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- Creators: School of Life Sciences
- Creators: Dixon, Maria
- Resource Type: Text
The present study investigated the communicative characteristics of challenging behavior documented in children with Autism Spectrum Disorder (ASD), and how those behaviors changed as receptive and expressive language skills changed. Several years of the individual education plans (IEPs), behavior plans, and test scores of three male students from a small non- public school (NPS) were reviewed for this study. Challenging behaviors that served a communicative function showed some signs of diminishing as functional communication increased. While functional communication did show signs of increasing with the acquisition of expressive and receptive language the participants differed in their dependence on prompting to use functional communication in lieu of challenging behavior. Additionally, some of the challenging behaviors were rooted in a difficulty with self-regulation and stimming behavior and didn't appear to serve a communicative function. Given the significant impact challenging behaviors have on the quality life of the children with ASD and their families, more research is needed to better understand the connection between spontaneous and independent functional communication and duration to independent attention to task effects on challenging behavior.
Introduction: Autism Spectrum Disorder (ASD) is a lifelong neurodevelopmental disorder that increased in prevalence in the last few decades, most notably among older adults. The gap in knowledge of aging processes, among individuals with ASD, and the increasing prevalence of Parkinsonism diagnosis in this population, revealed a need for research efforts. Nevertheless, differences in the group and age-related differences in cortical thickness in brain regions associated with motor control remain relatively unexplored. Objective: In this study, we analyzed cross-sectional data to investigate group differences and age-related differences in cortical thickness of the left hemisphere (lh) and right hemisphere (rh) of the precentral gyrus and paracentral lobule, in adults with ASD vs. NT adults. Knowing that individuals with ASD present greater group and age-related motor impairments than NT individuals, we tested the following hypothesis: adults with ASD will demonstrate reduced cortical thickness and greater relationships between increasing age and decreasing cortical thickness in the precentral gyrus and paracentral lobule than the NT participants. Methods: Group and age-related differences in cortical thickness were analyzed in our cohort of 191 participants with (N=105; ages 18-71) and without ASD (N=86 ages 18-70). T1-weighted MRI images were collected from each participant and were analyzed using FreeSurfer to obtain cortical thickness measurements from the motor regions of interest. Using SPSS (IBM SPSS Statistics for macOs, Version 28.0.1.1) univariate general linear models were used to test the between-subject effects of group, age, and group by age interaction, with sex as a covariate. Results: A statistically significant effect of the diagnosis group on cortical thickness was only observed in the lh precentral gyrus, with the ASD group showing a thinner cortex than the NT group. A statistically significant group-by-age interaction was present in the cortical thickness of the lh precentral gyrus, the rh precentral gyrus, and the lh paracentral lobule. For each interaction, the relationship between age and cortical thickness had a steeper negative slope in the ASD group compared to the NT group. Discussion: Consistent with our hypothesis, findings indicate ASD affects cortical thickness and may be linked to greater age-related reduced cortical thickness, of the studied motor areas, in adults with ASD compared to NT adults. Future research is warranted to investigate the relationship between cortical thickness in motor regions and the severity of motor impairments in the ASD population. Further longitudinal investigations of the age-related changes (trajectories) in cortical thickness, specific to motor regions, in individuals with ASD, are also necessary.
Objective: This research intended to characterize the influence of sex and age on social cognition in adults with ASD using an adult sample. We hypothesized Reading the Mind in the Eyes (RME) scores would be lower in adults with ASD, with a stronger relationship between decreasing performance aging effects compared to NTs. Additionally, we hypothesized deficits would be more severe in in males with ASD compared to females with ASD.
Methods: The RME task was administered to 181 adults to quantify ToM abilities. The participants consisted of 100 adults with ASD (69 males, 32 females; age range: 18-71, mean=39.45±1.613) and matched 81 NT adults (47 males, 34 females; age range: 18-70, mean=41.51±1.883). Multiple regression analyses examined interactions between diagnosis and age, diagnosis and sex, and diagnosis by age by sex. Exploratory within group analyses assessed 1) sex differences using ANCOVA, and 2) associations with age using Pearson correlation in SPSS.
Results: We found that NT adults performed better on the RME task than adults with ASD. Worse performance on the RME task correlated with greater age for the NT, but not ASD. Additionally, no influence of sex on RME scores was identified.
Discussion: These results are consistent with other studies indicate social cognition deficits in adults with ASD compared to NT adults. Additionally, we replicated findings that suggest ToM performance declines with age in NT adults. Fewer social relationships, smaller social networks, and reduced social engagement have been associated with aging in both NTs and individuals with ASD (Pratt & Norris, 1994). However, our cross-sectional sample suggests ToM abilities may not decline with age in adults with ASD as hypothesized. Longitudinal studies are needed to corroborate these findings. Further developments in this line of research may inform novel interventions tailored toward the growing population of adults with ASD. Ultimately, our research aims to improve quality of life across the lifespan for an already vulnerable population.
Methods: The study consisted of 79 participants with ASD (59 male, 20 female; ages 18-70, mean=40.27 [±17] years) and 77 NT participants (46 male, 31 female; ages 18-71, mean=40.33 [±16] years). Hippocampal and fornix FW and FA values were generated from diffusion tensor images obtained along 32 directions using a b-value of 2500 s/mm2 in the axial direction with 3 mm slice resolution. These images were then processed for eddy current, distortion, b-vec and motion correction, skull stripped, and non-linear registered using Advanced Normalization Tools (ANTs) to the subject’s T1 image. FW and FA maps were calculated using custom written MatLab code and standard atlases containing the hippocampus and fornix were applied.
Results: The right hippocampus showed a significant diagnosis by age interaction (p=0.018), such that the increase in FW with age was greater for adults with ASD. The left hippocampus diagnosis by age interaction approached significance (p=0.055). Similarly, the right fornix showed a significant diagnosis by age interaction (p=0.044), with increases in FW with age as greater for adults with ASD, and the left fornix diagnosis by age interaction approached significance (p=0.053). FA values showed no significant diagnosis by age interactions.
Conclusion: In the hippocampus and fornix, the association between increasing FW and increasing age was more pronounced for adults with ASD than matched NT adults. This may mean that as adults with ASD age, these regions will degenerate faster than their NT peers, which could have implications for accelerated age-related memory decline. However, a notable limitation is the cross-sectional nature of the study. Our ongoing longitudinal study will inform a more definitive picture of brain aging with ASD.
