K01MH101653, P30HD03110, and R01HD05574; Autism Speaks, and the Simons Foundation. We wish to express our gratitude to IBIS families for continued participation in this research.

Publisher Copyright:
© 2017, The Author(s).

Keywords

  • Autism spectrum disorder
  • Infants
  • Repetitive behavior
  • Risk factors
  • Self-injurious behavior

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