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Separating out those with ASD with an intellectual disability from those with ASD without an intellectual disability can more precisely identify factors that influence probability of having a child with ASD as well as factors which can prevent or preclude services. For example, in those without an intellectual disability, there seems to be stronger heritable component. Mothers and fathers with ASD were more likely to have a child with ASD without an ID compared to those with an ID. Also, children of immigrant parents may be missed and lack essential services if they do not have more profound identifiable symptoms like ID. For the sake of better improving research and services for everyone, is it time to stop lumping and start splitting?
https://pubmed.ncbi.nlm.nih.gov/33103358/
https://pubmed.ncbi.nlm.nih.gov/33049777/
Not all people with autism spectrum disorder are the same, obviously. Are there things that can predict positive outcome? Are they different based on something like cognitive ability? And what determines cognitive ability and how early is it seen? Have other studies lumped all the autisms into one pile which has represented what people along the spectrum at different points actually need? This podcast tackles it all this week.
The racial and ethnic disparities in the diagnosis of ASD has always been unacceptable, but it’s been hard to figure out. This week, researchers published their findings from a close look at 500 African American families with ASD to understand what the barriers were to a timely diagnosis. The results are not surprising, but they are also alarming. Some of these families may benefit from telehealth in the future. Telehealth is not perfect, but it turning out to be helpful. For example, it may be beneficial in treating insomnia in people with ASD. Delivering cognitive behavioral therapy online resulted in improvements in sleep in adolescents with ASD. It isn’t a panacea, but it seems to be more helpful than people gave it credit for before the pandemic.
https://pubmed.ncbi.nlm.nih.gov/32839243/
https://pubmed.ncbi.nlm.nih.gov/32838539/
You may have heard of SPARK, it is the largest genetics research project in autism spectrum disorders. But have they found anything? Yes! Pam Feliciano of SPARK discusses what the project is, what a pilot study has found, and how the results might help families with ASD. In addition, a different but complementary study identified new genes associated with autism. Given that one of them is a target of environmental factors, it’s time to spark up studies looking at gene x environment interactions as well.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6707204/
https://escholarship.org/uc/item/36f811zq
https://www.tandfonline.com/doi/full/10.1080/15592294.2019.1656158
This holiday weekend always triggers a reincarnation, a resurrection of the vaccine – autism hypothesis. Many of you have read about the measles epidemics that are hitting many areas of the country. But besides vaccines, there are other aspects of the immune system that may be linked to autism in some people. The include family history of autoimmune disorders as well as specific genetic mutations that confer protection against subtypes of ASD. This week’s ASF podcast will explore these theories and present different ideas on how the immune response is involved in autism, and if it is at all.
https://www.ncbi.nlm.nih.gov/pubmed/30976114
https://www.ncbi.nlm.nih.gov/pubmed/30975444
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