Decreasing self‐injurious behavior associated with awakening in a child with autism and developmental delays

Iser G. DeLeon · Wayne W. Fisher · Jean‐Marie Marhefka

45 citations0/0 files storedBehavioral Interventions

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Behavioral and Psychological Studies Autism Spectrum Disorder Research Child Nutrition and Feeding Issues

Abstract

Abstract Direct observation data revealed that self‐injurious behavior (SIB) emitted by a young boy with autism occurred primarily within one hour after waking versus all other times of the day. Experimentally manipulated scheduled awakenings supported the hypothesized relation between waking and SIB. A faded‐bedtime procedure was then implemented to stabilize his sleep patterns, which reduced awakenings by 81% and post‐waking SIB by 82%. Copyright © 2004 John Wiley & Sons, Ltd.

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References

1994TOWARD A FUNCTIONAL ANALYSIS OF SELF‐INJURY 1982DISTINGUISHING BETWEEN DISCRIMINATIVE AND MOTIVATIONAL FUNCTIONS OF STIMULI 2000Parental Report of Sleep Problems in Children with Autism 1993The Evaluation and Treatment of Sleep Disturbances in Young Children 1995FUNCTIONAL ANALYSIS AND TREATMENT OF ESCAPE‐MAINTAINED AGGRESSION CORRELATED WITH SLEEP DEPRIVATION 1996SLEEP DEPRIVATION, ALLERGY SYMPTOMS, AND NEGATIVELY REINFORCED PROBLEM BEHAVIOR 1997USING NEUTRALIZING ROUTINES TO REDUCE PROBLEM BEHAVIORS 1994Opioid antagonist effects on self-injury in adults with mental retardation: response form and location as determinants of medication effects.

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2009Sleep problems in autism spectrum disorders: Prevalence, nature, & possible biopsychosocial aetiologies 2014Non‐pharmacological management of problematic sleeping in children with developmental disabilities 2018Outcomes of a Behavioral Intervention for Sleep Disturbances in Children with Autism Spectrum Disorder 2021Collateral Child and Parent Effects of Function‑Based Behavioral Interventions for Sleep Problems in Children and Adolescents with Autism

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