Author Correction: Alexithymia traits outweigh autism traits in the explanation of depression in adults with autism

AbstractWhen contemplating the alarming depression rates in adults with autism spectrum disorder (ASD), there is a need to find factors explaining heightened symptoms of depression. Beyond the impact of autism traits, markedly increased levels of alexithymia traits should be considered as a candidate for explaining why individuals with ASD report higher levels of depressive symptoms. Here, we aim to identify the extent to which autism or alexithymia traits indicate depressive symptoms in ASD and whether the pattern of association are specific to ASD. Data of a large (N = 400) representative clinical population of adults referred to autism diagnostics have been investigated and split by cases with a confirmed ASD diagnosis (N = 281) and cases with a ruled out ASD diagnosis (N = 119). Dominance analysis revealed the alexithymia factor, difficulties in identifying feelings, as the strongest predictor for depressive symptomatology in ASD, outweighing autism traits and other alexithymia factors. This pattern of prediction was not specific to ASD and was shared by clinical controls from the referral population with a ruled out ASD diagnosis. Thus, the association of alexithymia traits with depression is not unique to ASD and may constitute a general psychopathological mechanism in clinical samples.

Download Full-text

Objective and subjective psychosocial outcomes in adults with autism spectrum disorder: A 6-year longitudinal study

Autism ◽

10.1177/13623613211027673 ◽

2021 ◽

pp. 136236132110276

Author(s):

Anke M Scheeren ◽

J Marieke Buil ◽

Patricia Howlin ◽

Meike Bartels ◽

Sander Begeer

Keyword(s):

Psychosocial Functioning ◽

Psychosocial Outcomes ◽

Well Being ◽

Intellectual Ability ◽

Subjective Well Being ◽

Adults With Autism ◽

Autism Traits ◽

Intellectual Abilities ◽

Autistic Adults ◽

Objective Outcomes

Research has shown lower rates of employment and independent living in adults with autism. Many of these findings are based on cross-sectional studies, predominantly involving male participants. In a 6-year longitudinal study, we examined determinants of psychosocial outcomes in 917 adults with autism spectrum disorder (425 men, 492 women, mean age 43.5 years). Most were diagnosed in adulthood and had (above) average intellectual abilities. Via a yearly online survey, participants’ objective psychosocial functioning (based on employment, independent living and friendship) and subjective well-being were assessed. Averaged across the five waves of the study, 86% of the sample showed a fair to very good level of objective psychosocial functioning. Objective psychosocial functioning and subjective well-being were positively correlated, and both improved over time. Lower intellectual ability, more autism traits, co-occurring psychiatric conditions and younger age predicted poorer objective outcomes. More autism traits and co-occurring psychiatric conditions predicted lower subjective well-being. There were no gender differences in initial levels of, or changes in, objective and subjective outcomes over time. This study has identified important risk/protective factors for psychosocial outcomes across early and middle adulthood. In general, the findings offer a more positive outlook for adults with autism and average to high intellectual abilities. Lay abstract Previous research has shown that relatively few adults with autism have a paid job or live on their own. However, outcomes also vary a lot and may depend on many different factors. In this study, we examined the level of functioning and happiness of 917 adults with autism (425 men and 492 women) aged 18–65 years. Most of them were of average to high intellectual ability. Over 6 years, we measured whether they had a paid job, close friendships and lived on their own (i.e. their objective functioning). We also measured how happy they felt. Objectively, most autistic adults did fairly to very well. Those with better objective outcomes (e.g. those with paid work) also tended to be happier. Most adults improved in objective functioning and happiness over 6 years. Participants with a lower intellectual ability, more autism traits, mental health problems and younger age had poorer objective outcomes. Participants with more autism traits and mental health problems were less happy. Autistic men and women functioned at similar levels and were equally happy. We found important factors that predict a better (or worse) outcome for autistic adults. Overall, compared with some previous research, our findings give a more positive picture of the outcomes for autistic adults with average to high intellectual abilities.

Download Full-text

Social touch observation in adults with autism: intact neural representations of affective meaning but lack of embodied resonance

10.1101/512327 ◽

2019 ◽

Author(s):

Haemy Lee Masson ◽

Ineke Pillet ◽

Steffie Amelynck ◽

Stien Van De Plas ◽

Michelle Hendriks ◽

...

Keyword(s):

Autism Spectrum ◽

Neural Basis ◽

Adults With Autism ◽

Significant Group ◽

Affective Meaning ◽

Affective Touch ◽

Autism Traits ◽

Social Touch ◽

Touch Avoidance ◽

Emotional Resonance

AbstractHumans can easily grasp the affective meaning of touch when observing social interactions. Several neural systems support this ability, including theory of mind (ToM) and somatosensory resonance systems, but it is unclear how these systems are affected in autism spectrum disorder (ASD). Individuals with ASD are characterized by impairments in social interaction and the use of (non)verbal communication such as social and reciprocal touch. The present study applies an ecologically valid stimulus set and multivoxel pattern fMRI neuroimaging to pinpoint atypicalities in the neural circuitry underlying socio-affective touch observation in adults with ASD as compared to matched neurotypical controls. The MVPA results reveal that the affective meaning of touch is well represented in the temporoparietal junction, a core ToM mentalizing area, in both groups. Conversely, only the neurotypical group hosts affective touch representations in the somatosensory cortex, not the ASD group, yielding a significant group difference. Lastly, individuals with a more positive attitude towards receiving, witnessing, and providing social touch and with a higher score on social responsivity, show more differentiated representations of the affective meaning of touch in these somatosensory areas. Together, our findings imply that individuals with ASD are able to cognitively represent the affective meaning of touch, but they lack the spontaneous embodied somatosensory resonance when observing social touch communications. Individual differences in this diminished resonance appear to be related to social touch avoidance and quantitative autism traits.Significance StatementAutism is characterized by socio-communicative impairments, including abnormal processing of interpersonal touch. Little is known about the neural basis of atypicalities in social touch processing in autism. Here, adults with and without autism watched video clips displaying social touch interactions and judged the affective valence of the touch. Subsequently, they underwent functional magnetic resonance imaging while watching the same videos. Brain activity patterns demonstrate that adults with autism show intact cognitive understanding (i.e. “knowing”) of observed socio-affective touch experiences but lack of embodied emotional resonance (i.e. “feeling”). This lack of emotional resonance is linked to social touch avoidance and quantitative autism traits. These findings highlight that the depth of experiencing the state of others is shallower in people with autism.

Download Full-text