Szamari and colleagues isolated two underlying dimensions to help explain the need for sameness and repetition. They found that the worst adaptive outcome were for those children who demonstrate a. Compulsion and rituals b. Difficulties with change in the environment c. Insistence on sameness d. Repetitive, sensory, and motor behaviors

c. Insistence on sameness

The answer is a. Compulsion and rituals.

Szamari and colleagues identified two underlying dimensions related to the need for sameness and repetition. The first dimension is characterized by "compulsion and rituals," which refers to repetitive actions or behaviors that individuals feel compelled to perform. These can include rituals, routines, or behaviors done in a specific order.

The second dimension, however, is not mentioned in the options. Therefore, the answer is solely a. Compulsion and rituals.