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. Author manuscript; available in PMC: 2025 Aug 25.
Published in final edited form as: J Appl Behav Anal. 2025 Apr 11;58(2):270–286. doi: 10.1002/jaba.70006

TABLE 5.

Response topographies and assessment and treatment formats used in challenging behavior consecutive controlled case series (CCCS) studies.

Challenging behavior variables (n = 67) Number of studies (%)

Response topographies (n = 67a)
 Self-injury 46 (68.66%)
 Aggression 43 (64.18%)
 Disruptive behavior or property destruction 42 (62.69%)
 Negative or loud vocalizations 28 (41.79%)
 Elopement 19 (28.36%)
 Inappropriate sexual behavior 13 (19.40%)
 Pica 12 (17.91%)
 Dropping and flopping 9 (13.43%)
 Disrobing 9 (13.43%)
 Inappropriate mealtime behavior 9 (13.43%)
 Verbal aggression 8 (11.94%)
 Spitting 7 (10.45%)
 Stereotypy 6 (8.96%)
 Self-restraint 5 (7.58%)
 Emesis or regurgitation 5 (7.58%)
 Ritualistic behavior 2 (2.99%)
 Rectal digging and fecal smearing 2 (2.99%)
 Food stealing 1 (1.49%)
Stimuli assessment format (n = 22a)
 Preference assessment 12 (54.55%)
 Competing stimulus assessment 7 (31.82%)
 Skills assessment 1 (4.55%)
 Demand assessment 1 (4.55%)
 Other 1 (4.55%)
Functional behavioral assessment (n = 67a)
 Experimental 61 (91.04%)
 Indirect 34 (50.75%)
 Descriptive 24 (35.82%)
Experimental format (n = 61)
 Isolated contingency analysis 39 (63.93%)
 Synthesized contingency analysis 11 (18.03%)
 Unspecified 7 (11.48%)
 Combination 4 (6.56%)
Treatment outcomes (n = 39)
 Behavior reduction and skill acquisition 18 (46.15%)
 Treatment challenge (relapse, resurgence, renewal) 12 (30.77%)
 Behavior reduction only 7 (17.95%)
 Skill acquisition only 1 (2.56%)
a

The total percentage may exceed 100 due to the possibility of multiple selections.