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Phenotyping, Etiological Factors, and Biomarkers: Toward Precision Medicine in Autism Spectrum Disorders David Q
Special Article Phenotyping, Etiological Factors, and Biomarkers: Toward Precision Medicine in Autism Spectrum Disorders David Q. Beversdorf, MD; MISSOURI AUTISM SUMMIT CONSORTIUM* ABSTRACT: Despite the progress made in understanding the biology of autism spectrum disorder (ASD), effective biological interventions for the core symptoms remain elusive. Because of the etiological hetero- geneity of ASD, identification of a “one-size-fits-all” treatment approach will likely continue to be chal- lenging. A meeting was convened at the University of Missouri and the Thompson Center to discuss strategies for stratifying patients with ASD for the purpose of moving toward precision medicine. The “white paper” presented here articulates the challenges involved and provides suggestions for future solutions. (J Dev Behav Pediatr 37:659–673, 2016) Index terms: autism, biomarkers, precision medicine. Significant progress has been made in understanding Phase II clinical trials.5 This perceived “failure” is likely the biology of autism spectrum disorder (ASD) over the due to the etiological heterogeneity of the subjects with past decade. However, effective biological interventions ASD who received the specific treatment. A review of the for the core symptoms remain elusive. Instead of a single data for the arbaclofen study suggests a strong positive or even a small set of causes, a consensus has emerged response for at least a subset of fragile X and patients with that genetic and environmental causes of ASD are likely ASD. Positive responses in some individuals, but other- multifactorial. The genetic architecture of ASD has be- wise statistically nonsignificant beneficial group effects, come increasingly clear and increasingly complex with are characteristic of most of these early pharmacological estimates of at least 1000 genetic alterations associated treatment trials of ASD. -
The Life and Times Of'asperger's Syndrome': a Bakhtinian Analysis Of
The life and times of ‘Asperger’s Syndrome’: A Bakhtinian analysis of discourses and identities in sociocultural context Kim Davies Bachelor of Education (Honours 1st Class) (UQ) Graduate Diploma of Teaching (Primary) (QUT) Bachelor of Social Work (UQ) A thesis submitted for the degree of Doctor of Philosophy at The University of Queensland in 2015 The School of Education 1 Abstract This thesis is an examination of the sociocultural history of ‘Asperger’s Syndrome’ in a Global North context. I use Bakhtin’s theories (1919-21; 1922-24/1977-78; 1929a; 1929b; 1935; 1936-38; 1961; 1968; 1970; 1973), specifically of language and subjectivity, to analyse several different but interconnected cultural artefacts that relate to ‘Asperger’s Syndrome’ and exemplify its discursive construction at significant points in its history, dealt with chronologically. These sociocultural artefacts are various but include the transcript of a diagnostic interview which resulted in the diagnosis of a young boy with ‘Asperger’s Syndrome’; discussion board posts to an Asperger’s Syndrome community website; the carnivalistic treatment of ‘neurotypicality’ at the parodic website The Institute for the Study of the Neurologically Typical as well as media statements from the American Psychiatric Association in 2013 announcing the removal of Asperger’s Syndrome from the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5 (APA, 2013). One advantage of a Bakhtinian framework is that it ties the personal and the sociocultural together, as inextricable and necessarily co-constitutive. In this way, the various cultural artefacts are examined to shed light on ‘Asperger’s Syndrome’ at both personal and sociocultural levels, simultaneously. -
Autism Diagnosis Differentiates Neurophysiological Responses To
Tye et al. Journal of Neurodevelopmental Disorders (2015) 7:33 DOI 10.1186/s11689-015-9129-2 RESEARCH Open Access Autism diagnosis differentiates neurophysiological responses to faces in adults with tuberous sclerosis complex Charlotte Tye1,2*, Teresa Farroni3,4, Ágnes Volein4, Evelyne Mercure5, Leslie Tucker4, Mark H. Johnson4 and Patrick F. Bolton1,2 Abstract Background: Autism spectrum disorder (ASD) is a common and highly heritable neurodevelopmental disorder that is likely to be the outcome of complex aetiological mechanisms. One strategy to provide insight is to study ASD within tuberous sclerosis complex (TSC), a rare disorder with a high incidence of ASD, but for which the genetic cause is determined. Individuals with ASD consistently demonstrate face processing impairments, but these have not been examined in adults with TSC using event-related potentials (ERPs) that are able to capture distinct temporal stages of processing. Methods: For adults with TSC (n = 14), 6 of which had a diagnosis of ASD, and control adults (n = 13) passively viewed upright and inverted human faces with direct or averted gaze, with concurrent EEG recording. Amplitude and latency of the P1 and N170 ERPs were measured. Results: Individuals with TSC + ASD exhibited longer N170 latencies to faces compared to typical adults. Typical adults and adults with TSC-only exhibited longer N170 latency to inverted versus upright faces, whereas individuals with TSC + ASD did not show latency differences according to face orientation. In addition, individuals with TSC + ASD showed increased N170 latency to averted compared to direct gaze, which was not demonstrated in typical adults. A reduced lateralization was shown for the TSC + ASD groups on P1 and N170 amplitude. -
Sleep As a Translationally-Relevant Endpoint in Studies of Autism Spectrum Disorder (ASD)
www.nature.com/npp NEUROPSYCHOPHARMACOLOGY REVIEWS Sleep as a translationally-relevant endpoint in studies of autism spectrum disorder (ASD) Galen Missig 1, Christopher J. McDougle2,3 and William A. Carlezon Jr.1 Sleep has numerous advantages for aligning clinical and preclinical (basic neuroscience) studies of neuropsychiatric illness. Sleep has high translational relevance, because the same endpoints can be studied in humans and laboratory animals. In addition, sleep experiments are conducive to continuous data collection over long periods (hours/days/weeks) and can be based on highly objective neurophysiological measures. Here, we provide a translationally-oriented review on what is currently known about sleep in the context of autism spectrum disorder (ASD), including ASD-related conditions, thought to have genetic, environmental, or mixed etiologies. In humans, ASD is frequently associated with comorbid medical conditions including sleep disorders. Animal models used in the study of ASD frequently recapitulate dysregulation of sleep and biological (diurnal, circadian) rhythms, suggesting common pathophysiologies across species. As our understanding of the neurobiology of ASD and sleep each become more refined, it is conceivable that sleep-derived metrics may offer more powerful biomarkers of altered neurophysiology in ASD than the behavioral tests currently used in humans or lab animals. As such, the study of sleep in animal models for ASD may enable fundamentally new insights on the condition and represent a basis for strategies that enable the development of more effective therapeutics. Neuropsychopharmacology (2020) 45:90–103; https://doi.org/10.1038/s41386-019-0409-5 INTRODUCTION dysregulation are frequently comorbid and thus also represent A recent estimate suggests that as many as 2.5% of children have important aspects of these conditions [10]. -
Annual Report Ist 2015-16
ANNUAL REPORT2015-2016 Rohit, Class VI Raj Singh, Class V Gyanesh, Class VI Krishna, Class VI Neha, Class III We Aboutare a non–profit organizationVISHWAS working in the field of disability and development . The bedrock of our programmes is our fundamental belief in Equal Opportunity and Inclusion. It is our belief that everyone has a right to access basic healthcare and education irrespective of disability, gender, class or caste . Even within vulnerable groups, those with disability are most likely to get excluded. Vishwas is committed to addressing this discrimination. Vision A diverse and inclusive Society where every individual is ensured equal rights and opportunities in a dignified manner. Mission To promote the rights and interests of the disadvantaged and the disabled people in partnership with all stakeholders including the children, their families, community and the government by Building knowledge and capacities on inclusive practices and policies. Creating opportunities with meaningful participation. Overview of Vishwas Programmes VISHWAS VIDYALAYA ADULT TRAINING Providing an equitable and Supporting young adults with inclusive school system. skill development and life skills opportunities VISHWAS (Vision for Health, Welfare and RESEARCH AND Special Needs) COMMUNITY TRAINING BASED Enhancing operational REHABILITATION learning to bridge the gap Facilitating community between the intent and participation to provide a practice barrier free and inclusive environment 2 Note from the Chairperson Our annual report this year is particularly significant as it marks the tenth year of the journey of Vishwas. With this important milestone, while we reflect on our many achievements in the last decade, more importantly, we seek to plan for the next phase in our development with even greater vigour. -
The TEACCH Program in the Era of Evidence-Based Practice
J Autism Dev Disord DOI 10.1007/s10803-009-0901-6 ORIGINAL PAPER The TEACCH Program in the Era of Evidence-Based Practice Gary B. Mesibov • Victoria Shea Ó Springer Science+Business Media, LLC 2009 Abstract ‘Evidence-based practice’ as initially defined in children with autism (e.g., Rogers 1998; Rogers and Vis- medicine and adult psychotherapy had limited applicability mara 2008). to autism interventions, but recent elaborations of the The initial definitions for EST in psychology were quite concept by the American Psychological Association (Am rigid (e.g., requiring evidence from at least two group Psychol 61: 271–285, 2006) and Kazdin (Am Psychol studies using randomized controlled trials or nine single- 63(1):146–159, 2008) have increased its relevance to our case studies, using a treatment manual, and employing a field. This article discusses the TEACCH program (of research design that demonstrated that the intervention which the first author is director) as an example of an being studied was better than another treatment [not just evidence-based practice in light of recent formulations of ‘no treatment’ or a ‘waiting list control group’]). These that concept. criteria, designed to evaluate adult psychotherapy, were not a particularly good fit for evaluating autism interventions Keywords TEACCH Á Evidence-based because of the relatively limited research base and the extremely heterogeneous population of people with autism, among other factors (Mesibov and Shea 2009) (The term Brief History of Evidence-Based Practice autism will be used from this point forward to mean all autism spectrum disorders.). The concept of evidence-based interventions began in the Actually, many psychologists chafed under the early field of medicine in the 1970’s and in recent years has been EST criteria, leading the American Psychological Associ- employed in many other disciplines. -
Translation and Usability of Autism Screening and Diagnostic Tools for Autism Spectrum Conditions in India
Translation and usability of autism screening and diagnostic tools for Autism Spectrum Conditions in India. Rudra A1, Banerjee S2, Singhal N3, Barua M3, Mukerji S2, Chakrabarti B1,4 1 School of Psychology and Clinical Language Sciences, University of Reading, UK 2 Creating Connections, Kolkata, India 3 Action for Autism, National Centre for Autism, Delhi, India 4 Autism Research Centre, University of Cambridge, UK Banerjee S is now at University of Haifa, Haifa, Israel. [NOTE: This is the final author-version of the manuscript, the formatted and published version is available at the journal website at : http://onlinelibrary.wiley.com/doi/10.1002/aur.1404/abstract] Correspondence concerning this article should be addressed to: Dr. Bhismadev Chakrabarti School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6AL, UK Email: [email protected] Phone: +44 118 378 5551 Fax: +44 118 378 6715 Grant sponsor: Autism Speaks Lay Abstract: Among all the major developing countries, India is conspicuous by the absence of an estimate of autism prevalence. One key reason for this absence is the the lack of availability of standardized screening and diagnostic tools (SDT) for autism in regional languages in India. To address this gap, we translated four widely-used SDT (Social Communication Disorder Checklist, Autism Spectrum Quotient, Social Communication Questionnaire, Autism Diagnostic Observation Schedule) into Hindi and Bengali, two of the main regional languages (~360 million speakers) and tested their usability. We tested these translated instruments on 170 children with and without autism, and found that scores of children with autism were significantly and reliably different from those of control children. -
The Effectiveness of Snoezelen in Reducing
234 The effectiveness of Snoezelen in reducing stereotyping in ARTICLE ORIGINAL adults with intellectual disabilities: a case study of Occupational Therapy intervention in multisensory stimulation rooms A eficácia do Snoezelen na redução das estereotipias em adultos com deficiência intelectual: um estudo de caso da intervenção da terapia ocupacional em salas de estimulação multissensorial* Ana Sofia Pinto Lopes1, Janine Vanessa Martins Araújo1, Marco Paulo Vieira Ferreira1, Jaime Emanuel Moreira Ribeiro2 http://dx.doi.org/10.11606/issn.2238-6149.v26i2p234-243 Lopes ASP, Araújo JVM,Ferreira MPV, Ribeiro JEM. The KEYWORDS: Stereotyped behavior; Intellectual disability; effectiveness of Snoezelen in reducing stereotyping in adults with Occupational Therapy. intellectual disabilities: a case study of Occupational Therapy intervention in multisensory stimulation rooms. Rev Ter Ocup Lopes ASP, Araújo JVM, Ferreira MPV, Ribeiro JEM. Univ São Paulo. 2015 May-Aug.;26(2):234-43. A eficácia do Snoezelen na redução das estereotipias em adultos com deficiência intelectual: um estudo de caso da ABSTRACT: There is little evidence of the effectiveness of intervenção da terapia ocupacional em salas de estimulação intervention in Snoezelen rooms in stereotyping reduction multissensorial. Rev Ter Ocup Univ São Paulo. 2015 in adults with intellectual disabilities. In this direction, the maio-ago.;26(2):234-43. present study sought to evaluate the relationship between this multisensory stimulation and stereotyping reduction RESUMO: Existem escassas evidências sobre a eficácia da in adults with intellectual disabilities. Through the case intervenção em salas de Snoezelen na redução de estereotipias em study methodology, the behavior of a subject was analyzed adultos com deficiência intelectual. Neste sentido, o presente estudo before, during and after the multisensory stimulation in pretendeu avaliar a relação entre esta estimulação multissensorial e Snoezelen rooms for ten biweekly sessions, lasting an hour a redução de estereotipias em adultos com deficiência intelectual. -
May 9-12 Rotterdam Netherlands
2018 ANNUAL MEETING MAY 9-12 ROTTERDAM NETHERLANDS PROGRAM BOOK www.autism-insar.org INSAR 2018 Sponsors We thank the following organizations for their generous support of the INSAR Annual Meeting. Platinum Sponsor Level Gold Sponsor Level Silver Sponsor Level Autism Science Foundation Hilibrand Foundation Nancy Lurie Marks Family Foundation TABLE OF CONTENTS Sponsorship .................................Inside Front Cover TABLE OF CONTENTS Special Interest Groups Schedule .......................... 6 Speaker Ready Room ............................................ 6 De Doelen Floor Plans ........................................ 7-9 Meeting Information Schedule-At-A-Glance .................................... 10-12 In-Conjunction Events .................................... 13-14 Keynote Speakers .............................................. 15 Awardees ..................................................... 16-19 INSAR MISSION Acknowledgments .......................................... 20-21 STATEMENT To promote the highest quality INSAR Summer Institute .................................... 22 research in order to improve the Abstract Author Index ...................................... 134 lives of people affected by autism. General Information .......................................... 208 Exhibitors ....................................................... 210 Strategic Initiatives Setting the Bar: Increase the quality, AM diversity and relevance of research promoted through annual meetings, journal, Keynote Address ............................................... -
What Is Available for Case Identification in Autism Research in Mainland China?
Research in Autism Spectrum Disorders 7 (2013) 579–590 Contents lists available at SciVerse ScienceDirect Research in Autism Spectrum Disorders Jo urnal homepage: http://ees.elsevier.com/RASD/default.asp What is available for case identification in autism research in mainland China? a,b, b b c b Xiang Sun *, Carrie Allison , Bonnie Auyeung , Fiona E. Matthews , Simon Baron-Cohen , a Carol Brayne a Cambridge Institute of Public Health, Department of Public Health and Primary Care, University of Cambridge, Forvie Site, Robinson Way, CB2 0SR, UK b Autism Research Centre, Department of Psychiatry, University of Cambridge, Douglas House, 18b Trumpington Road, CB2 2AH, UK c MRC Biostatistics Unit, Cambridge Institute of Public Health, Forvie Site, Robinson Way, CB2 0SR, UK A R T I C L E I N F O A B S T R A C T Little is known about research on Autism Spectrum Conditions (ASC) in mainland China. Article history: Received 22 August 2012 The few available studies in mainland China have shown the screening and diagnostic Received in revised form 26 November 2012 instruments for ASC used in mainland China were different from the West. Literature on Accepted 27 November 2012 screening and diagnostic instruments and criteria were reviewed and current available instruments were identified and evaluated. Eight screening instruments and two Keywords: diagnostic instruments were identified. The Clancy Autism Behaviour Scale (CABS), the Autism Autism Behaviour Checklist (ABC) and the Childhood Autism Rating Scale (CARS) were the Screening instrument most frequently used instruments in mainland China. They were adopted from the West Diagnostic instrument more than two decades ago for detecting individuals with Childhood Autism but not the Mainland China whole autism spectrum. -
ROD Autism Team Newsletter
ROD AUTISM TEAM contact us at: 812-623-2212 or email: [email protected] May 2019 RIPLEY OHIO DEARBORN SPECIAL EDUCATION C OOPERATIVE ROD Autism Team Newsletter School’s Out for the SUMMER!!! Happy Summer Break 2019! In this Issue: Upcoming Workshops Offered by Children’s Hospital A 3-Day Workshop on Discussing Sexuality and Health Relationships with Tweens and Teens How to Plan for an Upcoming Move Tips for A Good Night’s Sleep Keeping Kids Safe and Creating Safety Plans And A List of Gift Ideas for Children with ASD We hope you have a wonderful, restful, and safe summer. ROD Autism Team Newsletter Page 2 BOOSTER SESSIONS 2019 Booster sessions are intended to provide information on the transition from school to adult life for youth with disabilities. Families, individuals with disabili- ties, educators, and other professionals are invite to attend these sessions at no charge. Booster sessions are two hours long and take place in the evening. Session 4: SSI/SSDI Date: Tuesday, June 11, 2019 Time: 6:00pm-8:00pm Location: Cincinnati Children’s Hospital Medical Office Building (MOB) 3430 Burnet Avenue, Cincinnati OH 45229 5th Floor Rooms 5.201 & 5.202 Speakers: Kelly Draggoo, Social Security Administration Register Online: https://bit.ly/2NifSft Session 5: Financial Planning for Families of Children and Adults who have Developmental Disabilities Date: Tuesday, July 9, 2019 Time: 6:00pm-8:00pm Location: Cincinnati Children’s Hospital Medical Office Building (MOB) 3430 Burnet Avenue, Cincinnati OH 45229 5th Floor Rooms 5.201 & 5.202 -
Early Identification of Autism by the Checklist
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE Volume 93 October 2000 Early identi®cation of autism by the CHecklist for Autism in Toddlers CHAT) Simon Baron-Cohen PhD Sally Wheelwright MSc Antony Cox FRCPsych1 Gillian Baird FRCPCH1 Tony Charman PhD2 John Swettenham PhD3 Auriol Drew MA1 Peter Doehring PhD4 J R Soc Med 2000;93:521±525 The CHecklist for Autism in Toddlers CHAT) is a syndrome are present, together with a history of language screening instrument that identi®es children aged 18 delay de®ned as not using single words by two years old or months who are at risk for autism. This article explains phrase speech by three years old). how the CHAT was developed and how it should be used. First we offer a brief introduction to autism. EARLY DETECTION Until recently, autism was seldom detected before the age WHAT IS AUTISM? of three years. This is not surprising since it is a relatively Autism, ®rst described by Kanner in 19431, is one of a uncommon condition and can have subtle manifestations. family of `pervasive developmental disorders2. The most No specialized screening tool exists and most primary severe of the childhood psychiatric conditions, it is healthcare professionals have little training in the detection characterized by a triad of impairmentsÐin socialization, of autism in toddlers. However, the earlier a diagnosis can communication and ¯exible behaviour. The exact cause is be made, the sooner family stress can be reduced; unclear but family and twin studies suggest a genetic basis3±5; moreover, intervention can improve outcome12.In molecular genetic studies are underway6.