Intervenciones cognitivo-conductuales para reducir conductas autolesivas en niños y jóvenes con TEAUna revisión sistemática

  1. Elena Fernández-Menéndez 1
  2. José A. Piqueras 1
  3. Victoria Soto-Sanz 1
  1. 1 Universidad Miguel Hernández de Elche, España
Journal:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Year of publication: 2022

Issue Title: Monográfico “Avances en los trastornos del neurodesarrollo en niños y adolescentes"

Volume: 9

Issue: 3

Type: Article

DOI: 10.21134/RPCNA.2022.09.3.8 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista de Psicología Clínica con Niños y Adolescentes

Sustainable development goals

Abstract

Self-injurious behaviours in children and young people with Autism Spectrum Disorder (ASD) imply risks to their physical integrity and affect their quality of life and that of their families. In addition, they hinder their integration into the school and social environments, this being limited by the characteristics of this type of disorder. Although there is little information about self-harm in this population, in general it has been seen that the greater the affectation and the lower the cognitive level, the more prevalent self-injurious behaviours are. The aim of this study was to review the efficacy of cognitive-behavioral interventions for the reduction of self-injurious behaviors in children and youth with ASD. For it, we searched PsycINFO, Scopus and Google Scholar. The review included studies in English or Spanish languages on cognitive-behavioral interventions to reduce self-injurious behaviors in children and youth with ASD; with samples consisting of individuals with ASD between 1 and 30 years of age presenting self-injurious behaviors; and conducted between 1970 and 2022. Of the 228 studies identified, only 7 met the inclusion criteria. The included studies included participants between the ages of 3 and 26 years diagnosed with ASD and were published between 1974 and 2015, evidencing the efficacy of cognitive-behavioral interventions. Although these studies show positive post-intervention results, they are scarce in number. Further research is therefore needed on the effectiveness of behavioural and cognitive interventions to reduce self-injurious behaviours in children and young people with ASD.

Bibliographic References

  • Ahearn, W. H., Clark, K. M., MacDonald, R. P., & Chung, B. I. (2007). Assessing and treating vocal stereotypy in children with autism. Journal of Applied Behavior Analysis, 40(2), 263-275. https://doi.org/10.1901/jaba.2007.30-06
  • Ames, M., & Weiss, J. (2013). Cognitive Behaviour Therapy for a Child with Autism Spectrum Disorder and Verbal Impairment: A Case Study. Journal on Developmental Disabilities, 19(1), 61-69. https://yorkspace.library. yorku.ca/xmlui/bitstream/handle/10315/27192/41015_JoDD_19-1_61- 69_Ames_and_Weiss%20(1).pdf?isAllowed=y&sequence=1
  • Azrin, N. H., Besalel, V. A., Jamner, J. P., & Caputo, J. N. (1988). Comparative study of behavioral methods of treating self-injury. Behavioral Residential Treatment, 3 (2) 119-152. https://doi.org/10.1002/bin.2360030204
  • Baron-Cohen, S., Allen, J., & Gillberg, C. (1992). Can autism be detected at 18 months?: The needle, the haystack, and the CHAT. The British Journal of Psychiatry, 161(6), 839-843. https://doi.org/10.1192/bjp.161.6.839
  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561-571. https://doi: 10.1001/archpsyc.1961.01710120031004
  • Boesch, M. C., Taber-Doughty, T., Wendt, O., & Smalts, S. S. (2015). Using a Behavioral Approach to Decrease Self- Injurious Behavior in an Adolescent With Severe Autism: A Data-Based Case Study. Education and Treatment of Children, 38(3), 305-328. https://doi.org/ 10.1353/etc.2015.0012
  • Boyd, B. A., McDonough, S. G., & Bodfish, J. W. (2011). Evidence-Based Behavioral Interventions for Repetitive Behaviors in Autism. Journal of Autism and Develompmental Disorders, 42(6) 1236-1248. https://doi.org/10.1007/ s10803-011-1284-z
  • Devine, D. P. (2014). Self-injurious behabiour in autistic children: a neurodevelopmental theory of social and environmental isolation. Psychopharmacology, 231(6), 979-997. https://doi.org/10.1007/s00213-013-3279-2
  • Emerson, E. (2001). Challenging behaviour: analysis and intervention in people with severe intellectual disabilities. Cambridge University Press.
  • Fonseca-Pedrero, E., Pérez-Álvarez, M., Al-Halabí, S., Inchausti, F., López-Navarro, E. R., Muñiz, J., Lucas-Molina, B., Pérez-Albéniz, A., Baños, R., Cano-Vindel, A., Gimeno-Peón, A., Prado-Abril, J., González-Menéndez, A., Valero, A. V., Priede, A, González-Blanch, C., Ruiz-Rodríguez, P., Moriana, J.A., Gómez, L. E., … & Montoya-Castilla, I. (2021). Tratamientos Psicológicos Empíricamente Apoyados Para la Infancia y Adolescencia: Estado de la Cuestión. Psicothema, 33(3), 386-398. https://doi. org/10.7334/psicothema2021.56
  • Griffin, J. C., Ricketts, R. W., Williams, D. E., Locke, B. J., Altmeyer, B. K., & Stark, M. T. (1987). A Community survey of self-injurious behavior among developmentally disabled children and adolescents. Hospital & Commmunity Psychiatry, 38(9), 959-963. https://doi.org/10.1176/ps.38.9.959
  • Hare, D. J. (1997). The Use of Cognitive-Behavioural Therapy with People with Asperger Syndrome: A Case Study. Autism, 1(2), 215-225. https://doi. org/10.1177/1362361397012007
  • Heaton, R. K. (1981). Wisconsin Card Sorting Test Manual. Psychological Assessment Resources, Odessa. FL.
  • Hervás, A. (2016). Un autismo, varios autismos. Variabilidad fenotípica en los Trastornos del Espectro Autista. Revista de Neurología, 62(Supl 1), S9-14. https://doi.org/10.33588/rn.62S01.2016068
  • 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. https://doi.org/10.1901/ jaba.1974.7-521
  • Liu-Gitz, L., & Banda, D. R. (2010). A replication of the rid strategy to decrease vocal stereotypy in a student with autism. Behavioral Interventions, 25, 77-87. https://doi.org/10.1002/bin.297
  • Martos-Pérez, J., & Paula, I. (2011). Una aproximación a las funciones ejecutivas en el trastorno del espectro autista. Revista de Neurología, 52(1), 5147-5153. https://doi.org/10.33588/rn.52S01.2010816
  • McTiernan, A., Leader, G., Healy, O., & Mannion, A. (2011). Analysis of risk factors and early predictors of challenging behaviorfor children with autism spectrum disorder. Research in Autism Spectrum Disorders, 5(3), 1215–1222. https://doi.org/10.1016/j.rasd.2011.01.009
  • Nottestad, J. A., & Linaker, O. M. (2001). Self injurious behaviour before and after deinstitutionalization. Journal of Intellectual Disability Research, 45(2), 121-129. https://doi.org/10.1046/j.1365-2788.2001.00332.x
  • Paula, I. (2013). Diagnóstico diferencial entre el trastorno obsesivo compulsivo y los patrones de comportamiento, actividades e intereses restringidos y repetitivos en los trastornos del espectro autista. Revista de Psiquiatría y Salud Mental, 6(4), 178-186. https://doi.org/10.1016/j.rpsmen.2012.07.006
  • Paula, I. (2018). La Autolesión en el Autismo. ¿Búsqueda o liberación del dolor? Alianza Editorial.
  • Rey, A. (1941). L’examen psychologique dans les cas d’encephalopathie traumatique. Archives de Psychologie, 28, 286-340.
  • Richler, J., Bishop, S. L., Kleinke, J. R., & Lord, C. (2007). Restricted and repetitive behaviors in young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(1), 73-85. https://doi. org/10.1007/s10803-006-0332-6
  • Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31, 131–144. https://doi.org/10.1023/a:1010738829569
  • Rutter, M., Le Couteur , A., & Lord, C. (2011). ADI-R. Autism Diagnostic Interview -Revised. Western Psychological Services. https://web.teaediciones. com/Ejemplos/ADI-R-Extracto-Manual.pdf
  • Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18, 643-62. https://pure.mpg.de/rest/items/ item_2389918/component/file_2389917/content
  • Totsika,V., Toogood, S., Hastings, R. P., & Lewis, S. (2008). Persistence of challenging behaviours in adults with intellectual disability over a period of 11 years. Journal of Intellectual Disability Research, 52(5), 446-457. https:// doi.org/10.1177/1362361306062013
  • 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. https://doi. org/10.1007/BF01531288