PMID- 36935892 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230321 IS - 1662-5153 (Print) IS - 1662-5153 (Electronic) IS - 1662-5153 (Linking) VI - 17 DP - 2023 TI - Restricted and repetitive behaviors and their developmental and demographic correlates in 4-8-year-old children: A transdiagnostic approach. PG - 1085404 LID - 10.3389/fnbeh.2023.1085404 [doi] LID - 1085404 AB - Background: Restricted and repetitive behaviors (RRBs) are a broad class of behaviors characterized by frequent action repetition and intense preference for sameness. Research has predominantly focused on RRBs in diagnosed clinical groups, particularly in autism spectrum disorder and genetic disorders. Using a transdiagnostic approach, the current study examined RRBs in a diverse sample of children in relation to developmental and demographic correlates (age, language, non-verbal ability, child anxiety, sex, and socioeconomic status). Separate analyses examined two RRB subtypes; repetitive sensory and motor behaviors (RSMB) and insistence on sameness (IS). Method: Children (N = 260, age 4-8 years, 174 male, 86 female) in mainstream schools identified by teachers as having behavioral, emotional, and/or cognitive difficulties, were assessed using the Repetitive Behavior Questionnaire-2 (RBQ-2), the British Picture Vocabulary Scale (BPVS), Lucid Ability Scale, the Welsh Index of Multiple Deprivation (WIMD) and the Screen for Child Anxiety Related Emotional Disorders (SCARED). Recruitment excluded diagnosed clinical conditions. The Strengths and Difficulties Questionnaire (SDQ) was used to assess children's difficulties. Results: RRB scores were of high frequency and the scores for the IS were higher than for RSMB. The severity of anxiety symptoms and male sex were significantly associated with both RRB subtypes, and younger age and SES scores were associated with IS. Elevated RRB total and subtype scores were significantly related to SDQ scores for emotion, conduct, hyperactivity, and peer-relations. Discussion: The study provides the first evidence of RRBs in a diverse sample of young children with emerging difficulties in behavior, cognition, and/or emotion. The results contribute to proposals about psychological development in RRB and indicate that RRBs are best represented on a continuum of severity found across children in the early school years. The results support previous findings of a relation between RRB and anxiety reported in clinical samples and importantly, they indicate that it is time to move beyond the study of categorically defined groups and consider correlates of RRBs that include broad indices of mental health and well-being. CI - Copyright (c) 2023 Keating, Van Goozen, Uljarevic, Hay and Leekam. FAU - Keating, Jennifer AU - Keating J AD - Cardiff University Centre for Human Developmental Science, School of Psychology, Cardiff University, Cardiff, United Kingdom. FAU - Van Goozen, Stephanie AU - Van Goozen S AD - Cardiff University Centre for Human Developmental Science, School of Psychology, Cardiff University, Cardiff, United Kingdom. FAU - Uljarevic, Mirko AU - Uljarevic M AD - Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States. FAU - Hay, Dale AU - Hay D AD - Cardiff University Centre for Human Developmental Science, School of Psychology, Cardiff University, Cardiff, United Kingdom. FAU - Leekam, Susan R AU - Leekam SR AD - Cardiff University Centre for Human Developmental Science, School of Psychology, Cardiff University, Cardiff, United Kingdom. LA - eng PT - Journal Article DEP - 20230301 PL - Switzerland TA - Front Behav Neurosci JT - Frontiers in behavioral neuroscience JID - 101477952 PMC - PMC10014551 OTO - NOTNLM OT - anxiety OT - demographic correlates OT - developmental correlates OT - insistence on sameness OT - repetitive sensory and motor behaviors OT - restricted and repetitive behaviors (RRB) OT - transdiagnostic COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/03/21 06:00 MHDA- 2023/03/21 06:01 PMCR- 2023/01/01 CRDT- 2023/03/20 03:37 PHST- 2022/10/31 00:00 [received] PHST- 2023/02/06 00:00 [accepted] PHST- 2023/03/20 03:37 [entrez] PHST- 2023/03/21 06:00 [pubmed] PHST- 2023/03/21 06:01 [medline] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fnbeh.2023.1085404 [doi] PST - epublish SO - Front Behav Neurosci. 2023 Mar 1;17:1085404. doi: 10.3389/fnbeh.2023.1085404. eCollection 2023.