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Mood as a Dependent Variable in Behavioral Interventions for Individuals with ASD: a Systematic Review

  • Devon Ramey
  • Olive HealyEmail author
  • Russell Lang
  • Laura Gormley
  • Nathan Pullen
Review
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Abstract

The current review provides an original examination of the literature involving mood as a dependent variable in behavioral interventions designed for individuals with autism spectrum disorder (ASD). Twenty-nine single-subject experimental design studies were identified through systematic searches and evaluated in relation to the following variables: (a) participant and setting characteristics, (b) experimental design, (c) approach to mood assessment, (d) intervention procedures, and (e) intervention effects on mood. The experimental rigor of the included studies was evaluated on the National Autism Center’s Scientific Merit Rating Scale (2009). Results suggest that behavioral interventions can be successfully used to improve the mood of individuals with ASD and that observable indices of mood can be operationally defined and measured among these individuals. These observable indices of mood could be more often measured in behavioral intervention research, particularly when improved quality of life (QoL) is a stated goal of intervention. Limitations of the current research base are discussed and suggestions for future studies incorporating measures of mood in ASD populations are offered.

Keywords

Autism Happiness Intervention Mood Quality of life 

Notes

References

*Studies included in this review

  1. Adams, D., & Oliver, C. (2011). The expression and assessment of emotions and internal states in individuals with severe or profound intellectual disabilities. Clinical Psychology Review, 31, 293–206.CrossRefGoogle Scholar
  2. Ahearn, W. H., Clark, K. M., & MacDonald, R. P. F. (2007). Assessing and treating vocal stereotypy in children with autism. Journal of Applied Behavior Analysis, 40, 263–275.CrossRefGoogle Scholar
  3. *Arbogast, N. R., & Fryling, M. J. (2015). Brief assessment of indices of happiness during early and intensive applied behavior analysis. International Journal of Behavior Analysis and Autism Spectrum Disorders, 1, 30–33.Google Scholar
  4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRefGoogle Scholar
  5. Arias, V. B., Gomez, L. E., Moran, M. L., Alcedo, M. A., Monsalve, A., & Fontanil, Y. (2018). Does quality of life differ for children with autism spectrum disorder and intellectual disability compared to peers without autism? Journal of Autism and Developmental Disorders, 48, 123–136.CrossRefGoogle Scholar
  6. Baer, D. M., Wolf, M. M., & Risley, T. R. (1968). Some current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis, 1, 91–97.CrossRefGoogle Scholar
  7. *Baker, M. J. (2000). Incorporating the thematic ritualistic behaviors of children with autism into games: increasing social play interactions with siblings. Journal of Positive Behavior Interventions, 2, 66–84.CrossRefGoogle Scholar
  8. *Baker, M. J., Koegel, R. L., & Koegel, L. K. (1998). Increasing the social behavior of young children with autism using their obsessive behaviors. Research and Practice for Persons with Severe Disabilities, 23, 300–308.Google Scholar
  9. *Blakeley-Smith, A., Carr, E. G., Cale, S. I., & Owen-DeSchryver, J. S. (2009). A model for assessing and treating problem behavior associated with curricular difficulties in children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24, 131–145.CrossRefGoogle Scholar
  10. Brown, R. I. (2017). Quality of life—challenges to research, practice, and policy. Journal of Policy and Practice in Intellectual Disabilities, 14, 7–14.CrossRefGoogle Scholar
  11. Carnett, A., Raulston, T., Lang, R., Tostanoski, A., Lee, A., Sigafoos, J., & Machalicek, W. (2014). Effects of a perseverative interest-based token economy on challenging and on-task behavior in a child with autism. Journal of Behavioral Education, 23, 368–377.CrossRefGoogle Scholar
  12. Carr, E. G. (2007). The expanding vision of positive behavior support: research perspectives on happiness, helpfulness, hopefulness. Journal of Positive Behavior Interventions, 9, 3–14.CrossRefGoogle Scholar
  13. *Carr, E. G., McLaughlin, D. M., Giacobbe-Grieco, T., & Smith, C. E. (2003). Using mood ratings and mood induction in assessment and intervention for severe problem behavior. American Journal on Mental Retardation, 108, 32–55.CrossRefGoogle Scholar
  14. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2nd ed.). Upper Saddle River, NJ: Pearson Education, Inc.Google Scholar
  15. Dillon, C. M., & Carr, J. E. (2007). Assessing indices of happiness and unhappiness in individuals with developmental disabilities: a review. Behavioral Interventions, 22, 229–244.CrossRefGoogle Scholar
  16. Donnellan, A. M., Hill, D. A., & Leary, M. R. (2013). Rethinking autism: implications of sensory and movement differences. Frontiers in Integrative Medicine, 6, 1–11.Google Scholar
  17. *Dunlap, G. (1984). The influence of task variation and maintenance tasks on the learning and affect of autistic children. Journal of Experimental Child Psychology, 37, 41–64.CrossRefGoogle Scholar
  18. *Dunlap, G., & Koegel, R. L. (1980). Motivating autistic children through stimulus variation. Journal of Applied Behavior Analysis, 13, 619–627.CrossRefGoogle Scholar
  19. Faso, D. J., Sasson, N. J., & Pinkham, A. E. (2015). Evaluating posed and evoked facial expressions of emotion from adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 75–89.CrossRefGoogle Scholar
  20. Felce, D., & Perry, J. (1995). Quality of life: its definition and measurement. Research in Developmental Disabilities, 16, 51–74.CrossRefGoogle Scholar
  21. *Geiger, K. B., Carr, J. E., LeBlanc, L. A., Hanney, N. M., Polick, A. S., & Heinicke, M. R. (2012). Teaching receptive discriminations to children with autism: a comparison of traditional and embedded discrete trial training. Behavior Analysis in Practice, 5, 49–59.CrossRefGoogle Scholar
  22. *Gengoux, G. W. (2015). Priming for social activities: effects on interactions between children with autism and typically developing peers. Journal of Positive Behavior Interventions, 17, 181–192.CrossRefGoogle Scholar
  23. Green, C. W., & Reid, D. H. (1996). Defining, validating, and increasing indices of happiness among people with profound multiple disabilities. Journal of Applied Behavior Analysis, 29, 67–78.CrossRefGoogle Scholar
  24. Green, C. W., & Reid, D. H. (1999). A behavioral approach to identifying sources of happiness and unhappiness among individuals with profound multiple disabilities. Behavior Modification, 23, 280–293.CrossRefGoogle Scholar
  25. Hayes, S. C., & Brownstein, A. J. (1986). Mentalism, behavior-behavior relations, and a behavior-analytic view of the purposes of science. The Behavior Analyst, 9, 175–190.CrossRefGoogle Scholar
  26. Iwata, B. A. (1991). Applied behavior analysis as a technological science. Journal of Applied Behavior Analysis, 24, 421–424.CrossRefGoogle Scholar
  27. *Jenkins, S. R., & Reed, F. D. D. (2013). An experimental analysis of the effects of therapeutic horseback riding on the behavior of children with autism. Research in Autism Spectrum Disorders, 7, 721–740.CrossRefGoogle Scholar
  28. Johnston, J. M. (2013). Radical behaviorism for ABA practitioners. Cornwall-on-Hudson, NY: Sloan Educational Publishing.Google Scholar
  29. *Jull, S., & Mirenda, P. (2011). Parents as play date facilitators for preschoolers with autism. Journal of Positive Behavior Interventions, 13, 17–30.CrossRefGoogle Scholar
  30. *Kennedy, C. H. (1994). Manipulating antecedent conditions to alter the stimulus control of problem behavior. Journal of Applied Behavior Analysis, 27, 161–170.CrossRefGoogle Scholar
  31. Kennedy, C. H. (2002). The maintenance of behavior change as an indicator of social validity. Behavior Modification, 26, 594–604.CrossRefGoogle Scholar
  32. *Koegel, R. L., & Egel, A. L. (1979). Motivating autistic children. Journal of Abnormal Psychology, 88, 418–426.CrossRefGoogle Scholar
  33. *Koegel, L. K., Kuriakose, S., Singh A. K., & Koegel, R. L. (2012). Improving generalization of peer socialization gains in inclusive school settings using initiations training. Behavior Modification, 36, 361–377.CrossRefGoogle Scholar
  34. *Koegel, L. K., Navab, A., Ashbaugh, K., & Koegel, R. L. (2016). Using reframing to reduce negative statements in social conversation for adults with autism spectrum disorder. Journal of Positive Behavior Interventions, 18, 133–144.CrossRefGoogle Scholar
  35. *Koegel, R. L., O’Dell, M., & Dunlap, G. (1988). Producing speech use in nonverbal autistic children by reinforcing attempts. Journal of Autism and Developmental Disorders, 18, 525–538.CrossRefGoogle Scholar
  36. *Koegel, L. K., Stiebel, D., & Koegel, R. L. (1998). Reducing aggression in children with autism toward infant or toddler siblings. Research and Practice for Persons with Severe Disabilities, 23, 111–118.Google Scholar
  37. *Koegel, R. L., Vernon, T. W., & Koegel, L. K. (2009). Improving social initiations in young children with autism using reinforcers with embedded social interactions. Journal of Autism and Developmental Disorders, 39, 1240–1251.CrossRefGoogle Scholar
  38. *Koegel, R. L., Werner, G. A., Vismara, L. A., & Koegel, L. K. (2005). The effectiveness of contextually supported play date interactions between children with autism and typically developing peers. Research and Practice for Persons with Severe Disabilities, 30, 93–102.CrossRefGoogle Scholar
  39. Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Oliva, D., & Basila, G. (2005). An overview of research on increasing indices of happiness of people with severe/profound intellectual and multiple disabilities. Disability and Rehabilitation, 27, 83–93.CrossRefGoogle Scholar
  40. *Lang, R., Machalicek, W., Rispoli, M., O’Reilly, M., Sigafoos, J., Lancioni, G., ... & Didden, R. (2014). Play skills taught via behavioral intervention generalize, maintain, and persist in the absence of socially mediated reinforcement in children with autism. Research in Autism Spectrum Disorders, 8, 860–872.Google Scholar
  41. *Lattimore, L. P., Parsons, M. B., & Reid, D. H. (2009). Rapid training of a community job skill to nonvocal adults with autism: an extension of intensive teaching. Behavior Analysis in Practice, 2, 34–42.CrossRefGoogle Scholar
  42. Ledbetter-Cho, K., Lang, R., Watkins, L., O’Reilly, M., & Zamora, C. (2017). Systematic review of collateral effects of focused interventions for children with autism spectrum disorder. Autism and Developmental Language Impairments, 2, 1–22.CrossRefGoogle Scholar
  43. Matson, J. L., Bamburg, J. W., Mayville, E. A., Pinkston, J., Bielecki, J., Kuhn, D., et al. (2000). Psychopharmacology and mental retardation: a 10 year review (1990–1999). Research in Developmental Disabilities, 21, 263–296.CrossRefGoogle Scholar
  44. McDougall, J., Evans, J., & Baldwin, P. (2010). The importance of self-determination to perceived quality of life for youth and young adults with chronic conditions and disabilities. Remedial and Special Education, 31, 252–260.CrossRefGoogle Scholar
  45. *Moes, D. R. (1998). Integrating choice-making opportunities within teacher-assigned academic tasks to facilitate the performance of children with autism. Journal of the Association for Persons with Severe Handicaps, 23, 319–328.CrossRefGoogle Scholar
  46. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. British Medical Journal, 339, 332–336.CrossRefGoogle Scholar
  47. National Autism Center. (2009). National standards report. Randolph, MA: National Autism Center.Google Scholar
  48. *Parsons, M. B., Reid, D. H., Bentley, E., Inman, A., & Lattimore, L. P. (2012). Identifying indices of happiness and unhappiness among adults with autism: potential targets for behavioral assessment and intervention. Behavior Analysis in Practice, 5, 15–25.CrossRefGoogle Scholar
  49. Reid, D. H., & Green, C. W. (2006). Life enjoyment, happiness, & antecedent behavior support. In J. K. Luiselli (Ed.), Antecedent assessment & intervention: supporting children & adults with developmental disabilities in community settings (pp. 249–268). Baltimore: Brookes Publishing.Google Scholar
  50. Schalock, R. L., & Verdugo, M. A. (2002). Quality of life for human service practitioners. Washington, DC: American Association on Mental Retardation.Google Scholar
  51. Scruggs, T. E., & Mastropieri, M. A. (1998). Summarizing single-subject research: issues and applications. Behavior Modification, 22, 221–242.CrossRefGoogle Scholar
  52. Scruggs, T. E., Mastropieri, M. A., & Castro, G. (1987). The quantitative synthesis of single-subject research: methodology and validation. Remedial & Special Education, 8, 24–52.CrossRefGoogle Scholar
  53. *Sigafoos, J., O’Reilly, M., Ma, C. H., Edrisinha, C., Cannella, H., & Lancioni, G. (2006). Effects of embedded instruction versus discrete-trial training on self-injury, correct responding, and mood in a child with autism. Journal of Intellectual & Developmental Disability, 31, 196–203.CrossRefGoogle Scholar
  54. Skinner, B. F. (1957). Verbal behavior. New York: Appleton-Century-Crofts.CrossRefGoogle Scholar
  55. *Spector, V., & Charlop, M. H. (2017). A sibling-mediated intervention for children with autism spectrum disorder: using the Natural Language Paradigm (NLP). Journal of Autism and Developmental Disorders, 48, 1508–1522.CrossRefGoogle Scholar
  56. *Stasolla, F., Perilli, V., & Damiani, R. (2014a). Self monitoring to promote on-task behavior by two high functioning boys with autism spectrum disorders and symptoms of ADHD. Research in Autism Spectrum Disorders, 8, 472–479.CrossRefGoogle Scholar
  57. *Stasolla, F., Perilli, V., Damiani, R., Caffò, A. O., Di Leone, A., Albano, V., … Damato, C. (2014b). A microswitch-cluster program to enhance object manipulation and to reduce hand mouthing by three boys with autism spectrum disorders and intellectual disabilities. Research in Autism Spectrum Disorders, 8, 1071–1078.CrossRefGoogle Scholar
  58. Toole, L. M., Bowman, L. G., Thomason, J. L., Hagopian, L. P., & Rush, K. S. (2003). Observed increases in positive affect during behavioral treatment. Behavioral Interventions, 18, 35–42.CrossRefGoogle Scholar
  59. Van Houten, R., Axelrod, S., Bailey, J. S., Favell, J. E., Foxx, R. M., Iwata, B. A., & Lovaas, O. I. (1988). The right to effective behavioral treatment. Journal of Applied Behavior Analysis, 21, 381–384.CrossRefGoogle Scholar
  60. *Vernon, T. W., Koegel, R. L., Dauterman, H., & Stolen, K. (2012). An early social engagement intervention for young children with autism and their parents. Journal of Autism and Related Disorders, 42, 2702–2717.CrossRefGoogle Scholar
  61. *Vismara, L. A., & Lyons, G. L. (2007). Using perseverative interests to elicit joint attention behaviors in young children with autism: theoretical and clinical implications for understanding motivation. Journal of Positive Behavior Interventions, 9, 214–228.CrossRefGoogle Scholar
  62. Willemsen-Swinkels, S. H. N., Buitelaar, J. K., Dekker, M., & van Engeland, H. (1998). Subtyping stereotypic behavior in children: the association between stereotypic behavior, mood, and heart rate. Journal of Autism and Developmental Disorders, 28, 547–557.CrossRefGoogle Scholar
  63. Wolery, M., Gast, D. L., & Hammond, D. (2010). Comparative intervention designs. In D. L. Gast (Ed.), Single subject research methodology in behavioral sciences (pp. 329–381). London, UK: Routledge.Google Scholar
  64. Wolf, M. W. (1978). Social validity: the case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11, 203–214.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Devon Ramey
    • 1
  • Olive Healy
    • 1
    Email author
  • Russell Lang
    • 2
  • Laura Gormley
    • 1
  • Nathan Pullen
    • 3
  1. 1.School of Psychology, Áras an Phiarsaigh, Trinity College DublinUniversity of DublinDublin 2Ireland
  2. 2.Clinic for Autism Research Evaluation and Support (CARES)Texas State UniversitySan MarcosUSA
  3. 3.Autism Spectrum Instructional Resources (ASpIRe)AustinUSA

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