Autism & Developmental

Understanding aggression in autism across childhood: Comparisons with a non-autistic sample.

Quetsch et al. (2023) · Autism research : official journal of the International Society for Autism Research 2023
★ The Verdict

Autistic kids under six show more physical aggression than peers, but by adolescence only verbal aggression stays elevated—target early physical aggression and later verbal skills.

✓ Read this if BCBAs working with autistic clients under 14 in clinic or school settings.
✗ Skip if Practitioners serving only autistic adults or clients without aggression concerns.

01Research in Context

01

What this study did

The team compared aggression levels between autistic and non-autistic youth at different ages. They used a quasi-experimental design, meaning they grouped kids by diagnosis and age rather than randomly assigning them.

Participants ranged from early childhood through adolescence. The study looked at both physical acts like hitting and verbal acts like name-calling.

02

What they found

Autistic kids under six showed more physical aggression than their typical peers. By adolescence, the physical gap closed, but autistic teens still used more verbal aggression.

The pattern suggests early physical aggression fades with age while verbal spikes remain.

03

How this fits with other research

Amore et al. (2011) found that two-thirds of autistic youth showed aggression toward caregivers. The new data add a timeline: the risk is highest for physical acts in preschool years.

Yarar et al. (2022) showed that social quality of life improves as autistic adults age. Together these studies hint that social stress and aggression both shift from physical to verbal with maturity.

Chan et al. (2021) found physical-activity programs boost social skills in the same age range. Pairing early motor play with aggression coaching could hit both targets.

04

Why it matters

BCBAs can now time their interventions. Focus on physical aggression before age six when the gap is widest. Shift to verbal skills and social coping in middle school when words become the main weapon. Use brief motor or sports routines as a gateway to teach respectful communication.

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Add a five-minute motor warm-up to preschool sessions and track physical aggression; switch to social-story scripts for verbal jabs in teen groups.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
882
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

As many as half of all autistic youth face challenges with aggression. And while research in this area is growing, the prevalence and characterization of aggressive behaviors across autistic development remains poorly understood. This lack of knowledge on the autistic experience is further clouded as aggression is rarely compared against non-autistic youth samples. To address this gap in the literature, the present study compared autistic children (N = 450) to non-autistic children (N = 432) on multiple caregiver-report measures of aggressive behavior and associated constructs (i.e., anger, disruptive behavior) across key developmental periods (<6, 6-12, 13-17 years) via a cross-sectional design. Outcomes indicated higher levels of verbal aggression and behavioral intensity for autistic youth across development. Further, autistic children under age 6 had more significant levels of physical aggression than non-autistic peers; however, these levels became equal to non-autistic peers as the youths aged. Implications for differences in the presence of aggressive behavior as well as possible treatment options for aggression are discussed.

Autism research : official journal of the International Society for Autism Research, 2023 · doi:10.1002/aur.2930