Characterising Insistence on Sameness and Circumscribed Interests: A Qualitative Study of Parent Perspectives.

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Title: Characterising Insistence on Sameness and Circumscribed Interests: A Qualitative Study of Parent Perspectives.
Authors: Spackman, Emily, Geng, Alicia, Smillie, Luke D., Frazier, Thomas W., Hardan, Antonio Y., Alvarez, Gail A., Whitehouse, Andrew, Schuck, Rachel K., Leekam, Sue R., Uljarević, Mirko
Source: Journal of Autism & Developmental Disorders. Aug2025, Vol. 55 Issue 8, p2896-2908. 13p.
Subjects: Behavior disorders, Research funding, Qualitative research, Autism, Interviewing, Parent attitudes, Attitudes toward disabilities, Teenagers' conduct of life, Attention, Thematic analysis, Research methodology, Conceptual structures, Asperger's syndrome, Parents of children with disabilities, Psychology of caregivers, Child behavior, Caregiver attitudes, Psychosocial factors, Symptoms, Adolescence, Children
Geographic Terms: United States
Abstract: Manifestations of insistence on sameness (IS) and circumscribed interests (CI) are complex, with individuals varying considerably, not only in the types of behaviours they express, but also in terms of a behaviour's frequency, intensity, trajectory, adaptive benefits, and impacts. However, current quantitative RRB instruments capture only certain aspects of these behaviours (e.g., mostly frequency or general "severity"). Thus, the current study utilised a semi-structured caregiver interview to provide an in-depth, qualitative characterization of different aspects of IS and CI presentation. Caregivers of 27 autistic children and adolescents displaying IS and/or CI behaviours (3–16 years; 18 males; 9 females) participated in a semi-structured interview. Responses were analysed using thematic framework analysis. Framework analysis identified nine different aspects of IS and CI presentation: (1) intensity, (2) frequency, (3) emergence of behaviour, (4) changes over time, (5) day-to-day fluctuations, (6) purpose/adaptive benefit, (7) experiences of distress, (8) challenges for the individual, their family, and their socialisation, and (9) management strategies and their effectiveness. Autistic children and adolescents were reported to vary greatly on each of these dimensions. Findings demonstrate the complexity of IS and CI presentations and highlight the need for more comprehensive quantitative assessments that independently assess the frequency, intensity, and impact of behaviours. Further, findings reported here emphasize the need for ecologically valid measures that assess the contexts in which these behaviours occur and how their presentations can change within and across days. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: <searchLink fieldCode="AR" term="%22Spackman%2C+Emily%22">Spackman, Emily</searchLink><br /><searchLink fieldCode="AR" term="%22Geng%2C+Alicia%22">Geng, Alicia</searchLink><br /><searchLink fieldCode="AR" term="%22Smillie%2C+Luke+D%2E%22">Smillie, Luke D.</searchLink><br /><searchLink fieldCode="AR" term="%22Frazier%2C+Thomas+W%2E%22">Frazier, Thomas W.</searchLink><br /><searchLink fieldCode="AR" term="%22Hardan%2C+Antonio+Y%2E%22">Hardan, Antonio Y.</searchLink><br /><searchLink fieldCode="AR" term="%22Alvarez%2C+Gail+A%2E%22">Alvarez, Gail A.</searchLink><br /><searchLink fieldCode="AR" term="%22Whitehouse%2C+Andrew%22">Whitehouse, Andrew</searchLink><br /><searchLink fieldCode="AR" term="%22Schuck%2C+Rachel+K%2E%22">Schuck, Rachel K.</searchLink><br /><searchLink fieldCode="AR" term="%22Leekam%2C+Sue+R%2E%22">Leekam, Sue R.</searchLink><br /><searchLink fieldCode="AR" term="%22Uljarević%2C+Mirko%22">Uljarević, Mirko</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Aug2025, Vol. 55 Issue 8, p2896-2908. 13p.
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  Data: Manifestations of insistence on sameness (IS) and circumscribed interests (CI) are complex, with individuals varying considerably, not only in the types of behaviours they express, but also in terms of a behaviour's frequency, intensity, trajectory, adaptive benefits, and impacts. However, current quantitative RRB instruments capture only certain aspects of these behaviours (e.g., mostly frequency or general "severity"). Thus, the current study utilised a semi-structured caregiver interview to provide an in-depth, qualitative characterization of different aspects of IS and CI presentation. Caregivers of 27 autistic children and adolescents displaying IS and/or CI behaviours (3–16 years; 18 males; 9 females) participated in a semi-structured interview. Responses were analysed using thematic framework analysis. Framework analysis identified nine different aspects of IS and CI presentation: (1) intensity, (2) frequency, (3) emergence of behaviour, (4) changes over time, (5) day-to-day fluctuations, (6) purpose/adaptive benefit, (7) experiences of distress, (8) challenges for the individual, their family, and their socialisation, and (9) management strategies and their effectiveness. Autistic children and adolescents were reported to vary greatly on each of these dimensions. Findings demonstrate the complexity of IS and CI presentations and highlight the need for more comprehensive quantitative assessments that independently assess the frequency, intensity, and impact of behaviours. Further, findings reported here emphasize the need for ecologically valid measures that assess the contexts in which these behaviours occur and how their presentations can change within and across days. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10803-024-06404-4
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