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“Healing Autism: No Finer a Cause on the Planet”

January 26, 2002         News Morgue Search  www.feat.org/search/news.asp

RESEARCH – Abstracts

·        The Pattern Of Intact And Impaired Memory Functions In Autism

·        Social Understanding In Autism: Eye Gaze As A Measure Of

Core Insights

·        Translocated Genetic Material in Autistic Girl

·        Prader-Willi/Angelman Syndrome and Chromosome 15

·        Serotonin Transporter Gene and Autism

·        Support For Linkage Of Autism With Markers On Chromosome 7

·        Activation of the Inflammatory Response System In Autism

·        Positive vs. Negative Reinforcement in Experiment with ASD Child

·        Self-control In Children With Autism

·        The Efficacy of Social Stories, Text Cues, Video

Feedback with Autism

·        Behavior Analysis And Intervention For Adults With Autism

·        Intensive Behavioral Treatment For A Toddler At

High Risk For Autism

·        Intensive Behavioral Treatment For 4- To 7-Year-Old

Children With Autism

·        Training and Certifying Behavior Analysts

 

 

The Pattern Of Intact And Impaired Memory Functions In Autism

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11806691&dopt=Abstract <- - address ends here.

Minshew NJ, Goldstein G. University of Pittsburgh School of Medicine,

Pennsylvania, USA. minshewnj@msx.upmc.edu

A battery of tests of auditory and visual memory was used to investigate memory function in 52 high-functioning adolescents and young adults with autism and 40 group-matched normal controls. It was hypothesized that memory dysfunction is present in autism but is not modality specific and is produced by poor utilization of organizing strategies.

It was therefore hypothesized that memory impairment in autism would become more prominent as task complexity was increased. The participants with autism performed as well as controls on short-term memory and paired-associate learning tasks, but performed significantly less well than controls on a list learning task. They also performed significantly more poorly on immediate and delayed recall of a story and of a complex geometric figure.

On a maze learning task, their performance became progressively worse relative to controls as the complexity of the maze increased. On a series of span tasks, they did not differ from controls on letter span, but did significantly worse on word span and sentences of increasing complexity.  These findings indicate a lack of modality specificity and a failure to initiate organizing strategies as evidenced by inefficiency in new learning, poor utilization of contextual cues in story and complex pattern recall, and greater impairment with increasing complexity of the material.

PMID: 11806691 [PubMed - in process]

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Social Understanding In Autism: Eye Gaze As A Measure Of Core Insights

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11806690&dopt=Abstract <- - address ends here.

Ruffman T, Garnham W, Rideout P.  University of Sussex, Brighton, UK.

tedr@biols.susx.ac.uk

Twenty-eight children with autism and 33 MLD children were given two tasks tapping social understanding and a control task tapping probability understanding. For each task there was a measure of eye gaze (where children looked when anticipating the return of a story character or an object) and a verbal measure (a direct question).

We found that eye gaze was better than verbal performance at differentiating children with autism from children with MLD. Children with autism did not look to the correct location in anticipation of the story character’s return in the social tasks, but they did look to the correct location in the nonsocial probability task. We also found that within the autistic group, children who looked least to the correct location were rated as having the most severe autistic characteristics.

Further, we found that whereas verbal performance correlated with general language ability in the autistic group, eye gaze did not. We argue that:

(a) eye gaze probably taps unconscious but core insights into social

behavior and as such is better than verbal measures at differentiating

children with autism from mentally handicapped controls,

(b) eye gaze taps either spontaneous processes of simulation or

rudimentary pattern recognition, both of which are less based in language,

and

© the social understanding of children with autism is probably based mostly on verbally mediated theories whereas control children also possess more spontaneous insights indexed by eye gaze.

PMID: 11806690 [PubMed - in process]

* * *

 

Translocated Genetic Material in Autistic Girl

“A balanced reciprocal translocation t(5;7)(q14;q32) associated with autistic disorder: Molecular analysis of the chromosome 7 breakpoint.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11803521&dopt=Abstract <- - address ends here.

Tentler D, Brandberg G, Betancur C, Gillberg C, Anneren G, Orsmark C, Green ED, Carlsson B, Dahl N. Department of Genetics and Pathology, Section of Clinical Genetics, The Rudbeck Laboratory, Uppsala University, Uppsala, Sweden.

Autism is a neuropsychiatric disorder characterized by impairments in social interaction, restricted and stereotypic pattern of interest with onset by 3 years of age. The results of genetic linkage studied for autistic disorder (AD) have suggested a susceptibility locus for the disease on the long arm of chromosome 7.

We report a girl with AD and a balanced reciprocal translocation t(5;7)(q14;q32). The mother carries the translocation but do not express the disease. Fluorescent in situ hybridization (FISH) analysis with chromosome 7-specific YAC clones showed that the breakpoint coincides with the candidate region for AD. We identified a PAC clone that spans the translocation breakpoint and the breakpoint was mapped to a 2 kb region.  Mutation screening of the genes SSBP and T2R3 located just centromeric to the breakpoint was performed in a set of 29 unrelated autistic sibling pairs who shared at least one chromosome 7 haplotype.

We found no sequence variations, which predict amino acid alterations.  Two single nucleotide polymorphisms were identified in the T2R3 gene, and associations between allele variants and AD in our population were not found. The methylation pattern of different chromosome 7 regions in the patient’s genomic DNA appears normal.

Here we report the clinical presentation of the patient with AD and the characterization of the genomic organization across the breakpoint at 7q32. The precise localization of the breakpoint on 7q32 may be relevant for further linkage studies and molecular analysis of AD in this region.  Copyright 2001 Wiley-Liss, Inc.

PMID: 11803521 [PubMed - in process]

* * *

 

Prader-Willi/Angelman Syndrome and Chromosome 15

“The phenotypic manifestations of interstitial duplications of proximal 15q with special reference to the autistic spectrum disorders.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11803514&dopt=Abstract <- - address ends here.

Bolton PF, Dennis NR, Browne CE, Thomas NS, Veltman MW, Thompson RJ, Jacobs P. Section of Developmental Psychiatry, University of Cambridge, Cambridge, U.K.

This study investigated the phenotypic manifestations of interstitial duplications of chromosome 15 that involve the Prader-Willi/Angelman syndrome critical region (PWACR). Twenty-one affected individuals from six families were evaluated in detail, using standardized and semi-standardized measures of intelligence, psychopathology, and physical anomalies.

Special attention was placed on determining the prevalence of autism spectrum disorders as well as the relationship between the parental origin of the duplication and the phenotypic effects. Assessments of the affected individuals were compared with evaluations of the unaffected relatives from the same families. Results indicated that duplications in the region were associated with variable degrees of intellectual impairments and motor coordination problems.

Four of the subjects received a diagnosis of pervasive developmental disorder. Three of these cases were probands and only one met criteria for classic autism. There was very little evidence of the duplication cosegregating with autism spectrum disorder diagnosis. Paternally inherited duplications were significantly less likely to give rise to phenotypic effects. The findings indicate that duplications in the PWACR give rise to developmental delay but not necessarily autism spectrum disorders.

They also suggest that phenotypic expression is dependent on the parental origin of the duplication and implicate maternally active genes in the pathogenesis of the developmental impairments. Further research will be required to clarify the range and basis of the phenotypic manifestations.  Copyright 2001 Wiley-Liss, Inc.

PMID: 11803514 [PubMed - in process]

* * *

 

Serotonin Transporter Gene and Autism

“Serotonin transporter gene polymorphisms and hyperserotonemia in autistic disorder.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11803447&dopt=Abstract <- - address ends here.

Betancur C, Corbex M, Spielewoy C, Philippe A, Laplanche JL, Launay JM, Gillberg C, Mouren-Simeoni MC, Hamon M, Giros B, Nosten-Bertrand M, Leboyer M. INSERM U513, Faculte de Medecine, 94000 Creteil, France.

Previous studies have provided conflicting evidence regarding the association of the serotonin transporter (5-HTT) gene with autism. Two polymorphisms have been identified in the human 5-HTT gene, a VNTR in intron 2(1) and a functional deletion/insertion in the promoter region (5-HTTLPR) with short and long variants.(2) Positive associations of the 5-HTTLPR polymorphism with autism have been reported by two family-based studies, but one found preferential transmission of the short allele(3)and the other of the long allele.(4) Two subsequent studies failed to find evidence of transmission disequilibrium at the 5-HTTLPR locus.(5,6)

These conflicting results could be due to heterogeneity of clinical samples with regard to serotonin (5-HT) blood levels, which have been found to be elevated in some autistic subjects.(7-9)Thus, we examined the association of the 5-HTTLPR and VNTR polymorphisms of the 5-HTT gene with autism, and we investigated the relationship between 5-HTT variants and whole-blood 5-HT.

The transmission/disequilibrium test (TDT) revealed no linkage disequilibrium at either loci in a sample of 96 families comprising 43 trios and 53 sib pairs. Furthermore, no significant relationship between 5-HT blood levels and 5-HTT gene polymorphisms was found. Our results suggest that the 5-HTT gene is unlikely to play a major role as a susceptibility factor in autism.

PMID: 11803447 [PubMed - in process]

 

 

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Support For Linkage Of Autism With Markers On Chromosome 7 “Regional meta-analysis of published data supports linkage of autism with markers on chromosome 7.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11803446&dopt=Abstract <- - address ends here.

 

Badner JA, Gershon ES. Department of Psychiatry, University of Chicago, Chicago, IL, USA.

Although the concept of meta-analysis of multiple linkage scans of a genetic trait is not new, it can be difficult to apply to published data given the lack of consistency in the presentation of linkage results.

In complex inheritance common diseases, there are many instances where one or two studies meet genome-wide criteria for significant or suggestive linkage but several other studies do not show even nominally significant results with the same region. One possibility for resolving differences between study results would be to combine an available result parameter of several studies. We describe here a method of regional meta-analysis, the multiple-scan probability (MSP), which can be used on published results.

It combines the reported P-values of individual studies, after correcting each value for the size of the region containing a minimum P-value. Analyses of the power of MSP and of its type I error rates are presented. The type I error rate is at least as low as that for a single genome scan and thus genome-wide significance criteria may be applied.

We also demonstrate appropriate criteria for this type of meta-analysis when the most significant study is included, and when that study is used to define a region of interest and then excluded. In our simulations, meta-analysis is at least as powerful as pooling data. Finally, we apply this method of meta-analysis to the evidence for linkage of autism susceptibility loci and demonstrate evidence for a susceptibility locus at 7q.

PMID: 11803446 [PubMed - in process]

* * *

 

Activation of the Inflammatory Response System In Autism

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11803234&dopt=Abstract <- - address ends here.

Croonenberghs J, Bosmans E, Deboutte D, Kenis G, Maes M. University Center of Child and Adolescent Psychiatry, Antwerp, Belgium.

Background/Aim: There is now some evidence that autism may be accompanied by abnormalities in the inflammatory response system (IRS).

Products of the IRS, such as proinflammatory cytokines, may induce some of the behavioral symptoms of autism, such as social withdrawal, resistance to novelty and sleep disturbances. The main aim of the present study was to examine whether autism is accompanied by an activation of the IRS.

Methods: We measured the production of interleukin (IL)-6, IL-10, the IL-1 receptor antagonist (IL-1RA), interferon (IFN)-gamma and tumor necrosis factor (TNF)-alpha by whole blood and the serum concentrations of IL-6, the IL-2 receptor (IL-2R) and IL-1RA.

Results: This study showed a significantly increased production of IFN-gamma and IL-1RA and a trend toward a significantly increased production of IL-6 and TNF-alpha by whole blood of autistic children. There were no significant differences in the serum concentrations of IL-6, IL-2R and IL-1RA between autistic and normal children.

Conclusions: These results suggest that autism may be accompanied by

an activation of the monocytic (increased IL-1RA) and Th-1-like (increased

IFN-gamma) arm of the IRS. It is hypothesized that increased production of

proinflammatory cytokines could play a role in the pathophysiology of

autism. Copyright 2002 S. Karger AG, Basel

PMID: 11803234 [PubMed - in process]

* * *

 

Positive vs. Negative Reinforcement in Experiment with One ASD Child “Choices between positive and negative reinforcement during treatment for escape-maintained behavior.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11800194&dopt=Abstract <- - address ends here.

DeLeon IG, Neidert PL, Anders BM, Rodriguez-Catter V. Neurobehavioral Unit,

Kennedy Krieger Institute, Baltimore, Maryland 21205, USA.

deleon@kennedykrieger.org

Positive reinforcement was more effective than negative reinforcement in promoting compliance and reducing escape-maintained problem behavior for a child with autism. Escape extinction was then added while the child was given a choice between positive or negative reinforcement for compliance and the reinforcement schedule was thinned.

When the reinforcement requirement reached 10 consecutive tasks, the treatment effects became inconsistent and reinforcer selection shifted from a strong preference for positive reinforcement to an unstable selection pattern.

PMID: 11800194 [PubMed - in process]

* * *

 

Self-control In Children With Autism:

response allocation during delays to reinforcement.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11800188&dopt=Abstract <- - address ends here.

Dixon MR, Cummings A. Behavior Analysis and Therapy Program, Rehabilitation

Institute, Southern Illinois University, Carbondale 62901, USA.

mdixon@siu.edu

This study examined the use of a progressive-delay schedule of reinforcement to increase self-control and decrease disruptive behavior in children with autism. When initially given the choice between an immediate smaller reinforcer and a larger delayed reinforcer, all participants chose the smaller reinforcer.

When access to the larger reinforcer required either no activity or engaging in a concurrent task during the delay, all participants demonstrated both self-control and preference for a response requirement.  Disruptive behavior decreased during delays that required a concurrent task compared to sessions without an activity requirement.

PMID: 11800188 [PubMed - in process]

 

 

 

 

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The Efficacy of Social Stories, Text Cues, Video Feedback with Autism “Social stories, written text cues, and video feedback: effects on social communication of children with autism.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11800183&dopt=Abstract <- - address ends here.

Thiemann KS, Goldstein H. Florida State University, USA. thiemann@ku.edu

This study investigated the effects of written text and pictorial cuing with supplemental video feedback on the social communication of 5 students with autism and social deficits. Two peers without disabilities participated as social partners with each child with autism to form five triads.

Treatment was implemented twice per week and consisted of 10 min of systematic instruction using visual stimuli, 10 min of social interaction, and 10 min of self-evaluation using video feedback. Results showed increases in targeted social communication skills when the treatment was implemented.  Some generalized treatment effects were observed across untrained social behaviors, and 1 participant generalized improvements within the classroom.

In addition, naive judges reported perceived improvements in the quality of reciprocal interactions. These findings support recommendations for using visually cued instruction to guide the social language development of young children with autism as they interact with peers without disabilities.

PMID: 11800183 [PubMed - in process]

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Behavior Analysis And Intervention For Adults With Autism http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11799656&dopt=Abstract <- - address ends here.

McClannahan LE, MacDuff GS, Krantz PJ. Princeton Child Development Institute, USA.

This article describes a behavioral intervention program for adults with autism, suggests that preparation for adulthood should begin in early childhood, asserts that the curriculum should be just as comprehensive and evaluation criteria just as rigorous in programs for adults as in programs for children, and proposes that close examination of adults’ repertoires may lead to key modifications of services delivered to children.

Along the way, the authors provide some data on the progress of 15 people who are now adults and whom they have known for 15 to 25 years.  Finally, the authors argue that, because of the diversity of skills and skill deficits displayed by adults with autism, a program model that prevents “falling through the cracks” must provide an array of options—from training center to supported employment.

PMID: 11799656 [PubMed - in process]

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Intensive Behavioral Treatment For A Toddler At High Risk For Autism http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11799655&dopt=Abstract <- - address ends here.

Green G, Brennan LC, Fein D. New England Center for Children, University of Massachusetts, USA.

Intensive, comprehensive treatment using a variety of applied behavior analysis methods was provided to a toddler who was determined to be at high risk for autism at the age of about 1 year. Initially, treatment was delivered in a one-to-one adult-child format in the child’s home and other settings, with gradual transitions to group instruction in early intervention and preschool classrooms.

Intensive treatment continued for 3 years; by the 4th year, the child was spending most of her time in a regular preschool classroom, with minimal ongoing one-to-one instruction. Direct observational data and results of norm-referenced tests documented large increases in language, social, cognitive, and daily living skills over the course of treatment.

After 4 years, the child demonstrated no behavioral or developmental abnormalities, performed above her chronological age level on norm-referenced tests of cognitive and language skills, and was functioning as a typical child in a regular public school kindergarten classroom.

PMID: 11799655 [PubMed - in process]

* * *

 

Intensive Behavioral Treatment For 4- To 7-Year-Old Children With Autism “Intensive behavioral treatment at school for 4- to 7-year-old children with autism. A 1-year comparison controlled study.”

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11799654&dopt=Abstract <- - address ends here.

Eikeseth S, Smith T, Jahr E, Eldevik S. Akershus College.

This study was designed to evaluate 1 year of intensive treatment for 4- to 7-year-old children with autism. An independent clinician assigned children to either behavioral treatment (n = 13) or eclectic treatment (n = 12). Assignment was based on availability of personnel to supervise treatment and was not influenced by child characteristics or family preference.

The two treatment groups received similar amounts of treatment (M = 28.52 hours per week at the child’s school). Children in the behavioral treatment group made significantly larger gains on standardized tests than did children in the eclectic treatment group.

Results suggest that some 4- to 7-year-olds may make large gains with intensive behavioral treatment, that such treatment can be successfully implemented in school settings, and that specific aspects of behavioral treatment (not just its intensity) may account for favorable outcomes.

PMID: 11799654 [PubMed - in process]

* * *

 

Training and Certifying Behavior Analysts http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11799652&dopt=Abstract <- - address ends here.

Shook GL, Ala’i-Rosales S, Glenn SS. Department of Behavior Analysis, University of North Texas, USA.

Proper professional certification and training of behavior analysts who work with individuals with autism is critical in ensuring that those individuals receive the highest quality behavior analytic services.

This article discusses the current issues surrounding certification of behavior analysts and describes the important features of the Behavior Analyst Certification Board and its credentials.

The article also reviews approaches to the training of professional behavior analyst practitioners and discusses appropriate training content for behavior analysts who work with persons with autism. The interrelationship between training and certification is explored.

PMID: 11799652 [PubMed - in process]

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