2.46 PATTERNS OF LIFETIME AUTISM SPECTRUM DISORDER SYMPTOMS IN A LOW BIRTH WEIGHT, PRETERM COHORT: IS THERE A SOCIAL COMMUNICATION DISORDER PHENOTYPE?

Abstract This paper describes recent changes to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) that may affect AAC service availability to individuals with Autism Spectrum Disorder (ASD) and Social Communication Disorder, a new diagnostic category. In addition, it provides a summary of research on the proportion of individuals with ASD who do not develop functional speech and, thus, rely on AAC. Finally, it emphasizes the importance of conventional literacy instruction for this population, with specific attention to the need to provide alternatives to handwriting, based on recent research.

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Diagnosing and Teaching Students with Social Communication Disorder in Included Classrooms

Journal of Education and Learning ◽

10.5539/jel.v9n4p94 ◽

2020 ◽

Vol 9 (4) ◽

pp. 94

Author(s):

Christopher F. Mulrine ◽

Betty Kollia

Keyword(s):

Autism Spectrum Disorder ◽

Social Communication ◽

Pervasive Developmental Disorders ◽

Developmental Disorders ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Pragmatic Language ◽

Communication Disorder ◽

Dsm 5 ◽

Social Communication Disorder

Autism Spectrum Disorder (ASD) was for many years considered to be one of five pervasive developmental disorders (PDD) as defined in the 4th edition of the Diagnostic Statistical Manual of Mental Disorders (DSM-IV-TR) published by the American Psychiatric Association (APA, 2000). These disorders included Autism, Rett Syndrome, Childhood Disintegrative Disorder, PDD-NOS (not otherwise specified), and Asperger’s syndrome. The 2013, fifth revision of the manual (DSM-5) presented a modification in the diagnosis for Autism Spectrum Disorder. It is now being diagnosed as an inclusive disorder of a range of symptoms or autism related symptoms from mild to severe (APA, 2013). It has dropped four of the previous diagnoses and is now only one encompassing disability called Autism Spectrum Disorder. Using the new DSM-5 diagnostic criteria some students who were previously diagnosed as having Asperger’s Syndrome do not fit the new Autism Spectrum Disorder criteria. These students might now be diagnosed with Social Communication Disorder (SCD). This diagnosis meets the symptoms presented by these individuals more appropriately. SCD describes the social difficulties and pragmatic language differences that impact comprehension, production, and awareness in conversation that are not caused by delayed cognition or other language delays.

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Social Communication Questionnaire scoring procedures for autism spectrum disorder and the prevalence of potential social communication disorder in ASD.

School Psychology Quarterly ◽

10.1037/spq0000144 ◽

2016 ◽

Vol 31 (4) ◽

pp. 522-533 ◽

Cited By ~ 5

Author(s):

Lucy Barnard-Brak ◽

David M. Richman ◽

Steven Randall Chesnut ◽

Todd D. Little

Keyword(s):

Autism Spectrum Disorder ◽

Social Communication ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Communication Disorder ◽

Social Communication Questionnaire ◽

Social Communication Disorder

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A Preliminary Epidemiologic Study of Social (Pragmatic) Communication Disorder Relative to Autism Spectrum Disorder and Developmental Disability Without Social Communication Deficits

Journal of Autism and Developmental Disorders ◽

10.1007/s10803-020-04737-4 ◽

2020 ◽

Author(s):

Susan Ellis Weismer ◽

Eric Rubenstein ◽

Lisa Wiggins ◽

Maureen S. Durkin

Keyword(s):

Autism Spectrum Disorder ◽

Developmental Disability ◽

Social Communication ◽

Epidemiologic Study ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Communication Disorder ◽

Communication Deficits ◽

Pragmatic Communication

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Primitive Reflexes in Very Low Birth Weight Infants Later Diagnosed with Autism Spectrum Disorder

10.21203/rs.2.19535/v1 ◽

2019 ◽

Author(s):

Yukiyo Nagai ◽

Kayo Nomura ◽

Osamu Uemura

Keyword(s):

Autism Spectrum Disorder ◽

Birth Weight ◽

Low Birth Weight ◽

Very Low Birth Weight ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Future Research ◽

Low Birth Weight Infants ◽

Primitive Reflexes ◽

Study Results

Abstract Background: As early screening and diagnosis is very important in treatment of Autism Spectrum Disorder, we investigated the relationship between primitive reflexes and Autism Spectrum Disorder (ASD). Methods: Of 88 very low birth weight infants born from April 2010 to March 2012, subjects comprised 38 examined for 18 primitive reflexes between age 38 and 45 wks corrected age and followed-up over 6 yrs. ASD was diagnosed using Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-5) and Autism Diagnostic Observation Schedule Second Edition (ADOS-2). We compared the number of abnormal primitive reflexes between two groups (11 children with and 19 without ASD) after excluding eight children with cerebral palsy in this case-control study. Results: The number of abnormal primitive reflexes differed significantly between groups, with hypoactive reflexes markedly higher in the ASD group (p=0.001). Conclusion: The result suggests primitive reflexes can be one of the key elements to identify ASD in low birth weight infants. Abnormal primitive reflexes of low birth weight infants with ASD in very early infancy may inform future research of the pathogenesis of ASD.

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Social (Pragmatic) Communication Disorder: Another name for the Broad Autism Phenotype?

Autism ◽

10.1177/1362361318822503 ◽

2019 ◽

Vol 23 (8) ◽

pp. 1982-1992 ◽

Cited By ~ 4

Author(s):

Judy Flax ◽

Christine Gwin ◽

Sherri Wilson ◽

Yuli Fradkin ◽

Steve Buyske ◽

...

Keyword(s):

Autism Spectrum Disorder ◽

Social Communication ◽

Repetitive Behavior ◽

Family Members ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Communication Disorder ◽

Restricted Interests ◽

Communication Impairment ◽

Pragmatic Communication

The Diagnostic and Statistical Manual of Mental Disorders’ (5th ed.) Social (Pragmatic) Communication Disorder is meant to capture the social elements of communication dysfunction in children who do not meet autism spectrum disorder criteria. It is unclear whether Social (Pragmatic) Communication Disorder captures these elements without overlapping with Autism Spectrum Disorder or the Diagnostic and Statistical Manual of Mental Disorders’ (5th ed.) Language Disorder. Standardized behavioral assessments administered during a family genetics study were used to evaluate the social communication impairment and the restricted interests and repetitive behaviors in persons with autism spectrum disorder, language impairment, or neither. Social communication impairment and restricted interests and repetitive behavior were significantly correlated in all family members regardless of affection status. Rates of social communication impairment and restricted interests and repetitive behavior were highest in individuals with autism spectrum disorder. One-third of family members with language impairment presented with at least mild/moderate levels of social communication impairment (36.6%) and restricted interests and repetitive behavior (43.3%). A subset of unaffected members also presented with mild/moderate levels of social communication impairment (parents = 10.1%, siblings 11.6%) and restricted interests and repetitive behavior (parents = 14.0%, siblings = 22.1%). The majority of child family members with mild/moderate levels of social communication impairment had similar restricted interest and repetitive behavior levels reflecting criteria representing the Broad Autism Phenotype. These data suggest that social pragmatic communication disorder does not capture the profiles of children who have both social communication impairment and restricted interests and repetitive behavior but are in need of clinical services.

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