Division of Occupational Science and Occupational Therapy, Department of Allied Health Sciences, University of North Carolina at Chapel Hill, CB# 7122, Bondurant Hall, Chapel Hill, NC 27599-7120, USA.
J Autism Dev Disord. 2012 Jun;42(6):1236-48. doi: 10.1007/s10803-011-1284-z.
Restricted and repetitive behaviors (RRBs) are a core symptom of autism spectrum disorders (ASD). There has been an increased research emphasis on repetitive behaviors; however, this research primarily has focused on phenomenology and mechanisms. Thus, the knowledge base on interventions is lagging behind other areas of research. The literature suggests there are evidence-based practices to treat "lower order" RRBs in ASD (e.g., stereotypies); yet, there is a lack of a focused program of intervention research for "higher order" behaviors (e.g., insistence on sameness). This paper will (a) discuss barriers to intervention development for RRBs; (b) review evidence-based interventions to treat RRBs in ASD, with a focus on higher order behaviors; and (c) conclude with recommendations for practice and research.
限制和重复行为（RRBs）是自闭症谱系障碍（ASD）的核心症状。人们越来越重视重复行为的研究；然而，这项研究主要集中在现象学和机制上。因此，干预措施的知识库落后于其他研究领域。文献表明，有循证实践可以治疗 ASD 中的“低阶”RRBs（例如，刻板行为）；然而，对于“高阶”行为（例如，坚持一成不变），缺乏有针对性的干预研究计划。本文将：（a）讨论 RRBs 干预发展的障碍；（b）综述 ASD 中治疗 RRBs 的循证干预措施，重点关注高阶行为；（c）最后提出实践和研究建议。
