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Reports an error in "Children with autism spectrum disorder show pronoun reversals in interpretation" by Jessica Overweg, Catharina A. Hartman and Petra Hendriks (Journal of Abnormal Psychology, 2018[Feb], Vol 127[2], 228-238). In the article there is an error in Figure 2. The Dutch sentence "Varken zei dat hij de auto krijgt" should be "Varken zei dat ik de auto krijg" (with the first-person pronoun "ik" instead of the third-person pronoun "hij" and the first-person inflected verb "krijg" instead of the third-person inflected verb "krijgt"). (The following abstract of the original article appeared in record 2018-09964-009.) Pronoun reversals, saying you when meaning I, in children with autism spectrum disorder (ASD) are generally viewed as manifesting in early development and speech production only. This study investigates pronoun reversals in later development (age 6-12) in interpretation in 48 Dutch-speaking children with ASD and 43 typically developing (TD) peers. We contrasted children's interpretation of I and you in indirect and direct speech reports, with the latter type requiring an additional perspective shift. To examine which cognitive processes are involved in pronoun interpretation, additional tasks were administered to measure Theory of Mind (ToM) understanding, cognitive inhibition, cognitive flexibility, and working memory. We found that children with ASD showed more problems than TD children interpreting pronouns in direct speech, resulting in pronoun reversals in interpretation. Children with ASD hardly improved with age. Older children with ASD thus showed more pronoun reversals than did their TD peers. ToM understanding, working memory, IQ, and verbal ability, but not inhibition and flexibility, were associated with pronoun interpretation. ToM understanding in particular was associated with correct pronoun interpretation in older TD children relative to younger TD children, but this improvement was not found in children with ASD. These findings indicate that pronoun reversals most likely result from perspective-shifting difficulties. We conclude that pronoun reversals are more pronounced in individuals with ASD, occur beyond early development, and require sufficient cognitive resources. The relation with ToM understanding, but not inhibition and flexibility, suggests that pronoun reversals are best classified as a social communication problem in the diagnosis of ASD. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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PMID:"Children with autism spectrum disorder show pronoun reversals in interpretation": Correction to Overweg, Hartman, and Hendriks (2018). 3033 36

Individuals with autism spectrum disorder (ASD) exhibit a reduced duration of eye contact compared with typically developing (TD) individuals. This reduced eye contact has been theorized to be a strategy to relieve discomfort elicited by direct eye contact (Tanaka & Sung, 2016). Looking at threatening facial expressions may elicit more discomfort and consequently more eye avoidance in ASD individuals than looking at nonthreatening expressions. We explored whether eye avoidance in children with ASD is modulated by the social threat level of emotional expressions. In this study, 2- to 5-year-old children with and without ASD viewed faces with happy, angry, sad, and neutral expressions, while their eye movements were recorded. We observed the following: (a) when confronted with angry faces, the children with ASD fixated less on the eyes than did TD children, persistently across time; (b) the group differences in the overall eye-looking time were rarely found for happy, neutral, and sad faces; (c) the ASD group showed eye avoidance for neutral faces between 1,000 ms and 2,900 ms after the stimulus onset. Additionally, both groups spent more time looking at the angry faces than the faces showing other emotions. Considering that the children with ASD spent less time looking at the eyes of the angry faces than other emotional faces, the results suggest a combination of vigilance to threatening faces and an avoidance of the eyes in children with ASD. Our study not only extends the gaze aversion hypothesis but also has implications for the treatment and screening of ASD. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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PMID:Eye avoidance in young children with autism spectrum disorder is modulated by emotional facial expressions. 3033 41

Parents of 5- to 12-year-old children (half had been diagnosed with autism spectrum disorder [ASD] and half were typically developing) provided reports of the most significant marital conflict of the day and ratings of child behaviors problems on a daily basis for 14 days. Mothers and fathers in the ASD group reported having more conflicts in daily life with any children present and more conflicts with the target child present than their counterparts with typically developing children did. Fathers (but not mothers) in the ASD group reported more conflicts as including child-related themes, although parents across the groups did not differ in their reporting marital conflict that specifically discussed the study's target child. Results from multilevel modeling revealed within-person associations between child presence during marital conflict and parents' emotions; specifically, child presence was related to lower dyadic positivity and higher dyadic anger, according to both mothers and fathers. In addition, results identified significant, positive within-person associations between child presence during marital conflict and discussing certain conflict topics (increased likelihoods of discussing any children and the study's target children). These direct associations were found consistently across mothers' and fathers' reports, and did not vary across ASD and comparison families. Multilevel models focused on implications of the marital conflict for the study's target children generally found child presence during conflict and discussion of child-themed conflict topics to predict higher levels of behavior problems in daily life. One moderating effect was identified, with child presence during conflict related to higher behavior problems according to mothers in the ASD group but not those in the comparison group. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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PMID:Child-present and child-themed marital conflict in daily life of parents of children with and without autism spectrum disorder. 3040 23

Clinicians and educators are increasingly using technology within the context of existing therapies and teaching methodologies. The growing use of mobile clinical tools is particularly exciting for individuals with autism spectrum disorder (ASD), as technologically based interventions have been shown to be both efficacious (to target academics, adaptive behavior, disruptive behavior, etc.) and accepted in this population (Odom et al., 2015). In addition, these tools have the potential to address two significant impediments in ASD intervention, the anxiety and/or skill deficits often associated with face-to-face interactions and skill generalization outside of the therapy office (Wieckowski & White, 2017). In other words, the use of technology may serve as an important preliminary or prerequisite step for face-to-face therapeutic progress. The purpose of this paper is to present a new, interactive clinical app that explicitly utilizes an individual's restricted interests to teach skills and improve communication. The paper will briefly review the ways in which individuals with ASD may be good candidates for technological-based interventions, explore the current role of technology in existing evidence-based therapies, and discuss the use of a new technology, Sidekicks!, that has been developed for this population. A case example will then illustrate the use of Sidekicks! and its anticipated functionality across several public service settings, including hospitals, outpatient clinics, and school systems, thereby coordinating the intervention efforts of various professionals involved in the treatment of children with ASD. Finally, limitations of the app (and of technology more generally) and the need for future research will be discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:Exploring the use of Sidekicks! For children with autism spectrum disorder (ASD). 3042 45

Although low prosocial behavior (LPB) items have been incorporated into youth measures of callousness, it remains unclear from current factor analytic findings whether callous traits and LPB are best operationalized as a common construct, or distinct dimensions. Using data from a population-representative birth cohort (N = 5,463), this study compared 4 latent factor structures for interpersonal callousness (IC; 6 items) and LPB (5 items) at age 13: (a) unidimensional; (b) two-factor; (c) higher-order (with 2 subfactors); and (d) bifactor (1 general and 2 specific residual factors). Alternative models distinguishing positively and negatively worded items were tested for comparative purposes. To assess the external validity of the factors that emerged from the best-fitting model, associations with early parenting styles and psychiatric comorbidities were examined. A bifactor model, achieving invariance for males and females, offered the best fit for these data. However, additional bifactor-specific indices suggested that the specific IC factor did not offer a unique contribution to the total variance over and above the general factor (IC/LPB). Of the remaining factors, IC/LPB was associated with higher levels of harsh parenting, externalizing and internalizing disorder, and social-cognitive difficulties, and lower levels of warm parenting. The LPB factor, meanwhile, was associated with greater social-cognitive difficulties and externalizing disorder, and lower maternal warmth, evoking a phenotype that may be more indicative of the autism spectrum than IC. These findings suggest that the shared variance underlying IC and LPB taps a severe psychiatric phenotype, while the residual variance for LPB may represent a distinct profile of social-cognitive dysfunction. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:Shared and unique variances of interpersonal callousness and low prosocial behavior. 3052 79

Caregivers of children with autism spectrum disorder (ASD) self-report more prospective memory (PM) failures compared with controls. Subjective and objective measures of PM, however, tend to be poorly correlated. This study therefore explored the cognitive impact of caring for a child with ASD using the Cambridge Prospective Memory Test (CAMPROMPT), a more objective, performance-based assessment of PM failures. Whether atypical cortisol secretion patterns might mediate caregivers' compromised cognition was also explored. A sample of n = 23 caregivers of children with ASD and n = 11 parent controls completed time- and event-cued PM tasks with CAMPROMPT. Diurnal cortisol indices, the cortisol-awakening response, diurnal cortisol slope, and mean diurnal output were estimated from saliva samples on multiple days. Results indicated objectively assessed event- but not time-cued PM failures were greater in caregivers compared with controls. Variations in cortisol secretion patterns, however, did not mediate the group effect. In conclusion, caring for a child with ASD was associated with greater deficits in event-cued PM. Future studies might examine the influence of caregivers' event-cued PM failures on quality of provided care. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:Objectively assessed prospective memory failures and diurnal cortisol secretion in caregivers of children with ASD. 3061 13

Research has identified early appearing differences in gross and fine motor abilities in infants at heightened risk (HR) for autism spectrum disorder (ASD) because they are the younger siblings of children with ASD, and it suggests that such differences may be especially apparent among those HR infants themselves eventually diagnosed with ASD. The present study examined overall and item-level performance on the gross (GM) and fine motor (FM) subscales of the Mullen Scales of Early Learning (MSEL) administered at 6 months to a large, geographically diverse sample of HR infants with varying developmental outcomes (ASD, elevated ADOS without ASD, low ADOS without ASD) and to infants with low ASD risk (low risk [LR]). We also explored whether motor abilities assessed at 6 months predicted ASD symptom severity at 36 months. FM (but not GM) performance distinguished all 3 HR groups from LR infants with the weakest performance observed in the HR-Elevated ADOS children, who exhibited multiple differences from both LR and other HR infants in both gross and fine motor skills. Finally, 6-month FM (but not GM) scores significant predicted 36-month ADOS severity scores in the HR group; but no evidence was found of specific early appearing motor signs associated with a later ASD diagnosis. Vulnerabilities in infants' fine and gross motor skills may have significant consequences for later development not only in the motor domain but in other domains. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:Early motor abilities in infants at heightened versus low risk for ASD: A Baby Siblings Research Consortium (BSRC) study. 3062 9

Emerging accounts of autism suggest that flexible and broadly tuned perceptual representations, presumably resulting from reduced specialization, may underlie atypical perception. Here, we examined the other-race effect (ORE) to study face processing specialization arising from specific experience with own-race faces. Face discrimination was tested for own- and other-race faces in typically developed individuals and in individuals with autism spectrum disorder (ASD). For each race, faces were morphed to vary discrimination difficulty, and orientation was manipulated to examine inversion effects. The ASD group displayed overall lower sensitivity and reduced inversion effects in processing faces. Importantly, the processing advantage for own-race faces was substantially smaller in this group, resulting specifically from the reduced specialization for the own-race faces. Moreover, the typical larger inversion effect for Caucasian faces was not observed in the ASD group; sensitivity to orientation was smaller and equivalent for the two face races. These more broadly tuned representations in autism may account for the overall weaker representations of faces and suggest, more broadly, that a failure in perceptual specialization may underlie atypical perception in autism. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:Reduced perceptual specialization in autism: Evidence from the other-race face effect. 3065 91

Adult humans process communicative interactions by recognizing that information is being communicated through speech (linguistic ability) and simultaneously evaluating how to respond appropriately (social-pragmatic ability). These abilities may originate in infancy. Infants understand how speech communicates in social interactions, helping them learn language and how to interact with others. Infants later diagnosed with autism spectrum disorder (ASD), who show deficits in social-pragmatic abilities, differ in how they attend to the linguistic and social-pragmatic information in their environment. Despite their interdependence, experimental measures of language and social-pragmatic attention are often studied in isolation in infancy. Thus, the extent to which language and social-pragmatic abilities are related constructs remains unknown. Understanding how related or separable language and social-pragmatic abilities are in infancy may reveal whether these abilities are supported by distinguishable developmental mechanisms. This study uses a single communicative scene to examine whether real-time linguistic and social-pragmatic attention are separable in neurotypical infants and infants later diagnosed with ASD, and whether attending to linguistic and social-pragmatic information separately predicts later language and social-pragmatic abilities 1 year later. For neurotypical 12-month-olds and 12-month-olds later diagnosed with ASD, linguistic attention was not correlated with concurrent social-pragmatic attention. Furthermore, infants' real-time attention to the linguistic and social-pragmatic aspects of the scene at 12 months predicted and distinguished language and social-pragmatic abilities at 24 months. Language and social-pragmatic attention during communication are thus separable in infancy and may follow distinguishable developmental trajectories. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:Are linguistic and social-pragmatic abilities separable in neurotypical infants and infants later diagnosed with ASD? 3073 Jan 73

Students with autism spectrum disorder (ASD) are increasingly educated alongside typically developing peers in regular education environments. These students have impairments that may hinder their success in inclusive school settings and require individualized supports to improve outcomes. The purpose of this meta-analysis and best-evidence synthesis is to examine the characteristics of interventions for students with ASD in inclusive settings, offer quantitative analysis of intervention effects, examine potential moderating variables that influence outcomes, analyze the social validity of these interventions, and provide recommendations for practice and future research. The 28 included studies met the What Works Clearinghouse standards for group design and single-case design research. Studies focused mostly on social communication skills, produced moderate to large effects, and were generally found to be socially valid. Function-based interventions, visual supports, self-monitoring strategies, and peer-mediated interventions resulted in mostly large effects, and teacher delivered interventions produced the largest overall effects. More high-quality studies for students with ASD in inclusive school settings are needed to advance evidence-based practice for this population. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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PMID:Interventions for students with autism in inclusive settings: A best-evidence synthesis and meta-analysis. 3086 25


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