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Articles 1 - 30 of 33
Full-Text Articles in Child Psychology
Socially Interfering Sexual Behaviors In Autistic Adolescents And Treatments As Reported By Behavior Analysts, Steven Pai
Seton Hall University Dissertations and Theses (ETDs)
Caregivers often express concern regarding socially interfering sexual behaviors (SISB) in autistic adolescents, yet recent literature offers limited updates on this topic. Existing survey studies have primarily relied on parent, caregiver, or educator reports, with little focus from the perspective of healthcare professionals. To address this gap, the present study surveyed Board Certified Behavior Analysts (BCBA) about the SISB they encounter, commonly utilized interventions employed, and their perceived effectiveness. Of 120 respondents, 74 qualified BCBAs provided data on behaviors such as socially interfering comments, public masturbation, touching others, and public disrobing. Public arousal, verbal remarks/comments, and sexualized gestures were the …
Anxiety's Impact On Autism Spectrum Disorder Symtomology: An Investigation Into The Relationship Between Two Comorbities, Michaela Brown
Anxiety's Impact On Autism Spectrum Disorder Symtomology: An Investigation Into The Relationship Between Two Comorbities, Michaela Brown
LSU Doctoral Dissertations
Autism spectrum disorder (ASD) has been found to be frequently comorbid with many medical and psychological disorders, one of which is anxiety disorders. Research has shown that, when anxiety is present within ASD, various areas of the child’s functioning may be impacted, such as ASD symptom severity, emotional regulation skills, adaptability, social skills and daily living skills. The current study aimed to investigate this relationship of anxiety and ASD. First, within a sample of children and adolescents with ASD, the magnitude of the correlation between specific ASD symptoms parent-reported anxiety was compared to determine if certain ASD symptoms were more …
Resilience And Grit In Children And Adolescents With Autism Spectrum Disorder, Danielle Oehring
Resilience And Grit In Children And Adolescents With Autism Spectrum Disorder, Danielle Oehring
College of Graduate Studies: Theses & Dissertations
Resilience is the way in which an individual positively adapts to challenging or difficult life experiences. This process is marked by adjustments to external and internal demands through mental, emotional, and behavioral flexibility. Grit is perseverance and passion for long-term goals. Although grit and resilience have been researched in children and adolescents, there is a gap in the literature for how these variables relate to developmental disorders, like autism spectrum disorder, in children and adolescents. This study aimed to explore the relationship between autism spectrum disorder and internalizing and externalizing symptoms and whether grit and resilience moderates these relationships. Based …
Playing With Weplay!: Adapting A Caregiver-Child Group For Caregivers Of Young Children With Early Signs Of Autism Spectrum Disorder, Louisa A. Cahn-Gambino
Playing With Weplay!: Adapting A Caregiver-Child Group For Caregivers Of Young Children With Early Signs Of Autism Spectrum Disorder, Louisa A. Cahn-Gambino
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
WePlay! Denver, a collaboration between the University of Denver’s Graduate School of Professional Psychology and the Children’s Museum of Denver, Marsico Campus, began providing caregiver-infant playgroups to the community in 2019. WePlay! and Nosotros Jugamos, the English and Spanish-speaking groups, teach caregivers with young children about play-based exploration, provide psychoeducation, and offer resources. Qualitative data from WePlay! Denver’s initial groups and input from the WePlay! Denver team emphasized interest in expanding WePlay! to include families with children of varying developmental stages and who have specific developmental needs and considerations (Gross et al., 2021), such as autism spectrum disorder (ASD). ASD …
The Effect Of Animal-Assisted Therapy On Prosocial Behaviors In Children With Autism Spectrum Disorders And Developmental Delay: A Pilot Study, Emma Mitchell
Psychological Science Undergraduate Honors Theses
Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social interaction, nonverbal communication, and repetitive patterns (American Psychiatric Association [APA], 2013). Indeed, autistic individuals have been shown to have greater challenges with developing, maintaining, and understanding social relationships which can persist over their lifetime. Early intervention services are recommended for autistic children when they are young to help promote positive skills to enhance their functioning within society and increase their wellbeing over time. This is an especially pressing issue as ASD rates are rising – with the latest data now suggesting 1 in 36 children have the …
A Randomized Controlled Trial Of Group Telehealth Workshops Based On Parent-Child Interaction Therapy For Caregivers Of Children With Autism Spectrum Disorder, Erinn J. Victory
A Randomized Controlled Trial Of Group Telehealth Workshops Based On Parent-Child Interaction Therapy For Caregivers Of Children With Autism Spectrum Disorder, Erinn J. Victory
Graduate Theses, Dissertations, and Problem Reports (ETD)
Autism spectrum disorder (ASD) is a neurodevelopmental disorder associated with various symptoms that interfere with functioning requiring intensive early intervention; however, many families experience barriers to accessing behavioral services due to provider shortages, cost of treatment, and lack of transportation. Parent-Child Interaction Therapy (PCIT) has demonstrated effectiveness as a supplemental treatment for disruptive behaviors in children on the autism spectrum. The current study aims to determine the efficacy of a 2-day group telehealth parent-only workshop based on PCIT for improving caregivers’ use of positive parenting skills, child disruptive behavior, compliance to caregiver commands, and child psychosocial functioning. Thirty-three caregivers and …
Talking With Horses: Equine Assisted Activities To Promote Social Engagement In Individuals With Autism Spectrum Disorder, Amy Ezhaya
Doctor of Nursing Practice Final Manuscripts
Purpose of Project: The purpose of this evidenced-based project is to gather data on how therapeutic horseback riding (THR) facilitates social engagement in individuals with autism spectrum disorder (ASD). The project aims to provide alternative treatment options and disseminate information to providers on the importance of community partnerships.
Background: In 2020, it was estimated that 1 in 54 children had ASD, which is a 170% increase since 2000. Often, those diagnosed with ASD also experience co-occurring mental health diagnoses placing a large burden of care on our healthcare system. THR is a growing alternative treatment option and has been found …
Early Childhood Language And Literacy Development Programs For Autism Spectrum Disorder And D/Deaf And Hard-Of-Hearing Students, Mayson Spillman
Early Childhood Language And Literacy Development Programs For Autism Spectrum Disorder And D/Deaf And Hard-Of-Hearing Students, Mayson Spillman
Lewis Honors College Thesis Collection
This paper examines several popular approaches in the United States for enhancing early childhood literacy and language development in two special education populations— d/Deaf or hard-of-hearing (d/DHH) students and students with autism spectrum disorder (ASD). In addition to examining the effectiveness of these approaches, I adopt an educational equity lens to describe how variability in implementation can impact outcomes for these children. Based on my critical reading of the literature, I offer three broad recommendations for school psychologists: (1) Carefully consider dosage and fidelity of implementation, (2) Use caution when modifying existing interventions for these populations, and (3) Increase in-service …
Drama Therapy As An Intervention For Autism Spectrum Disorder: The Potential Benefits For Youth And Adulthood, Ella S. De Castro
Drama Therapy As An Intervention For Autism Spectrum Disorder: The Potential Benefits For Youth And Adulthood, Ella S. De Castro
Scripps Senior Theses
There are many interventions commonly used for individuals with autism spectrum disorder (ASD). However, one that has not been researched as often is drama therapy. Though there are not many studies on drama therapy and ASD, the ones that do exist seem to indicate positive results. The goal of this proposed study is to assess whether drama therapy could be a good intervention for ASD and if it could potentially be a better option compared to applied behavioral analysis (ABA). The proposed study is broken into two smaller studies. The first study explores the potential benefits of drama therapy for …
Investigating The Quality Of Life For Children With Autism Spectrum Disorder Scale Using Rasch Methodology, Laura C. Chezan, Jin Liu, Ruiqin Gao, Erik Drasgow
Investigating The Quality Of Life For Children With Autism Spectrum Disorder Scale Using Rasch Methodology, Laura C. Chezan, Jin Liu, Ruiqin Gao, Erik Drasgow
Communication Disorders & Special Education Faculty Publications
Our purpose in this study was to provide additional psychometric evidence of the Quality of Life for Children with Autism Spectrum Disorder (QOLASD-C) scale. We used Rasch modeling to investigate the QOLASD-C functioning, the characteristics of the items comprising the scale, and the item functioning across subgroups of children with ASD based on gender and race/ethnicity. Results showed that QOLASD-C was unidimensional, met the local independence assumption, and measured quality of life (QOL). The items showed excellent fit to the model and good discriminating ability between low and high QOL. Most items showed a moderate difficulty level. No differential item …
Community-Based Agency Delivery Of Parent-Child Interaction Therapy: Comparing Outcomes For Children With And Without Autism Spectrum Disorder And/Or Developmental Delays, Lauren B. Quetsch, Rebecca S. Bradley, Laurie Theodorou, Kathleen Newton, Cheryl B. Mcneil
Community-Based Agency Delivery Of Parent-Child Interaction Therapy: Comparing Outcomes For Children With And Without Autism Spectrum Disorder And/Or Developmental Delays, Lauren B. Quetsch, Rebecca S. Bradley, Laurie Theodorou, Kathleen Newton, Cheryl B. Mcneil
Psychological Science Faculty Publications and Presentations
While externalizing behaviors are common among children with autism spectrum disorder (ASD), there is a shortage of specialist community-based clinicians to provide treatment. Parent–Child Interaction Therapy (PCIT), an intervention designed to reduce child disruptive behaviors, may be effective for families of children with ASD but has rarely been studied outside of university-based research settings. We examined the effectiveness of PCIT delivered for children with (N = 109) and without (N = 2,324) ASD/developmental delays (DD) across community-based agencies in Oregon. Findings revealed significant reductions in disruptive behavior and positive changes in the parent-child relationship in both groups. These findings support …
Examination Of Autism Symptoms Across Ethnic Groups: Cross-Cultural Validation Of The Baby And Infant Screen For Children With Autism Traits (Biscuit), Esther Hong
LSU Doctoral Dissertations
Autism spectrum disorder (ASD) a neurodevelopmental disorder characterized by impairments in social communication and interaction and the presence of restricted and repetitive behaviors (American Psychiatric Association, 2013). Variations in prevalence across different racial and ethnic groups have been reported. Though the reason for these variations is unclear, racial and ethnic disparities in access to early screening services, cultural differences in ASD presentation, and the use of culturally insensitive screening tools appear to contribute to disparities in ASD diagnosis. Thus, cultural validation studies of ASD screening tools are needed to investigate the cultural utility of these instruments for use with diverse …
Parent–Child Interaction Therapy For Children With Disruptive Behaviors And Autism: A Randomized Clinical Trial, Korrie Allen, John Harrington, Lauren B. Quetsch, Joshua Masse, Cathy Cooke, James F. Paulson
Parent–Child Interaction Therapy For Children With Disruptive Behaviors And Autism: A Randomized Clinical Trial, Korrie Allen, John Harrington, Lauren B. Quetsch, Joshua Masse, Cathy Cooke, James F. Paulson
Psychological Science Faculty Publications and Presentations
A relatively large number of children with autism spectrum disorder (ASD) exhibit disruptive behavioral problems. While accumulating data have shown behavioral parent training programs to be efficacious in reducing disruptive behaviors for this population, there is a dearth of literature examining the impact of such programs across the range of ASD severity. To evaluate the effectiveness of Parent–Child Interaction Therapy (PCIT), an evidence-based treatment for children with problem behaviors and their families, in reducing disruptive behaviors among children (4–10 years) with ASD (without intellectual disabilities). Fifty-five children (85.5% male, 7.15 years; SD 1.72) were enrolled from pediatric offices and educational …
Systematic Review Of Transition Assessments For Young Children With Autism Spectrum Disorder From Early Intervention To Special Education, Akrum Hassan Eidelsafy, Katherine Lalonde, Starla Scott
Systematic Review Of Transition Assessments For Young Children With Autism Spectrum Disorder From Early Intervention To Special Education, Akrum Hassan Eidelsafy, Katherine Lalonde, Starla Scott
The Hilltop Review
Children with autism spectrum disorder (ASD), their families, and teachers face many challenges during the transition from early intervention into public education. One tool that may facilitate and streamline this transition is the use of a comprehensive transition assessment. The purpose of the current study was to conduct a systematic literature review on peer-reviewed kindergarten transition assessments for children with ASD. The systematic literature review yielded six studies that met inclusion criterion. Within those six studies, 20 assessments were analyzed by reviewing the (1) type of assessment, (2) assessment timeline, and (3) use of assessment results. The results of this …
Cannabis Treatment Of Autism In Children: A Literature Review, Mai Xiong
Cannabis Treatment Of Autism In Children: A Literature Review, Mai Xiong
All Graduate Theses, Dissertations, and Other Capstone Projects
Objectives: This literature review aims to summarize the effects of medical cannabis use in children on Autism Spectrum Disorder (ASD) symptoms, side effects and provide recommendations for practice, education, and research. Background: ASD is characterized by core behaviors of significant impairment in social communication and interaction and restricted and repetitive patterns of behavior, interests, or activities (APA, 2013). In addition to these core behaviors, individuals with ASD often have noncore behavioral disorders and several medical comorbidities. Treatment for ASD symptoms includes Cognitive Behavioral Therapy (CBT), aripiprazole (Abilify) and/or risperidone (Risperdal). As of this review, 14 states have added ASD …
Can Parent-Child Interaction Therapy Improve Core Features Of Autism? Findings From A Comparison Of Pcit For Children With And Without Autism Spectrum Disorder, Robin C. Han
Graduate Theses, Dissertations, and Problem Reports (ETD)
Although there is a small yet growing body of evidence supporting Parent-Child Interaction Therapy (PCIT) as an effective treatment for disruptive behaviors among children with autism spectrum disorder (ASD; Scudder et al., 2019), further study is warranted, particularly with more robust methodology (e.g., larger sample sizes, comparison groups). Furthermore, preliminary studies have demonstrated improvements in symptoms of autism following the completion of PCIT, including improvements in frequency of child verbalizations (Hansen & Shillingsburg, 2016), caregiver report of social skills and social responsiveness (Zlomke et al., 2017), time spent in pretend toy play (Lieneman et al., 2019), and shared positive affect …
The Role Of Family Dynamics In Receiving Autism And Neurodevelopmental Services: A Needs Assessment, Bianca Kalia
The Role Of Family Dynamics In Receiving Autism And Neurodevelopmental Services: A Needs Assessment, Bianca Kalia
Master's Projects and Capstones
This study aims to document the effects an autism spectrum disorder (ASD), neurodevelopmental disorder (NDD) diagnosis, or other behavior disturbances has on the family unit as a whole. Through this analysis, we can develop measures that are personalized for the child with autism as well as the caregiver and family unit.
Parent Emotion Coaching And Affect Recognition In Theory Of Mind In Autism Spectrum Disorder, Audrey L. O'Connor
Parent Emotion Coaching And Affect Recognition In Theory Of Mind In Autism Spectrum Disorder, Audrey L. O'Connor
Clinical Psychology Dissertations
Children with autism spectrum disorder (ASD) present with deficits in social communication and social interaction, as well as restricted and repetitive behaviors, interests, and activities. Theory of Mind (ToM) has been identified as a key factor in social development in both typically developing (TD) children and children with ASD. One proposed explanation for the deficits in social development characteristic in ASD is that deficits in ToM, particularly the ability to infer the mental states of self and others, results in impairments in social development. Researchers have found that affect recognition is a precursor in the development of ToM which occurs …
Connecting To The Self: Increasing Self-Awareness In Children With Asd, Development Of A Method, Madison Janke
Connecting To The Self: Increasing Self-Awareness In Children With Asd, Development Of A Method, Madison Janke
Expressive Therapies Capstone Theses
Dance/movement therapy is a popular method utilized with the autism spectrum population due to its focus on increasing social skills, developing relationships, improving function, increasing positive body image, and expanding movement repertoire. The literature indicated that mirroring is the most common and most utilized DMT intervention for this population, but it provided minimal alternative dance/movement therapy interventions. The dance/movement therapy method implemented through this research attempted to provide an alternative to mirroring through the creation of a body outline. This method was developed through the theoretical framework of relational-cultural theory, emphasizing the impact that relationships can have on the shaping …
Factors Associated With Restricted, Repetitive Behaviors And Interests And Diagnostic Severity Level In Young Children With Autism Spectrum Disorder, Esther Hong
LSU Master's Theses
Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication and social interactions and the presence of restricted, repetitive patterns of behavior (RRBIs). The presence of RRBIs can be detrimental to a child’s development, as RRBIs can lead to impairments in other areas of functioning, impede learning, and contribute to parental stress. Previous studies have identified several factors that are associated with RRBI severity and topography. The current study aims to assess whether impairments in adaptive functioning predict RRBI severity, using the Vineland Adaptive Behavior Scales, Third Edition (VABS-3) and Baby and Infant Screen for Children …
Implementing Autism Screening For Latino Children In Primary Care: Perspectives From Parents And Providers, Mary Troxel, Keri Linas, Diane Jacobstein, Matthew Biel, Sandra H. Soto, Isabella Lorenzo-Hubert, Soraya Dos-Santos, Rocio Mendez, Bruno J. Anthony
Implementing Autism Screening For Latino Children In Primary Care: Perspectives From Parents And Providers, Mary Troxel, Keri Linas, Diane Jacobstein, Matthew Biel, Sandra H. Soto, Isabella Lorenzo-Hubert, Soraya Dos-Santos, Rocio Mendez, Bruno J. Anthony
Journal of Health Disparities Research and Practice
While Autism Spectrum Disorder (ASD) and other developmental disabilities are being diagnosed at increasing rates, there is strong evidence of disparities in rates of identification and utilization of services by Latino children as compared to non-Latino children. Attempts to reduce these disparities include culturally-informed early screening for ASD risk. In preparation for initiation of a screening program in a primary care setting serving primarily Latino children, focus groups and interviews were conducted with Latino parents (N=31), medical staff (N=15), health care providers (N=4) to better understand the barriers and facilitators to engagement around developmental concerns that contribute to the low …
Developmental Regression In Children With Autism Spectrum Disorder: Associated Factors And Outcomes, Jasper Abarte Estabillo
Developmental Regression In Children With Autism Spectrum Disorder: Associated Factors And Outcomes, Jasper Abarte Estabillo
LSU Doctoral Dissertations
Autism spectrum disorder (ASD) is an increasingly common neurodevelopmental disorder characterized by deficits in socialization skills and the presence of restricted and repetitive behaviors. In addition to a number of medical and psychological comorbidities, ASD is associated with a complex phenomenon: developmental regression (i.e., loss of skills in developmental domains). Although present in other disorders (albeit rare), developmental regression is prevalent among individuals with ASD. Thus, interest in studying the phenomenon has grown. However, research on associated risk factors and outcomes is limited and findings have been inconsistent. The current study had two aims: (1) examine potential factors associated with …
Parent Satisfaction With Family Professional Partnerships And Services For Children With Autism Spectrum Disorder, Amanda R. Templeman
Parent Satisfaction With Family Professional Partnerships And Services For Children With Autism Spectrum Disorder, Amanda R. Templeman
Seton Hall University Dissertations and Theses (ETDs)
As an increasing number of children are diagnosed with Autism Spectrum Disorders (ASD), research on the efficacy of interventions and treatments—the way these services affect the family, the child’s outcomes, and the family’s experience with their child’s services—are gaining importance. Children with ASD tend to be involved in multiple services to a higher degree than children with other disabilities, and parents of children with ASD have reported higher dissatisfaction with services than have parents of children with other developmental disabilities. To date, limited research has addressed the family’s perception of these services and how they feel service providers improve child …
Exploring Early Temperament Predictors Of Maladaptive Behavior In A Group Of Elementary School Age Children With Autism Spectrum Disorder, Caren D. Rhodes-Doudna
Exploring Early Temperament Predictors Of Maladaptive Behavior In A Group Of Elementary School Age Children With Autism Spectrum Disorder, Caren D. Rhodes-Doudna
Electronic Theses and Dissertations
The current study is an ex post facto nonexperimental design analyzing archival data collected from previous trials of a large-scale longitudinal study conducted by researchers at JFK Partners, Center of Excellence in Autism and Neurodevelopmental Disabilities in collaboration with the University of Colorado Anschutz Medical School (Principal Investigator: Susan Hepburn, Ph.D.). Specifically, the study looked at the temperament characteristics of mood, intensity, adaptability, and approach measured within early childhood and how they relate to later maladaptive behavior within a group of elementary age children diagnosed with ASD. Maladaptive behavior is a particularly salient outcome, as it impacts the child and …
Teaching The Leisure Skill Of Photography To Children With Autism Spectrum Disorder, Alicia Tsai
Teaching The Leisure Skill Of Photography To Children With Autism Spectrum Disorder, Alicia Tsai
CMC Senior Theses
Children with autism spectrum disorder (ASD) often do not use their leisure time appropriately. Previous studies have shown that children with ASD tend to engage in inappropriate actions and maladaptive behaviors (such as engaging in stereotypy and tantrums) that decrease their quality of life. Establishing age-appropriate leisure skills is important for these children as these skills have been recognized as fulfilling habilitative needs, and can increase the quality of life and social acceptance and decrease the amount of stress for these individuals. The present study used a multiple baseline across-participants design to investigate whether children with ASD can learn and …
Examining The Sex Ratio In Autism Spectrum Disorder, Maya N. Matheis
Examining The Sex Ratio In Autism Spectrum Disorder, Maya N. Matheis
LSU Doctoral Dissertations
The higher prevalence of autism spectrum disorder (ASD) among males compared to females is well documented but poorly understood. The ASD sex ratio may provide valuable insight into the underlying neurobiological mechanisms of the disorder. A review of studies examining the prevalence in ASD published in the last 5 years was conducted, revealing a mean male/female (M/F) ratio of 4. Literature examining the ASD sex ratio in relation to risk factors and associated features of ASD was also summarized. The study aimed to examine the ASD sex ratio and its association to various risk factors among an early intervention sample. …
The Role Of Joint Attention In Pragmatic Language Development In Children With Autism Spectrum Disorders, Ellen F. Geib
The Role Of Joint Attention In Pragmatic Language Development In Children With Autism Spectrum Disorders, Ellen F. Geib
Clinical Psychology Dissertations
All children with autism spectrum disorders (ASD) present with some form of impairment in social communication. Social cognitive learning theory suggests children’s early joint attention skills provide a foundation for future language development. Preliminary research suggests social cognitive behaviors such as joint attention in the context of parent scaffolding may serve as a mechanism for language development in children with ASD. The current study utilized a parent-child free play task to explore the relations among parent and child attention and responsivity and child pragmatic language in 26 children ages 3:1 to 6:11 and their parents. Parent supported joint attention was …
Examining The Durability Of Peers For Adolescents With Asd: Maintenance Of Neurological And Behavioral Effects, Bridget Kathleen Dolan
Examining The Durability Of Peers For Adolescents With Asd: Maintenance Of Neurological And Behavioral Effects, Bridget Kathleen Dolan
Dissertations (1934 -)
To date, there are no known published studies that have assessed the maintenance of treatment effects in the context of neurological changes and their relationship to behavioral outcomes following a social skills intervention for adolescents with Autism Spectrum Disorder (ASD). The few studies that have incorporated long-term assessment into their design have focused exclusively on sustained behavioral responses to treatment. Individuals with ASD across the lifespan exhibit aberrant neural activity, which is thought to underlie social skill deficits noted in persons on the spectrum. Thus, this study sought to examine the impact of a social skills intervention, the Program for …
The Effects Of Familiarity On Visual Search Performance Of Typically Developing Toddlers And Toddlers With Autism Spectrum Disorder, Laura Keegan
Honors College Theses
Visual Search is an attention task that measures how efficiently a person is able to find a target among distractors. It has been found before that children diagnosed with ASD can perform better at visual search when compared to age-matched typically developing children (Kaldy et al., 2011, 2013). Our team conducted a follow-up study with slightly different stimulus parameters (Smith et al., 2015) and two different potential target objects (in this task, an apple vs. a carrot). The results showed that the identity of the target object influenced toddlers’ search performance: they were slightly faster at finding the target when …
The Use Of A Visual Aid To Facilitate Transitional Periods For Children With Autism Spectrum Disorder, Stevi Barrio
The Use Of A Visual Aid To Facilitate Transitional Periods For Children With Autism Spectrum Disorder, Stevi Barrio
All Master's Theses
Transitioning is described as moving from one activity or place to another and has been often recognized as an event that can provoke problem behaviors in children diagnosed with autism spectrum disorder (Sainato et al., 1987). Past research has concentrated on facilitating transitions by using both functional behavior assessments and visual aids. A type of functional behavior assessment is the Questions About Behavioral Function, which is a measurement system designed to determine the function of a given behavior and the environmental stimuli that surround that behavior. This questionnaire rates how often the individual engages in the behavior for situations …