坚持同一性(IS)和限制利益(CI)的表现是复杂的,个体差异很大,不仅在他们表达的行为类型上,而且就行为的频率而言,强度,轨迹,适应性福利,和影响。然而,当前的定量RRB仪器仅捕获这些行为的某些方面(例如,主要是频率或一般的“严重性”)。因此,当前的研究利用半结构化的护理人员访谈来提供一个深入的,IS和CI演示不同方面的定性表征。27名表现出IS和/orCI行为的自闭症儿童和青少年的照顾者(3-16岁;18名男性;9名女性)参加了半结构化访谈。使用专题框架分析法对答复进行了分析。框架分析确定了IS和CI表示的九个不同方面:(1)强度,(2)频率,(3)行为的出现,(4)随着时间的变化,(5)逐日波动,(6)目的/适应性利益,(7)遇险经历,(8)对个人的挑战,他们的家庭,和他们的社会化,(9)管理策略及其有效性。据报道,自闭症儿童和青少年在每个方面都有很大差异。研究结果表明IS和CI演示的复杂性,并强调需要更全面的定量评估来独立评估频率,强度,和行为的影响。Further,本文报告的研究结果强调,需要采取生态有效的措施来评估这些行为发生的背景,以及这些行为的表现如何在几天内和几天内发生变化.
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.