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Arranging and ordering in autism spectrum disorder: characteristics, severity, and environmental correlates.

BACKGROUND: There is a need for a more accurate characterisation of higher level restricted and repetitive behaviour (RRB) in autism spectrum disorder (ASD), including why it might be considered problematic and events associated with its occurrence.

METHOD: We selected one form of higher level RRB-arranging and ordering-that was rated as severe for a large percentage of the population sampled. We interviewed 20 students' teachers and conducted naturalistic observations for 15 of those students.

RESULTS: The characteristics of arranging and ordering varied across, and sometimes within, individuals. Problems associated with compulsive-like (1) behaviour also varied, with several unanticipated reported problems. With the exception of attention, social consequences were relatively infrequent.

CONCLUSIONS: These data highlight the need for research on the assessment and treatment of arranging and ordering and clinical attention to compulsive-like behaviour in ASD. Interviews and naturalistic observations are useful for structuring additional observations and analyses.

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