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Pathological Demand Avoidance: Exploring the Behavioural Profile

Year Published: 2014
Authors: Elizabeth O’Nions, Essi Viding, Corina U. Greven, Angelica Ronald, Francesca Happé

This study examines the behavioural traits of children with Pathological Demand Avoidance (PDA) compared to those with Autism Spectrum Disorders (ASD), Conduct Problems (CPs), and Callous-Unemotional Traits (CUs). The research aimed to explore whether PDA should be considered a distinct syndrome and addressed ongoing debates around its classification.

Using standardised parent-report measures, the study found that children with PDA exhibited severe impairments across multiple areas. Social difficulties in PDA were similar to those seen in ASD, while antisocial traits and reduced pro-social behaviours resembled those found in CP/CU groups. The paper discusses management strategies tailored to each group, emphasising the particular challenges faced by children with PDA traits. It also highlights the need for further research into the neurocognitive basis of PDA and potential interventions. This study contributes to the growing understanding of PDA and its place within developmental disorders.