Difference between revisions of "Autism Spectrum Disorders"

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[[Image:Anaphase_IF.gif|100px|link=Genetics|Genetics]]    Genetics
 
[[Image:Anaphase_IF.gif|100px|link=Genetics|Genetics]]    Genetics
 
[[Image:Human_genome.png|100px|link=Causes|Causes]]    Causes
 
[[Image:Human_genome.png|100px|link=Causes|Causes]]    Causes
[[Image:Flores.gif|link=Treatments|Treatments]]
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[[Image:Flores.gif|100px|link=Treatments|Treatments]]   Treatment
 
=== Basic Characteristics ===
 
=== Basic Characteristics ===
 
*'''Description'''
 
*'''Description'''
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Children with ASD have extremely delayed development.  Symptoms of this disorder usually start to appear between 12 to 36 months and consist of not reaching normal development benchmarks such as babbling by 12 months, speaking by 16 months, or a gradual loss of language or social skills. All children with ASD show deficits in social interactions, verbal and nonverbal communication.  They may also show repetitive behaviors and interests, or aggressive behavior.  
 
Children with ASD have extremely delayed development.  Symptoms of this disorder usually start to appear between 12 to 36 months and consist of not reaching normal development benchmarks such as babbling by 12 months, speaking by 16 months, or a gradual loss of language or social skills. All children with ASD show deficits in social interactions, verbal and nonverbal communication.  They may also show repetitive behaviors and interests, or aggressive behavior.  
  
Those who have ASD have identifiable core deficits recognized by scientists and clinicians.  
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Three common patterns seen in the emergence of autistic symptoms are 1) early manifestation of symptoms, 2) almost normal development, then sudden loss of previously attained social, communicative, or motor skills, or 3) mild delays until approximately 2 years of age, followed by a developmental halt. Children with ASD who show early manifestation of symptoms do not necessarily have a worse outcome of the three subsets. Those who follow a pattern of regression appear to exhibit less autistic symptoms prior to onset of regression and worse outcomes afterward as compared to the children who follow the other two patterns of development.  <sup>15</sup>
#'''Core Deficit of [[Joint Attention]]'''
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#'''Core Deficit of [[Social Communication]]'''
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#'''[[Repetitive Behavior]]'''
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Some also argue that those with ASD also have deficits in [[Visual Perception]].
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See [[:Category:Core Deficits]]
 
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Although all children with ASD show similar deficits, the depth of these deficits can range drastically.  Some have very mild deficits like in [[Asperger's Syndrome]], where children have high levels of vocabulary and language skills.  Others may have little to no spoken language functionality. Additionally, there are many syndromes and behaviors that display a high comorbidity with ASD, including:
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#[[Tantrums and Aggressive Behavior]]
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#[[Epilepsy]]
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#[[Sleep Disorders]]
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#[[Attention Deficit Hyperactivity Disorder]]
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#[[Macrocephaly]]
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[http://www.autismspeaks.org/video/glossary.php?utm_source=internal_link&utm_medium=web&utm_campaign=puzzle_piece Autism Speaks Video Glossary] has videos which show the wide range of symptoms and behaviors in children affected by ASD. Signs can be subtle or easy to miss for those with little experience with ASD.
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*'''History'''
 
*'''History'''
  
 
Prior to the 1970's, many people thought Autism Spectrum Disorders were a result of psychological causes, such as having an aloof mothering style. However, during the 1980's people began to note that chromosomal disorders and rare syndromes often co-occurred with ASD.  As a result, people began to suspect that ASD could have genetic underpinnings.  These suspicions were confirmed when, after the development of the [[ADI-R]] and [[ADOS]] as diagnostic tools and other technical advances, the first candidate gene association and resequencing studies, followed by whole-genome linking studies were done in the late 1990's.  These studies were used to identify loci of potential interest.
 
Prior to the 1970's, many people thought Autism Spectrum Disorders were a result of psychological causes, such as having an aloof mothering style. However, during the 1980's people began to note that chromosomal disorders and rare syndromes often co-occurred with ASD.  As a result, people began to suspect that ASD could have genetic underpinnings.  These suspicions were confirmed when, after the development of the [[ADI-R]] and [[ADOS]] as diagnostic tools and other technical advances, the first candidate gene association and resequencing studies, followed by whole-genome linking studies were done in the late 1990's.  These studies were used to identify loci of potential interest.
 
===Treatments===
 
There are no drugs that can &ldquo;cure&rdquo; ASD.  There are a variety of treatments available which aim to improve social and communication skills. 
 
Because of the complexity of ASD, there is no one treatment that works equally well for all people with ASD.  Some common treatments options are:
 
 
<table border = 1 style="background-color:#20B2AA; border:2px solid black; text-align:center;width:800px;"><tr><td><b>[[Applied Behavior Analysis|Applied Behavior Analysis interventions]]</b></td><td><b>[[Joint Attention|Joint Attention interventions]]</b></td><td><b>[[TEACCH]]</b></td><td><b>[[Pivotal Response Treatment]]</b></td></tr></table>
 
 
Some clinicians may [http://www.phenowiki.org/index.php5?title=Prescription_Medication&action prescribe medications] to target certain symptoms.
 
 
There are also many [[Controversial Causes/Treatments | controversial treatments]]. 
 
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11. Schmitz C. Autism: neuropathology, alterations of the GABAergic system, and animal models.Int Rev Neurobiol. 2005;71:1-26. PMID 16512344
 
11. Schmitz C. Autism: neuropathology, alterations of the GABAergic system, and animal models.Int Rev Neurobiol. 2005;71:1-26. PMID 16512344
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12. Emanuele E et. al. Low-grade endotoxemia in patients with severe autism. Neurosci Lett. 2010 Mar 8;471(3):162-5. PMID 20097267
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13. Ashwood P et. al. Preliminary evidence of the in vitro effects of BDE-47 on innate immune responses in children with autism spectrum disorders.J Neuroimmunol. 2009 Mar 31;208(1-2):130-5. PMID 19211157
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14.Jyonouchi H et. al. Impact of innate immunity in a subset of children with autism spectrum disorders: a case control study.J Neuroinflammation. 2008 Nov 21;5:52. PMID 19025588
 +
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15. Kalb LG et. al. Onset Patterns Prior to 36 Months in Autism Spectrum Disorders.J Autism Dev Disord. 2010 Apr 2. PMID 20361243
 +
 +
16. Keehn B et. al. Attentional networks in children and adolescents with autism spectrum disorder.J Child Psychol Psychiatry. 2010 Apr 26 PMID 20456535

Latest revision as of 15:46, 23 March 2016

Autism Spectrum Disorders
CNP LEVEL: Syndrome



Click on the Images below to learn about research findings in ASD


Neuroimaging Neuroimaging Genetics Genetics Causes Causes Treatments Treatment

Basic Characteristics

  • Description

Autism Spectrum Disorders is a clinical description of the developmental disorders which are characterized by impaired language development, social development, and learning. According to NIMH estimates, 3.4 out of every 1000 children between 3-10 years of age have one of the disorders in the spectrum.

They include:

  1. Autism
  2. PDD-NOS
  3. Asperger's Syndrome
  4. Rett Syndrome
  5. Childhood Disintegrative Disorder

Children with ASD have extremely delayed development. Symptoms of this disorder usually start to appear between 12 to 36 months and consist of not reaching normal development benchmarks such as babbling by 12 months, speaking by 16 months, or a gradual loss of language or social skills. All children with ASD show deficits in social interactions, verbal and nonverbal communication. They may also show repetitive behaviors and interests, or aggressive behavior.

Three common patterns seen in the emergence of autistic symptoms are 1) early manifestation of symptoms, 2) almost normal development, then sudden loss of previously attained social, communicative, or motor skills, or 3) mild delays until approximately 2 years of age, followed by a developmental halt. Children with ASD who show early manifestation of symptoms do not necessarily have a worse outcome of the three subsets. Those who follow a pattern of regression appear to exhibit less autistic symptoms prior to onset of regression and worse outcomes afterward as compared to the children who follow the other two patterns of development. 15

See Category:Core Deficits

  • History

Prior to the 1970's, many people thought Autism Spectrum Disorders were a result of psychological causes, such as having an aloof mothering style. However, during the 1980's people began to note that chromosomal disorders and rare syndromes often co-occurred with ASD. As a result, people began to suspect that ASD could have genetic underpinnings. These suspicions were confirmed when, after the development of the ADI-R and ADOS as diagnostic tools and other technical advances, the first candidate gene association and resequencing studies, followed by whole-genome linking studies were done in the late 1990's. These studies were used to identify loci of potential interest.


External Resources

  • Database links

Citations

1. Keysers, Christian and Valeria Gazzola. Integrating simulation and theory of mind: from self to social cognition. Trends in Cognitive Sciences. Vol 11:5 pg. 194-6; 2007 PMID 17344090

2. Bookheimer, S.Y. et. al. Frontal contributions to face processing differences in autism: Eviedence from fMRI of inverted face processing. "Journal of the International Neuropsychological Society". Cambridge University Press:14:922-32;2008 PMID 18954473

3. Uddin et. al. Neural Basis of Self and Other Representation in Autism: An fMRI Study of Self-Face Recognition. PLoS ONE. 2008;3(10):e3526. Epub 2008 Oct 29 PMID 18958161

4. Jones, J.R. et. al. Hypothesis: Dysregulation of Methylation of Brain-Expressed Genes on the X Chromosome and Autism Spectrum Disorders. American Journal of Medical Genetics Part A 146A:2213-2220 (2008). PMID 18698615

5. Lush, Molly et. al. Current Developments in the Genetics of Autism: From Phenome to Genome. J Neuropathol Exp Neurol. 2008 September; 67(9):829-837. PMID 18716561

6. Arking DE et. al. A common genetic variant in the neurexin superfamily member CNTNAP2 increases familial risk of autism. Am J Hum Genet 2008;82:160-64. PMID 18179894

7. Cook, E.H. and S. W. Scherer. Copy-number variations associated wtih neuropsychiatric conditions. Nature.2008 October;455(16) 919-23. PMID 18923514

8. Gilbert, S.J. et. al. Abnormal functional specialization within medial prefrontal cortex in high-functioning autism: a multi-voxel similarity analysis. Brain: 2009(1). PMID 19174370

9. Grandgeorge, Marine et. al. Environmental Factors Influence Language Development in Children with Autism Spectrum Disorders. PLoS ONE. 2009;4(4):e4683. Epub 2009 Apr 9 PMID 19357766

10. Happe, F. and Uta Frith. The Weak coherence Account: Detail-focused Cognitive Style in Autism Spectrum Disorders. J Autism Dev Disord. 2006 Jan;36(1):5-25. PMID 16450045

11. Schmitz C. Autism: neuropathology, alterations of the GABAergic system, and animal models.Int Rev Neurobiol. 2005;71:1-26. PMID 16512344

12. Emanuele E et. al. Low-grade endotoxemia in patients with severe autism. Neurosci Lett. 2010 Mar 8;471(3):162-5. PMID 20097267

13. Ashwood P et. al. Preliminary evidence of the in vitro effects of BDE-47 on innate immune responses in children with autism spectrum disorders.J Neuroimmunol. 2009 Mar 31;208(1-2):130-5. PMID 19211157

14.Jyonouchi H et. al. Impact of innate immunity in a subset of children with autism spectrum disorders: a case control study.J Neuroinflammation. 2008 Nov 21;5:52. PMID 19025588

15. Kalb LG et. al. Onset Patterns Prior to 36 Months in Autism Spectrum Disorders.J Autism Dev Disord. 2010 Apr 2. PMID 20361243

16. Keehn B et. al. Attentional networks in children and adolescents with autism spectrum disorder.J Child Psychol Psychiatry. 2010 Apr 26 PMID 20456535