{"title":"Decreasing inappropriate comments and interruptions during social interactions in an adolescent with a level one autism spectrum disorder diagnosis","authors":"Tashina VanderWoude, Hailey E. Ripple","doi":"10.1016/j.rasd.2024.102429","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102429","url":null,"abstract":"<div><p>Appropriate conversation skills are imperative to social interactions and are consequently a common intervention for individuals with autism spectrum disorder (ASD). The present study attempts to decrease inappropriate comments and interruptions made by the participant, a 13-year-old female with ASD. Using an ABAB design, the study extends the literature on the response interruption and redirection (RIRD) intervention, in combination with a self-monitoring component. During baseline, there was an average of 6 inappropriate comments and 6.17 interruptions. During intervention, there was an average of 0.63 inappropriate comments and 1.5 interruptions. During withdrawal, an average of 4 inappropriate comments and 8 interruptions. Large non-overlap of all pairs (NAP) effect sizes with a 95 % confidence interval were calculated for inappropriate comments (0.95) and interruptions (0.90) from baseline to intervention. Further, NAP effect sizes from intervention to withdrawal were also large as indicated by a score of 0.98 for inappropriate comments and 1.00 for interruptions. Following reimplementation and generalization, as well as a maintenance phase, data indicated continued low frequencies of dependent variables. Results indicate RIRD combined with a self-monitoring component was effective in decreasing inappropriate comments and interruptions in an adolescent with ASD and holds promise as a beneficial intervention to improve social skills in the ASD population.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"116 ","pages":"Article 102429"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141286151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How teachers provide writing instruction to autistic students: A pilot study","authors":"Kristie Asaro-Saddler , Elizabeth G. Finnegan","doi":"10.1016/j.rasd.2024.102424","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102424","url":null,"abstract":"<div><h3>Background</h3><p>Writing can be used in a variety of communities and for a variety of purposes and is necessary for success in school and the workplace, yet many students, including autistic students, struggle with written communication. There is a need to explore how writing it taught to these students.</p></div><div><h3>Method</h3><p>This pilot study examined how writing is taught to autistic students, specifically, how frequently teachers and students engaged in activities incorporated into writing instruction, training or preparation in teaching writing to their students and whether training influence teachers’ practices, teachers' experiences teaching writing to autistic students, including the most significant challenges and successes the support they need to teach writing to their autistic students. Responses from 35 online surveys completed by teachers of autistic students were analyzed.</p></div><div><h3>Results</h3><p>Results indicated that teachers of autistic students incorporate a wide range of strategies and practices into their instruction, and that their students write using a variety of genres and products. Nearly half of all respondents received no formal training in teaching writing to autistic students. In terms of supports, the greatest need was for professional development/training on how specifically to support their autistic students</p></div><div><h3>Conclusions</h3><p>The diversity of responses reflects the heterogeneous nature of autistic students. Teachers should consider the use of EBPs such as visuals and peer support and include student interest in their writing. Furthermore, teacher preparation programs should look to add coursework in writing instruction, with particular attention paid to meeting the diverse strengths and needs of autistic students.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"116 ","pages":"Article 102424"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141240094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah C. Boland, Tammy D. Barry, Rebecca A. Lindsey
{"title":"Differences in caregiver and child factors within families of autistic youth across birth order groups","authors":"Sarah C. Boland, Tammy D. Barry, Rebecca A. Lindsey","doi":"10.1016/j.rasd.2024.102426","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102426","url":null,"abstract":"<div><h3>Background</h3><p>Research has highlighted the ways that birth order relates to autism spectrum disorder (ASD) prevalence rates. However, little research has focused on how birth order relates to the wellbeing of the family once a child is diagnosed with ASD. Additionally, many family factors (such as measures of parental wellbeing) and elements of child emotional/behavioral symptoms have not yet been investigated when evaluating the potential effects of birth order. The current study aimed to investigate how family birth order may impact caregiver reporting of parental wellbeing/competency and child symptoms.</p></div><div><h3>Method</h3><p>Three groups were created based on caregivers (<em>N</em> = 155) who have (1) a first-born child with ASD and then child(ren) without ASD, (2) child(ren) without ASD and then a child with ASD, and (3) an only child with ASD. Caregivers completed questionnaires measuring family resources, child symptoms, and parental factors.</p></div><div><h3>Results</h3><p>Despite comparable ratings on family resources and ASD severity, significant differences based on birth order emerged. Having one or multiple children without ASD before having a child with ASD may enhance feelings of satisfaction and competency as a parent. Parents with an only child with ASD also reported higher ratings of competency, had significantly less ASD knowledge, and demonstrated a significant negative correlation between efficacy and knowledge.</p></div><div><h3>Conclusion</h3><p>Families with an only child with ASD may require further support to augment their knowledge of ASD. Caregivers who have a first-born child with ASD may benefit from interventions focusing on their feelings of parental competency.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"116 ","pages":"Article 102426"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashleigh Simpson, Mikayla Van Rensburg, Ling Ding, Ewelina Rydzewska
{"title":"The prevalence of coexisting mental health conditions in gender diverse autistic people: A systematic review","authors":"Ashleigh Simpson, Mikayla Van Rensburg, Ling Ding, Ewelina Rydzewska","doi":"10.1016/j.rasd.2024.102427","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102427","url":null,"abstract":"<div><h3>Background</h3><p>Previous research has highlighted higher prevalence of autism amongst gender diverse individuals compared to cisgender individuals. Both the autistic population, and gender diverse population, have been found to be at an increased risk of developing mental health conditions compared to the general population. However, little is understood about the mental health outcomes of those that are both autistic and gender diverse. <em>Aims:</em> The aims of this review were to assess the mental health outcomes in gender diverse autistic individuals and whether these outcomes were affected by biological sex or age.</p></div><div><h3>Method</h3><p>A literature review was conducted using the following databases: MEDLINE, PsycINFO, EMBASE and CINAHL. The review was registered with PROSPERO (CRD42023408287). Search terms relating to autism, gender diversity and mental health were used.</p></div><div><h3>Results</h3><p>12/820 retrieved papers were included in the review. The most common health outcomes studied were depression, anxiety and suicidality. Gender diverse autistic individuals’ mental health was poorer in all 7 studies when comparing to cisgender autistic individuals, in all 8 studies when comparing to gender-diverse non-autistic individuals and in all 6 studies when comparing to cisgender non-autistic individuals.</p></div><div><h3>Conclusion</h3><p>Gender diverse autistic individuals appear to be particularly vulnerable to experiencing mental health problems, more so than gender diverse individuals and autistic individuals.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"116 ","pages":"Article 102427"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1750946724001028/pdfft?md5=b3078a8d89d5ac87e6f20d7d16eef669&pid=1-s2.0-S1750946724001028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141289850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tamara E. Rosen , Craig Rodriguez-Seijas , Kenneth D. Gadow , Matthew D. Lerner
{"title":"Incorporating autism traits into an anxiety and depression model results in improved fit and distinct factor structure for autistic youth","authors":"Tamara E. Rosen , Craig Rodriguez-Seijas , Kenneth D. Gadow , Matthew D. Lerner","doi":"10.1016/j.rasd.2024.102413","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102413","url":null,"abstract":"<div><h3>Background</h3><p>The co-occurrence of anxiety and depression (AD+) in autism may be explained by a transdiagnostic internalizing symptom factor. Evidence regarding anxiety and/or depression symptoms in autism is mixed; some presentations conform to <em>DSM</em> criteria, whereas others reflect distinct, autism trait-relatedpresentation.</p></div><div><h3>Method</h3><p>The present study examined the extent to which autism traits relate to anxiety, depression, and AD+ in autism. Anxiety and depression symptoms were measured in autistic youth (ages 6–18) using a <em>DSM</em> rating scale. First, a confirmatory factor analysis (CFA) of anxiety and depression <em>DSM</em> symptoms was conducted. Next, to account for the relation of autism traits, these traits were included with anxiety and depression symptoms in a follow-up exploratory factor analysis (EFA). In addition, the inclusion of anxiety and depression symptoms, and allowing for their overlap, was consistent with a transdiagnostic conceptualization of these symptoms.</p></div><div><h3>Results and conclusions</h3><p>The CFA showed that the <em>DSM</em> model of depression and anxiety symptoms did not adequately fit the autistic participants. The EFA of anxiety, depression, and autism traits supported a model with three factors: Anxiety and Depression, Social Anxiety, and Autism. A subset of autism traits loaded onto the Anxiety and Depression and Social Anxiety factors. Both the DSM and the EFA model had inadequate fit indices, though the EFA showed better fit over the DSM model. In addition, previous research converges with the obtained EFA factors. Overall, the findings highlight the importance of modeling autism traits along with anxiety and depression when examining internalizing symptom structures in autism.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"116 ","pages":"Article 102413"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141289849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Underweight, overweight, obesity and associated factors in children and adolescents with autism spectrum disorder in China","authors":"Yanan Zhao , Rong Zhang , Xiaoying Zheng","doi":"10.1016/j.rasd.2024.102414","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102414","url":null,"abstract":"<div><h3>Objective</h3><p>Relatively little is known about weight status for children and adolescents with autism spectrum disorder (ASD) in China. This study examined the weight status of Chinese children and adolescents, as well as the factors that influence it.</p></div><div><h3>Methods</h3><p>This study describes three weight status (underweight, overweight, obesity) and their influencing factors associated with weight status retrospectively, in a large sample (N = 5910) of Chinese children and adolescents (2–16 years old) (average = 5.4 years, SD=2.6 years). Body mass index (BMI) was used to assess children and adolescents with ASD in 2020. Logit regression was used to investigate the factors that influence weight status.</p></div><div><h3>Results</h3><p>The prevalence of overweight, obesity was 14.2% and 11.6% respectively. The overall prevalence of overweight and obesity (⩾P 85) was 25.8%, with 22.3% in the 2–5-year-old group, 31.6% in the 6–8-year-old group, 30.8% in the 9–12-year-old group, and 29.0% in the 13–16-year-old group. The prevalence of underweight (<P 5) was 10.0% overall, with 6.3% in 2–5 years old group, 14.3% in 6–8 years old group,17.8% in 9–12 years old group and 24.1% in 13–16 years old group. Overweight and obese individuals were more likely to be older, male, and from low-income families. The older the age, the lower the birth weight, the greater the risk of being underweight. The severity of ASD has no association with BMI.</p></div><div><h3>Conclusions</h3><p>A high prevalence of underweight, overweight and obesity was observed in Chinese children and adolescents, especially for those aged above 6 years.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"115 ","pages":"Article 102414"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Less frequent face looking in infancy is related to autism likelihood status but not diagnosis: A study of parent-infant interaction","authors":"Emilia Thorup , Sven Bölte , Terje Falck-Ytter","doi":"10.1016/j.rasd.2024.102422","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102422","url":null,"abstract":"<div><h3>Background</h3><p>Previous research suggest that autistic children look less at faces than neurotypically developing children, but this finding is based predominantly on screen-based eye tracking studies, with unfamiliar faces used as stimuli. The aim of the current study was to assess 10-month-olds’ gaze to faces in a more naturalistic context - during free play with a parent - in relation to later autism diagnosis.</p></div><div><h3>Method</h3><p>Parents were asked to play with their infant ‘as they usually would’ with a set of toys on the floor. During the first 5 min of play, infant gaze to parent’s face was video coded.</p></div><div><h3>Results</h3><p>Infants at elevated likelihood of autism (N = 18 with later diagnosis; 46 without later diagnosis), regardless of later diagnostic status, produced fewer gaze shifts towards their parents’ faces than infants at low likelihood of autism (N = 18). Infants in all groups spent only ∼3 % of their time looking at parents’ faces, and there was no group difference in terms of the proportion of time spent looking at faces. There was neither a correlation between infant face looking and scores on the Autism Diagnostic Observation Schedule-2, nor between infant face looking and autistic traits in the parent.</p></div><div><h3>Conclusions</h3><p>During toy play, all infants – irrespective of later diagnosis – spent very little time looking at parents’ faces. Infants at elevated likelihood of autism made fewer gazes to their parents’ faces than neurotypically developing infants, which could potentially affect opportunities for social learning. The effect was not specifically linked to later autism diagnosis.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"115 ","pages":"Article 102422"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1750946724000977/pdfft?md5=bc9ab6e4a418539076967c5066e274b7&pid=1-s2.0-S1750946724000977-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141164532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xudong Zhao , Wenrui Li , Yuxin Yang , Xvyaxin Feng , Shiyi Hong , Wendian Shi
{"title":"Gender differences in connectivity patterns: Exploring autism traits, sleep disturbances, alexithymia, and aggression: A general population survey","authors":"Xudong Zhao , Wenrui Li , Yuxin Yang , Xvyaxin Feng , Shiyi Hong , Wendian Shi","doi":"10.1016/j.rasd.2024.102412","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102412","url":null,"abstract":"<div><h3>Background</h3><p>The prevalence of elevated alexithymia trait is notably high among individuals with autism spectrum disorder (ASD), which will cause emotional and behavioral issues, especially aggressive behavior. However, few studies explored the inter links between autistic traits, alexithymia, sleep disturbance and aggression. Using network analysis, current study explores relationships between these symptoms within a general population sample.</p></div><div><h3>Method</h3><p>Seven hundred and sixty-one (age 18–30, 351 male, 410 female) participants were recruited through an online platform. Network analysis was used to clarify relationship between these symptoms, and network comparison was conducted to determine whether network pattern differed between male and female.</p></div><div><h3>Results</h3><p>Discernible patterns linking autistic traits to alexithymia, sleep disturbance and aggression. These patterns exhibited a satisfactory level of stability and consistency when tested and retested. Among the nodes examined, the node with the highest centrality and expected influence in the network is aggression. Network constructed using male and female data show different patterns of structure and strength.</p></div><div><h3>Conclusion</h3><p>Understanding the association between autism traits and other behavioral and emotional issues, as well as the possible role of gender, can help optimize targeted interventions and improve the quality of life of individuals with autism.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"115 ","pages":"Article 102412"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of emotional factors in face processing abilities in autism spectrum conditions","authors":"Natasha Baxter, Hannah Hobson","doi":"10.1016/j.rasd.2024.102400","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102400","url":null,"abstract":"<div><p>Facial emotion recognition is considered atypical in individuals with autism spectrum conditions (ASC), but emotion recognition abilities vary widely in autistic people, and there are inconsistent findings on the causes of these differences. Research indicates alexithymia may result in facial emotion recognition differences in ASC. Alternatively, mood disorders have been linked to atypical facial emotional expression recognition abilities in neurotypical adults. Investigating both the effects of alexithymia and mood disorders (depression and anxiety) is necessary to establish which of these factors may cause atypical facial emotion recognition in ASC. This study aimed to examine whether alexithymia or mood disorder symptomology is a predictor of atypical facial emotion recognition in individuals with ASC. Ninety-eight non-autistic adults and 80 autistic adults were recruited. Participants completed an online facial processing task to examine emotion and identity recognition abilities, the AQ-28, the TAS-20, and the HADS to measure autism severity, alexithymia symptoms, and depression and anxiety symptoms. Regression-based analyses found that autistic traits and autistic group membership did not predict facial emotion processing abilities after accounting for demographic variables, alexithymia and mood disorders: however, neither alexithymia nor mood disorder symptoms predicted variance in face processing abilities either. Our results concur with previous meta-analyses of facial emotion processing in autism spectrum disorder which report that studies do not always report deficits in face processing in autism: our findings are also not supportive of the model that argues that alexithymia explains facial emotion processing difficulties in autism.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"115 ","pages":"Article 102400"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1750946724000758/pdfft?md5=7d576acc8b8541ca26bddb13c104b7f2&pid=1-s2.0-S1750946724000758-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Autism is not a spectrum","authors":"David Kelley","doi":"10.1016/j.rasd.2024.102405","DOIUrl":"https://doi.org/10.1016/j.rasd.2024.102405","url":null,"abstract":"<div><p>Autism Spectrum Disorder is a diagnosis applicable to a vast range of presentations. However, there are disadvantages to theorizing and communicating about autism as a single spectrum. This paper suggests an alternative or supplementary multi-dimensional approach for diagnosticians and educators – an approach that more accurately reflects our understanding of autism.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"115 ","pages":"Article 102405"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}