Journal of Autism and Developmental Disorders最新文献

Diminished responding to one's own name is one of the strongest and earliest predictors of autism. However, research on the neural correlates of this response in autism is scarce. Here we investigate neural responses to hearing the own name in school-aged children with and without autism. Thirty-four children with autism and 33 without autism (ages 7-13) were presented with three categories of names (own name, close other's name and unknown other name) as task-irrelevant deviant stimuli in an auditory oddball paradigm, while EEG was recorded. In line with previous findings, parietal P3 amplitudes for the own name were enhanced compared with a close other's name. Older children showed a stronger self-specific effect than younger children. However, this self-preferential effect was not different between groups, despite the fact that parents of children with autism reported significantly less own-name responsiveness in daily life. Neither the N1 component or SON negativity showed self-specific effects. In school-aged children, only the parietal P3 component, and not the N1 or SON negativity, appears to be enhanced for the own name as compared to a close other's name. Age seems to have an effect on the own name modulation of the P3 amplitude, which may explain the relatively small overall effect size. Against expectations, groups did not differ on this self-specific effect. Further research into neural and behavioral responses to hearing one's own name in autism, across different age groups, is warranted.

There have been disparities reported in prevalence of autism by gender, race, and socioeconomic status with older ages of diagnosis in non-White and in female children. Possible disparities in the ages of autism diagnosis are not well-established within the Military Health System (MHS) pediatric population, where we hypothesized less disparities given universal Tricare coverage for active-duty military families and theoretically equal access to the military treatment facility (MTF). We conducted retrospective cross-sectional analysis using deidentified database repository records from the MHS. We collected and analyzed demographic data on children covered by Tricare and newly diagnosed with autism within an MTF (N = 31,355) or outside of the MTF (5,579 respectively). Within the MTF, we identified younger ages of autism diagnosis in non-White children less than 18 years old (p < 2.2e^-16), without significant differences in ages of diagnosis by race in children less than 6 years of age. There were no statistically significant differences in ages of diagnosis between males and females. Outside the MTF, we identified younger ages of autism diagnosis in males versus females with statistically significant difference in average ages of autism diagnosis between males and females less than the age of 18 years (p = 4.4e-08). This difference was not seen in children less than 6 years of age. Racial data was not available for diagnosis outside the MTF. The age of autism diagnosis in the military pediatric population within the MTF did not reflect historical disparities seen in non-White and in female children.

The evaluation of social communication and interaction (SC/I) behaviors is foundational to the autism identification process. However, this type of evaluation is made difficult by the fact that SC/I is a construct in which perceptions and expectations are largely influenced by norms and attitudes of different sociodemographic groups. While there are many factors that influence differences in SC/I behaviors across sociodemographic groups, one factor that may be especially important is the perceived value of these behaviors. The purpose of this study is to investigate which sociodemographic factors influence the perceived importance of SC/I behaviors among caregivers of children and adolescents. Caregivers (n = 398) living in the United States completed the Social Communication and Interaction Perceptions Scale (SCIPS). Linear mixed-effect models were used to investigate the relationship between the perceived importance of SC/I behaviors and seven sociodemographic factors as well as determine if this relationship was moderated by SC/I behavior type (i.e., foundational vs. advanced behaviors). Several different sociodemographic factors (i.e., caregiver race/ethnicity, caregiver gender, household income, child disability status, child age, child gender) were associated with caregiver ratings of the perceived importance of SC/I behaviors. This relation was, in some instances (i.e., caregiver race/ethnicity, caregiver gender, child disability status), moderated by whether the SC/I behaviors were foundational or advanced. Our findings highlight the importance of considering the values of caregivers regarding perceived SC/I importance during the autism identification process.

Purpose: Children with autism spectrum disorder (ASD) often show abnormal speech prosody. Tonal languages can pose more difficulties as speakers need to use acoustic cues to make lexical contrasts while encoding the focal function, but the acquisition of speech prosody of non-native languages, especially tonal languages has rarely been investigated.

Methods: This study aims to fill in the aforementioned gap by studying prosodic focus-marking in Mandarin by native Cantonese-speaking children with ASD (n = 25), in comparison with their typically developing (TD) peers (n = 20) and native Mandarin-speaking children (n = 20). Natural prosodic marking of different types of focus was elicited by picture-based prompt questions, recorded and analyzed acoustically.

Results: The autistic children made use of fewer acoustic cues and produced less evident on-focus expansion in these cues than TD, especially the native-Mandarin speaking peers. They also demonstrated a clear preference to on-focus expansion than to post-focus compression. These children, together with their native Cantonese-speaking peers, also hyper-performed in tone realization, prioritizing lexical prosody over focus marking. Such hyper-performance may further limit their use of prosodic cues in focus marking. However, the difficulties the autistic children faced in the acquisition of speech prosody in a non-native tone language, though found, are not more than those they face in their mother tongue.

Conclusion: Multilingual exposure may help the autistic children master the use of some focus marking strategies though they still need interventions to help them to implement their focus-marking knowledge more sufficiently in both native and non-native languages.

Autism spectrum disorder (ASD) is characterized by impairments in social affective engagement. The present study uses a mild social stressor task to add to inconclusive past literature concerning differences in affective expressivity between autistic young adults and non-autistic individuals from the general population (GP). Young adults (mean age = 21.5) diagnosed with ASD (n = 18) and a non-autistic comparison group (n = 17) participated in the novel social stress task. Valence (positive/negative) and intensity of facial affect were coded across four observational episodes that alternated between engagement and disengagement of social conversational partner. Results indicated an overall attenuation in expressivity in the ASD group in comparison to the non-autistic group. Mean affect differed between groups, especially in the amount of affective expression. Both groups responded with increased positive expressions during social engagement episodes. The affect difference was driven by a smaller proportion of positive and a greater proportion of neutral affect displays in the ASD group compared to the non-autistic group during these episodes, and less so by negative affect differences. The results suggest that friendly, non-threatening social interactions should not be assumed to be aversive to autistic individuals, and that these individuals may respond to such situations with muted positive valence. These findings are consistent with past reports of decreased expressivity in autistic individuals compared to individuals from the general population, specifically in an ecologically valid social context.

Purpose: Autistic children have an increased likelihood of anxiety, but more research is needed on the characteristics that predict various types of anxiety in this population.

Methods: In this study, we examined a range of child and family predictors of various types of anxiety using a sample of 452 autistic children from the Australian Autism Biobank. We used logistic regression to examine child and family predictors of four common types of anxiety in autistic children: generalised, phobic, separation, and social anxiety.

Results: We found that 62.8% of children in this sample had symptoms of at least one type of anxiety. Poor quality sleep habits were the only predictive factor consistently identified across all anxiety symptom types. Specific to children with indicated generalised, separation, and phobic anxiety symptoms were the predictive factors of being older than five years, and specific to generalised and social anxiety were the predictive factors of higher cognitive abilities. Maternal anxiety was also a predictive factor in indicated children's separation anxiety.

Conclusion: These findings can help inform the provision of more targeted support for autistic people, particularly the interaction of poor sleep habits and anxiety symptoms.

The prevalence of autistic students in schools is continuously increasing. Typically, the social and sensory differences associated with autism can make the school environment difficult to manage. Autistic students are more likely to experience mental health difficulties than their non-autistic peers. It is therefore important to listen to autistic people about their educational experiences and explore ways that the environment could be changed to reduce anxiety.

Purpose: The current research explores whether the relationship between school belonging and anxiety in secondary-aged autistic students is mediated by camouflaging.

Methods: An anonymous online survey was completed by 72 autistic students attending mainstream schools in the UK and Ireland. The survey included questionnaires about school belonging (simple sense of belonging scale), anxiety (ASC-ASD) and camouflaging traits (CAT-Q). Further, the survey included open-ended questions about environmental factors related to school belonging and camouflaging. Qualitative content analysis was used to interpret answers to open ended questions.

Results: The results found that, as predicted, camouflaging did mediate the relationship between school belonging and anxiety. Categories were created for each question, for example, 'the school environment' and 'acceptance and understanding'.

Conclusion: Social relationships; individual factors; the environment and adaptations, and acceptance and understanding, influence students' sense of belonging.

This research aimed to establish whether 12 weeks of bicycle-riding skills exercises with massed and distributed practice frequency at low and high intensity affect communication performance and stereotyped behavior among adolescent boys with autism. Fifty autistic boys aged 13.3 ± 1.32 years participated in the study. The participants were divided into homogeneous experimental groups (N = 10) with dissimilar training frequencies and intensities, along with a control group. Pre-tests using the GARS-2 test were administered to assess stereotyped behavior and communication skills, followed by post-tests and a one-month follow-up. Non-parametric Kruskal Wallis and ANCOVA results at a significance level of 0.05 showed that there was a significant difference in the post-test of stereotyped behavior and communication skills (p = 0.001 and p = 0.002, respectively) and follow-up test one month later (p = 0.003, p = 0.048, respectively) between the intervention and control groups after performing bike riding skills exercises with low and high intensities and frequencies (one and three sessions per week). Regardless of the intensity and frequency, bike riding skills training during the critical period of adolescence can significantly reduce stereotyped behaviors and enhance communication skills, which can also support positive development in other domains for individuals with autism.

Much of the current autism and gender literature has been based within a medical deficiency model; where both are seen as deficiencies rather than differences. However, there is currently minimal knowledge about the experiences of being an autistic adolescent who is both assigned female at birth and has gender dysphoria (GD), whilst even less is known about their experiences of social identity, self-concept and resilience. This study aims to explore experiences of GD with a particular focus on identity and resilience to promote parent and healthcare staff understanding; particularly around gender-affirming care, to foster positive mental health outcomes. Five assigned female at birth autistic adolescents, who identify as trans men/boys, took part in one-to-one semi-structured interviews, which were analysed using an Interpretative Phenomenological Approach. Five subordinate themes arose; "Having both autism and GD", "Finding where I belong", "Being more than labels", "Trying to cope" and "Making support successful". Our findings build on current literature and theory regarding the experience of concurrent autism and GD; highlighting its legitimacy, the ways in which autism impacts upon GD and how healthcare approaches and policy can increase accessibility and suitability of gender-affirming care.

The present study aims to fill the research gap by evaluating published empirical studies and answering the specific research question: Can individuals with autism spectrum disorder (ASD) predict upcoming linguistic information during real-time language comprehension? Following the PRISMA framework, an initial search via PubMed, Web of Science, SCOPUS, and Google Scholar yielded a total of 697 records. After screening the abstract and full text, 10 studies, covering 350 children and adolescents with ASD ranging from 2 to 15 years old, were included for analysis. We found that individuals with ASD may predict the upcoming linguistic information by using verb semantics but not pragmatic prosody during language comprehension. Nonetheless, 9 out of 10 studies used short spoken sentences as stimuli, which may not encompass the complexity of language comprehension. Moreover, eye-tracking in the lab setting was the primary data collection technique, which may further limit the generalizability of the research findings. Using a narrative approach to synthesize and evaluate the research findings, we found that individuals with ASD may have the ability to predict the upcoming linguistic information. However, this field of research still calls for more studies that will expand the scope of research topics, utilize more complex linguistic stimuli, and employ more diverse data collection techniques.