{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:45:57Z","timestamp":1789173957640,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,9,21]],"date-time":"2023-09-21T00:00:00Z","timestamp":1695254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R21MH121876\u201301"],"award-info":[{"award-number":["R21MH121876\u201301"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Autism Research"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Insistence on sameness (IS) encompasses a range of behavioral patterns, including resistance to change, routines, and ritualized behaviors, that can be present across social and non\u2010social contexts. Given the breadth of behaviors encompassed by IS, it is important to determine whether this domain is best conceptualized and measured as uni\u2010 or a multi\u2010dimensional construct. Therefore, the current study aimed to characterize the structure of IS and explore potentially distinct of patterns of associations between identified IS factors and relevant correlates, including age, sex, IQ, anxiety, social abilities, emotional and behavioral dysregulation, and sensory hypersensitivity. Exploratory graph analysis was conducted using the dimensional assessment of restricted and repetitive behaviors to examine the structure of IS in a sample 1892 autistic youth (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200910.82, <jats:italic>SD<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u20094.14; range: 3\u201318\u2009years; 420 females) recruited from the Simons Foundation Powering Autism Research for Knowledge cohort. Three distinct IS subdomains labeled as IS\u2010Ritualistic\/sameness, IS\u2010Routines, and IS\u2010Others (referring to IS behaviors during interactions with others)\u00a0were identified. Generalized additive models demonstrated that each of the IS subdomains showed a unique pattern of association with key variables. More specifically, while sensory hypersensitivity was significantly associated with IS\u2010Ritualistic\/sameness and IS\u2010Routines, it was not associated with IS\u2010Others. Further, while emotional dysregulation was a unique predictor of IS\u2010Ritualistic\/sameness (but not IS\u2010Routines or IS\u2010Others), social interaction abilities were a unique predictor of IS\u2010Routines (but not IS\u2010Ritualistic\/sameness or IS\u2010Others). Current findings provide preliminary evidence that the IS may encompass several distinct subdomains.<\/jats:p>","DOI":"10.1002\/aur.3033","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T06:59:13Z","timestamp":1695365953000},"page":"2326-2335","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Characterizing subdomains of insistence on sameness in autistic youth"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2300-439X","authenticated-orcid":false,"given":"Emily","family":"Spackman","sequence":"first","affiliation":[{"name":"Melbourne School of Psychological Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5148-8358","authenticated-orcid":false,"given":"Luke D.","family":"Smillie","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6951-2667","authenticated-orcid":false,"given":"Thomas W.","family":"Frazier","sequence":"additional","affiliation":[{"name":"Department of Psychology John Carroll University  University Heights Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9860-8625","authenticated-orcid":false,"given":"Antonio Y.","family":"Hardan","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7481-3923","authenticated-orcid":false,"given":"Mirko","family":"Uljarevi\u0107","sequence":"additional","affiliation":[{"name":"Psychiatry and Behavioral Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705510903008204"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-013-1945-1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2020.127"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.121.1.65"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.107.2.238"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-012-1671-0"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-017-3161-x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1023\/a:1005596502855"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(83)90116-8"},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","unstructured":"Christensen A. 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