Skip to main content
Log in

The Repetitive Behavior Scale-Revised: Independent Validation in Individuals with Autism Spectrum Disorders

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

A key feature of autism is restricted repetitive behavior (RRB). Despite the significance of RRBs, little is known about their phenomenology, assessment, and treatment. The Repetitive Behavior Scale-Revised (RBS-R) is a recently-developed questionnaire that captures the breadth of RRB in autism. To validate the RBS-R in an independent sample, we conducted a survey within the South Carolina Autism Society. A total of 320 caregivers (32%) responded. Factor analysis produced a five-factor solution that was clinically meaningful and statistically sound. The factors were labeled “Ritualistic/Sameness Behavior,” “Stereotypic Behavior,” “Self-injurious Behavior,” “Compulsive Behavior,” and “Restricted Interests.” Measures of internal consistency were high for this solution, and interrater reliability data suggested that the RBS-R performs well in outpatient settings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232.

    Article  PubMed  Google Scholar 

  • Aman, M. G., Lam, K. S. L., & Collier-Crespin, A. (2003). Prevalence and patterns of use of psychoactive medicines among individuals with autism in the Autism Society of Ohio. Journal of Autism and Developmental Disorders, 33, 527–534.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. 4th edn. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Bodfish, J. W., & Lewis, M. H. (2002). Repetitive Behavior in Autism. Paper presented at the International Meeting for Autism Research. (IMFAR), Orlando, FL.

  • Bodfish, J. W., Symons, F. W., & Lewis, M. H. (1999). The Repetitive Behavior Scale. Western Carolina Center Research Reports.

  • Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: Comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30, 237–243.

    Article  PubMed  Google Scholar 

  • Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods and Research, 21, 230–258.

    Article  Google Scholar 

  • Campbell, M., Anderson, L. T., Small, A. M., Locascio, J. J., Lynch, N. S., Choroco, M. C. (1990). Naltrexone in autistic children: A double-blind and placebo-controlled study. Psychopharmacology Bulletin, 26, 130–135.

    PubMed  Google Scholar 

  • Cattell, R. B. (1966). Handbook of multivariate experimental psychology. Chicago: Rand McNally.

    Google Scholar 

  • Charlop, M. H. (1992). Echolalia. In E. Konarski & J. Favell (Eds.), Manual for the assessment and treatment of behavior disorders with mental retardation. Morganton, NC: WCC Foundation.

  • Cicchetti, D. V., & Rourke, B. P. (Eds). (2004). Methodological and biostatistical foundations of clinical neuropsychology and medical and health disciplines. New York, NY: Psychology Press: Taylor and Francis. (2nd edn).

  • Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research and Evaluation, 10, 1–9.

    Google Scholar 

  • Cuccaro, M. L., Shao, Y., Grubber, J., Slifer, M., Wolpert, C. M., Donnelly, S. L., Abramson, R. K., Ravan, S. A., Wright, H. H., DeLong, G. R., & Pericak-Vance, M. A. (2003). Factor analysis of restricted and repetitive behaviors in autism using the autism diagnostic interview – R. Child Psychiatry and Human Development, 34, 3–17.

    Article  PubMed  Google Scholar 

  • DeVellis, R. F. (1991). Scale development: Theory and applications. California: Sage Publications.

    Google Scholar 

  • Evans, D. W., Leckman, J., Reznick, J., Carter, A., Henshaw, D., King, R., & Pauls, D. (1997). Ritual, habit and perfectionism: The prevalence and development of compulsive-like behavior in normal young children. Child Development, 68, 58–68.

    Article  PubMed  Google Scholar 

  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272–299.

    Article  Google Scholar 

  • Fliess, J. L., Levin, B., & Patick, M. C. (2003). Statistical methods for rates and proportions. (3rd edn) New York, NY: John Wiley.

    Google Scholar 

  • Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7, 286–299.

    Article  Google Scholar 

  • Frith, U. (1989). Autism: Explaining the enigma. Oxford: Blackwell.

    Google Scholar 

  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., Heninger, G. R., & Charney, D. S. (1989). The Yale-Brown Obsessive Compulsive Scale: Part I. Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011.

    PubMed  Google Scholar 

  • Gordon, C. T. (2000). Commentary: Considerations on the pharmacological treatment of compulsions and stereotypies with serotonin reuptake inhibitors in pervasive developmental disorders. Journal of Autism and Developmental Disorders, 30, 437–438.

    Article  PubMed  Google Scholar 

  • Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.

    Google Scholar 

  • Kerlinger, F. N., & Lee, H. B. (2000). Survey research. In F. N. Kerlinger, & H. B. Lee, (Eds.), Foundations of behavioral research, Fourth edition. (pp. 599–619). Orlando: Harcourt, Inc.

    Google Scholar 

  • Koegel, R. L., & Covert, A. (1972). The relationship of self-stimulation to learning in autistic children. Journal of Applied Behavior Analysis, 5, 381–387.

    Article  PubMed  Google Scholar 

  • Koegel, R. L., Firestone, P. B., Kramme, K. W., Dunlap, G. (1974). Increasing spontaneous play by suppressing self-stimulation in autistic children. Journal of Applied Behavior Analysis, 7, 521–528.

    Article  PubMed  Google Scholar 

  • Langworthy-Lam, K. S., Aman, M. G., Van Bourgondien, M. E. (2002). Prevalence and patterns of use of psychoactive medicines in individuals with autism in the Autism Society of North Carolina. Journal of Child and Adolescent Psychopharmacology, 12(4), 311–322.

    Article  PubMed  Google Scholar 

  • Lewis, M. H., & Bodfish, J. W. (1998). Repetitive behavior disorders in autism. Mental Retardation and Developmental Disabilities Research Reviews, 4, 80–89.

    Article  Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). The autism diagnostic interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.

    Article  PubMed  Google Scholar 

  • Lovaas, O. I., Littownik, A., & Mann, R. (1971). Response latencies to auditory stimuli in autistic children engaged in self-stimulatory behavior. Behavior Research and Therapy, 9, 39–49.

    Article  Google Scholar 

  • McDougle, C. J., Kresch, L. E., Goodman, W. K., Naylor, S. T., Volkmar, F. R., Cohen, D. J., & Price, L. H. (1995). A case–controlled study of repetitive thoughts and behavior in adults with autistic disorder and obsessive-compulsive disorder. American Journal of Psychiatry, 152, 772–777.

    PubMed  Google Scholar 

  • Militerni, R., Bravaccio, C., Falco, C., Fico, C., & Palermo, M. T. (2002). Repetitive behaviors in autistic disorder. European Child and Adolescent Psychiatry, 11, 210–218.

    Article  PubMed  Google Scholar 

  • Nunnally, J. C., (1967). Psychometric theory. New York: McGraw Hill.

    Google Scholar 

  • Pierce, K., & Courchesne, E. (2001). Evidence for a cerebellar role in reduced exploration and stereotyped behavior in autism. Biological Psychiatry, 49, 655–664.

    Article  PubMed  Google Scholar 

  • Prior, M., & MacMillan, M. B. (1973). Maintenance of sameness in children with Kanner’s syndrome. Journal of Autism and Childhood Schizophrenia, 3, 154–167.

    Article  PubMed  Google Scholar 

  • Rutter, M. (1996). Autism research: Prospects and progress. Journal of Autism and Developmental Disorders, 26, 257–275.

    Article  PubMed  Google Scholar 

  • Scahill, L., McDougle, C. J., Williams, S., Dimitripoulos, A., Aman, M. G., McCracken, J., Tierney, E., Arnold, L. E., Cronin, P., Koenig, K., Kohn, A., Lam, K. S. L., & Vitiello, B. (in press, pending final revision). The Children’s Yale-Brown Obsessive-Compulsive Scale modified for Pervasive Developmental Disorders. Journal of the American Academy of Child and Adolescent Psychiatry.

  • Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. et al (1997). Children’s Yale-Brown Obsessive Compulsive Scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.

    Article  PubMed  Google Scholar 

  • Schuck, P. (2004). Assessing reproducibility for interval data in health-related quality of life questionnaires: Which coefficient should be used? Quality of Life Research, 13, 571–586.

    Article  PubMed  Google Scholar 

  • Schultz, T. M., & Berkson, G. (1995). Definition of abnormal focused affections and exploration of their relation to abnormal stereotyped behaviors. American Journal on Mental Retardation, 99, 376–390.

    PubMed  Google Scholar 

  • Thurstone, L. L. (1947). Multiple factor analysis. Chicago: University of Chicago Press.

    Google Scholar 

  • Varni, J. W., Lovaas, O. I., Koegel, R. L., & Everett, N. L. (1979). An analysis of observational learning in autistic and normal children. Journal of Abnormal Child Psychology, 7, 31–43.

    Article  PubMed  Google Scholar 

  • Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. Journal of Autism and Developmental Disorders, 9, 11–29.

    Article  PubMed  Google Scholar 

Download references

Acknowledgment

The authors are very thankful to the families who participated in this study. They also appreciate the South Carolina Autism Society’s willingness to distribute the survey to their parent mailing list. The authors also would like to thank James W. Bodfish for allowing us to use the RBS-R in this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kristen S. L. Lam.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lam, K.S.L., Aman, M.G. The Repetitive Behavior Scale-Revised: Independent Validation in Individuals with Autism Spectrum Disorders. J Autism Dev Disord 37, 855–866 (2007). https://doi.org/10.1007/s10803-006-0213-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-006-0213-z

Keywords

Navigation