Assessing subtypes of restricted and repetitive behaviour using the Adult Repetitive Behaviour Questionnaire-2 in autistic adults.
Sarah L Barrett, Mirko Uljarević, Catherine R G Jones and 1 others
PMID 30505424WHAT IT FOUND
In autistic adults, the RBQ-2A questionnaire sorted repetitive behaviours into two clusters: insistence on sameness and repetitive sensory/motor behaviours.
Repetitive sensory/motor behaviours were lower in adults aged 50 to 66, while gender did not differ.
Key findings
01The RBQ-2A items formed two clusters in autistic adults: Insistence on Sameness and Repetitive sensory and motor behaviours.
02Repetitive sensory and motor behaviours decreased with age, while insistence on sameness did not differ by age.
03Men and women did not differ significantly on the RBQ-2A subscales.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The final analysed sample was 275 adults; 352 initially reported a diagnosis and 309 met the AQ cut-off. The sample was not representative of autistic adults overall: it was mostly white (92.6%), had 171 women and 100 men, and required reading ability to complete the questionnaire online. Autism diagnoses were self-reported and not independently confirmed, and IQ or cognitive ability was not measured. The AQ cut-off of 26 was lower than the original cut-off of 32, and using the higher cut-off changed how some items loaded. The structure was tested with exploratory PCA only; confirmatory factor analysis was not done. Some sensory items were unstable: angles and smell did not load clearly, and arrange and carry changed depending on the AQ cut-off.
Declared interests
Funding came from the Economic and Social Research Council and the School of Psychology, Cardiff University. The supplied text does not state author competing interests.
The easy way to misread this
Do not treat the RBQ-2A as a diagnostic test or use its two clusters to infer that autism subtypes can be treated. The study did not test treatment. The sample was self-reported, online, mostly highly educated, mostly white, and not confirmed for diagnosis or IQ.