Edinburgh Research Archive

Association between the social and communication impairments and repetitive/restricted interests and behaviours of ASD in a clinical sample: Does the triad still fit?

dc.contributor.advisor
Power, Michael
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dc.contributor.advisor
Morris, Paul
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dc.contributor.author
Kuenssberg, Renate Katherine Von
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dc.date.accessioned
2013-10-17T14:46:32Z
dc.date.available
2013-10-17T14:46:32Z
dc.date.issued
2012-11-28
dc.description.abstract
Introduction: Autism Spectrum Disorder (ASD) is a behaviourally defined disorder characterised by impairments in three domains of social interaction, communication, and repetitive/restricted interests and behaviours (DSM-IV-TR; APA, 2000; ICD-10; WHO, 1992). Recent research suggests that this diagnostic triad may no longer fit as the best way to conceptualise ASD. Although not due for publication until 2013, a proposed revision of autistic disorder for DSM-V has merged three domains into two; i) Social/communication deficits and ii) Fixated interests and repetitive behaviours (APA, 2010). The aim of this study was to examine the structure of ASD symptom domains within the Adult Asperger Assessment (AAA; Baron-Cohen et al., 2005). Method: Confirmatory factor analysis was used to examine data from a clinical population of adults diagnosed with Asperger Syndrome (AS) and High Functioning Autism (HFA). Results: Analysis suggested that none of the theoretically-driven models were supported by the AAA data. However, it did highlight high correlations between social and communication factors (r > 0.9) within unmodified models. Discussion: The results of the analysis did not provide support for the move towards considering ASD as a dyad of ‘social-communication’ impairments and repetitive/restricted interests and behaviours, as none of the models were supported by the AAA data. The validity of the AAA as a diagnostic tool is discussed, as well as limitations and suggestions for future research. Conclusion: This study did not provide the evidence required to endorse a move towards the proposed DSM-V dyad. Further research to understanding the structure of autism symptoms could improve diagnostic and classification systems, and further studies of the genetic and neurobiological bases of ASD.
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dc.identifier.uri
http://hdl.handle.net/1842/7916
dc.language.iso
en
dc.publisher
The University of Edinburgh
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dc.relation.hasversion
Kuenssberg, R., McKenzie, K., & Jones, J. (2011). The association between the social and communication elements of autism, and repetitive/restrictive behaviours and activities: A review of the literature. Research in Developmental Disabilities, doi:10.1016/j.ridd.2011.06.018
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dc.relation.hasversion
Kuenssberg, R., McKenzie, K., & Jones, J. (2011). The association between the social and communication elements of autism, and repetitive/restrictive behaviours and activities: A review of the literature. Research in Developmental Disabilities, doi:10.1016/j.ridd.2011.06.018
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dc.subject
Autism Spectrum Disorder
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dc.subject
ASD
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dc.subject
Asperger Syndrome
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dc.title
Association between the social and communication impairments and repetitive/restricted interests and behaviours of ASD in a clinical sample: Does the triad still fit?
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dc.type
Thesis or Dissertation
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dc.type.qualificationlevel
Doctoral
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dc.type.qualificationname
DClinPsychol Doctor of Clinical Psychology
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