Evidence map›Paper›PMID 40631530›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2025

Capturing change in restricted and repetitive behaviour in preschoolers with ASD: A comparison of direct behavioural observation and parent report.

Naisan Raji, Janina Kitzerow-Cleven, Ziyon Kim, Solvejg K Kleber, Leonie Polzer, Christian Lemler, Melanie Ring, Regina Taurines, Julia Geißler, Ulrike Fröhlich and 3 more

Abstract readComparative Study
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Visual Search Performance in Children With ASD: A Combined Case-Control and Longitudinal Study.Autism research : official journal of the International Society for Autism Research · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Naisan RajiDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.ORCID 0000-0001-9221-162X
Janina Kitzerow-ClevenDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.
Ziyon KimDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.
Solvejg K KleberDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.
Leonie PolzerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.
Christian LemlerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.
Melanie RingDepartment of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Dresden, Dresden, Germany.
Regina TaurinesDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wuerzburg, Wuerzburg, Germany.
Julia GeißlerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wuerzburg, Wuerzburg, Germany.
Ulrike FröhlichDepartment of Child and Adolescent Psychiatry and Psychotherapy, Josefinum Augsburg, Augsburg, Germany.
Michele NoterdaemeDepartment of Child and Adolescent Psychiatry and Psychotherapy, Josefinum Augsburg, Augsburg, Germany.
Nico BastDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.
Christine M FreitagDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany.ORCID 0000-0001-9676-4782

Funding

Deutsche Forschungsgemeinschaft FR-2069/8-1Deutsche Forschungsgemeinschaft FR-2069/8-2
6 · The paper itself

Abstract

backgroundRestricted and repetitive behaviour (RRB) in autism spectrum disorder (ASD) can be assessed by different measures, which diverge in item quantity, dimensionality or source of information. However, change sensitivity has not been systematically investigated among commonly used measures, albeit its importance for clinical trials and longitudinal studies.

methodsLongitudinal data resulting from behavioural observation (Autism Diagnostic Observation Schedule-2, ADOS-2; Brief Observation of Social Communication Change, BOSCC) and parent report (Restricted Behaviour Scale-Revised, RBS-R) was collected for 134 toddlers and preschoolers aged 25-65 months diagnosed with ASD by the Autism Diagnostic Interview-Revised (ADI-R) and ADOS-2. Change sensitivity was estimated using the reliable-change index and developmental trajectories of RRB by linear mixed models and k-means clustering.

resultsThe RBS-R identified significantly more reliable change in RRB severity compared to ADOS-2 and BOSCC. For all measures, except the RBS-R self-injurious behaviour subscale, three distinct RRB trajectories were found as follows: increasing, stable and decreasing RRB severity. Overlap was low between trajectory group assignment across measures, as were cross-sectional correlations between ADI-R, ADOS-2, BOSCC and RBS-R. Trajectory group comparisons among measures mostly showed lower baseline RRB severity in the increasing trajectory groups and higher baseline RRB severity in the decreasing trajectory groups. The trajectory groups did not differ in age or nonverbal IQ across RRB measures, except for the RBS-R compulsive behaviour subscale, which had higher nonverbal IQ in the decreasing trajectory group.

conclusionsThe dimensional questionnaire RBS-R compared to ADOS-2 and BOSCC is superior in capturing subtle changes in RRB during preschool age.

Indexed as

Autism Spectrum DisorderBehavior Observation TechniquesBehavior Rating ScaleChild BehaviorPsychiatric Status Rating ScalesStereotyped BehaviorChild, PreschoolFemaleHumansLongitudinal StudiesMaleParentsAutism spectrum disordersbehavioural measuresdevelopmentlongitudinal studiesstereotyped behaviour

Identifiers

PMID40631530
PMCPMC12571943

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.