Comportamento auto ou hetero agressivo e dificuldade na comunicação em crianças diagnosticadas com transtorno do espectro autista

Abstract

Introduction: Autism Spectrum Disorder (ASD) is characterized by particularities and difficulties related to the development of verbal and non-verbal language essential for social interaction and communication. Although behavioral behaviors are not among the recurrent characteristics among people with ASD, there is a prevalence in the occurrence of these behaviors in such people. Objective: It aims to analyze the relationship between self- or hetero-aggressive behavior and communication difficulties in children diagnosed with ASD. Method: This is a systematic review carried out using the PRISMA criteria, registered on the prospero website CRD42023384215. The searches were carried out in the following databases: PubMed/Medline, Scopus, EMBASE, Literatura LatinoAmericana, LILACS, Psychinfo and Livivo. To consider the eligibility of studies included/excluded in this review, the acronym “PECOS” was used: sample composed of children and adolescents (0-19 years of age) diagnosed with ASD; self- or heteroaggressive behavior present; outcome of interest was communicative performance and observational cohort, cross-sectional or case-control studies. Risk of bias was assessed using the JBI (Critical Appraisal Checklist for Analytical Cross Sectional Studies). Results: 1143 references were found in all searches. After applying the eligibility criteria and reading the full text, 10 studies were included. Seven studies identified a relationship between the aspects of this study and only three articles did not verify this relationship. Conclusion: It is recommended that research be implemented around this topic, involving a greater number of participants and different theoretical perspectives.