Review on Contributing Factors to Anxiety in High-Functioning Autism

Individuals with autism spectrum disorder are characterised by difficulties in social communication, by restricted, repetitive behaviour and interests. Autism is a highly heterogeneous disorder; high-functioning individuals with autism have average or higher intelligence and superficially normal language skills. The lack of intellectual disability does not mean that they can overcome inherent difficulties in social communication and interaction. They struggle to negotiate social interactions and manage daily tasks in a neurotypical world. They are at risk of experiencing mental health difficulties compared to general population. One of the most common mental health difficulties co-occurring with high-functioning autism is anxiety, which is associated with poor individual, family, and social outcomes. The chapter reviews studies on the contributing factors to anxiety in high-functioning autism. Psychological, cognitive, and social factors seem to be important, while there are indications for the existence of some neurobiological basis. It also considers ideas as to how to tackle anxiety.

Character Development Creativity in Unit Blocks for Visual Spatial Intellegence Improvement of Children with Special Needs

Autism is a neurodevelopmental disorder that is present from birth or early childhood. People with autism usually have impaired social interaction, difficulties in verbal and non- verbal communication, and repetitive behaviour. One of the forms of autism treatment is therapy. Vision therapy through toys that require concentration and creativity is able to treat autism as it won’t limit the imagination of children with the disorder. Toys usually have their own patterns and programs that tend to limit children’s creativity, imagination and visual and spatial intelligence. This can lead to children’s stress and lack of confidence. A character design on unit block toys is a form of vision therapy. It develops children’s visual and spatial creativity and intelligence. It also helps children to be independent and helps with their perception. Unit blocks consist of pieces of wooden blocks with different shapes and sizes that can form even bigger shapes, based on children’s imagination and ability to design a space or a building. Children’s visual and spatial intelligence help them visualize and notice shapes, colours, spaces, and designs of the unit blocks accurately, modify their surroundings based upon their perceptions, and recreate the aspects of their visual experiences. Playing Lego blocks will help develop the visual spatial intelligence of children with autism as it stimulates their ability to express ideas and to design a character the way they like.

The impact of phosphorylated Pten at threonine 366 on cortical connectivity and behaviour

The lipid phosphatase Pten (phosphatase and tensin homologue on chromosome 10) is a key tumour suppressor gene and an important regulator of neuronal signalling. Pten mutations have been identified in patients with autism spectrum disorders, characterized by macrocephaly, impaired social interactions and communication, repetitive behaviour, intellectual disability, and epilepsy. Pten enzymatic activity is regulated by a cluster of phosphorylation sites at the C-terminus of the protein. Here we specifically focussed on the role of Pten T366 phosphorylation and generated a knock-in mouse line in which Pten T366 was substituted with alanine (PtenT366A/T366A). We identify that phosphorylation of Pten at T366 controls neuron size and connectivity of brain circuits involved in sensory processing. We show in behavioural tests that PtenT366/T366A mice exhibit cognitive deficits and selective sensory impairments, with significant differences in male individuals. We identify restricted cellular overgrowth of cortical neurons in PtenT366A/T366A brains, linked to increases in both dendritic arborization and soma size. In a combinatorial approach of anterograde and retrograde monosynaptic tracing using rabies virus, we characterize differences in connectivity to the primary somatosensory cortex of PtenT366A/T366A brains, with imbalances in long-range cortico-cortical input to neurons. We conclude that phosphorylation of Pten at T366 controls neuron size and connectivity of brain circuits involved in sensory processing and propose that PTEN T366 signalling may account for a subset of autism-related functions of Pten.

Cognitive processes in autism: Repetitive thinking in autistic versus non-autistic adults

Repetitive and restricted behaviours are a core feature of autism, and cognition in autistic individuals may also be repetitive and restricted. We aimed to investigate the relationship between repetitive behaviours and repetitive thinking. We predicted that autistic people would experience more repetitive, perseverative, visual and negative cognition than controls. We predicted that repetitive thinking would be associated with repetitive behaviours in the autistic participants. We recruited autistic ( n = 54) and control ( n = 66) participants who completed measures of insistence on sameness and obsessive-compulsive behaviours. Participants then took part in 5 days of descriptive experiencing sampling, recording their thoughts when a random alarm sounded. Consistent with our hypothesis, autistic participants reported more repetitive thinking. Contrary with our other hypotheses, autistic participants reported equivalent frequency of perseveration, visual thoughts and negative thoughts to non-autistic participants. Moreover, participants who reported more obsessive thinking reported more repetitive behaviour (insistence on sameness), but there was no such relationship between repetitive thinking and behaviour. Autistic participants who reported more repeated thoughts in the descriptive experience sampling had significantly lower obsessive thinking scores. We conclude that anxiety focused cognitions may drive insistence on sameness behaviours, and that the relationship between repetitive cognition and behaviour is complex and warrants further investigation. Lay abstract A core feature of autism is the tendency to do the same activity or behaviour repetitively. We wanted to find out if autistic people also experience repetitive thinking, for example, having the same thoughts repeatedly. We thought that there would be a link between repetitive behaviour and repetitive thinking. We asked 54 autistic people and 66 non-autistic people to complete questionnaires measuring repetitive behaviours and obsessive thinking. Next, participants were trained by a researcher to record their thoughts using a structured paper form. They then completed 5 days of thought recording, which they did each time a random alarm sounded on their mobile phone. We found that autistic people had more repetitive thoughts than non-autistic people, but they did not report having more negative or visual thoughts compared with non-autistic people. Autistic people who had more repetitive thoughts during the 5 days of thought recording did not report more repetitive behaviour. However, autistic people who reported more obsessive thinking, for example, more negative and unwanted thoughts, also reported higher levels of repetitive behaviour. We conclude that some repetitive behaviours may be linked to anxiety and that more research is needed to better understand repetitive behaviours in autism.

Autism symptoms in anorexia nervosa: a comparative study with females with autism spectrum disorder

Background Recent research suggests a link between autism spectrum disorder (ASD) and anorexia nervosa (AN). Individuals with AN show high scores on measures of ASD symptoms, relative to individuals without AN, however, there are currently no studies directly comparing women with AN to women with ASD. The aim of the current study was to examine profiles of ASD symptoms in young women in the acute and recovered stages of AN, women with ASD, and typically developing controls (TD), on both self-report and clinical interview measures. Methods Four groups of participants aged 12–30 years were included (n = 218): AN, recovered AN (REC), ASD, and TD. Group differences on the Social Responsiveness Scale, 2nd edition (SRS-2), 10-item Autism Quotient (AQ-10), and the Autism Diagnostic Observation Schedule, 2nd edition (ADOS-2) were examined. To explore similarities and differences in specific symptom profiles associated with AN and ASD, individual item endorsement on the ADOS-2 was also examined in AN, REC, and ASD. Results Across measures, women with ASD showed the highest scores, and TDs the lowest. Generally, individuals with AN and REC showed intermediate levels of ASD symptoms, scoring between the other two groups. However, AN and ASD did not differ on restricted interests and repetitive behaviour subscales. The ADOS-2 item ‘quality of social response’ adequately discriminated between ASD and non-ASD participants. Limitations A full diagnostic assessment for ASD was not provided for participants with AN/REC, nor were eating disorders assessed in the ASD group. Therefore, some diagnostic overlap between groups is possible. The cross-sectional design is another limitation. Conclusions The results suggest similarities in scores on both self-report and clinical interview measures in AN and ASD. However, individual ADOS-2 item analyses also revealed subtle differences, particularly in reciprocal social interaction. ASD symptoms may be a combination of both state and trait features in AN.

Childhood trauma as a mediator of the association between autistic traits and psychotic experiences: evidence from the ALSPAC birth cohort

Introduction: There is increasing evidence that autistic traits are associated with psychotic experiences. However, the mechanisms underlying such associations are still unknown. In this longitudinal birth cohort study, we examine the relationship between childhood autistic traits and psychotic experiences in adolescence and young adulthood, and the influence of childhood trauma on this association.Methods: We analysed data from the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort. We used four dichotomized measures of autistic traits (social communication difficulties at age 7, repetitive behaviour at age 5, sociability at age 3, and pragmatic language at age 9). Psychotic experiences were assessed at ages 18 and 24 using the semi-structured Psychosis-Like Symptoms interview. Traumatic experiences between ages 5 to 11 were assessed with questionnaires and interviews administered to children and parents.Results: The maximum sample with complete data was 3410 for the autistic traits-psychotic experiences analyses and 3327 for the mediation analyses. The corresponding maximum sample sizes for the imputed data analysis were 10,053 and 8121, respectively. Social communication difficulties were associated with psychotic experiences (odds ratio [OR] = 1.43, 95% confidence interval [CI] 1.01–2.02), including those that were distressing and/or frequent (OR = 1.60, 95% CI 1.02–2.52). Childhood trauma mediated approximately 40% of this association. Other autistic traits showed no consistent relationship with psychotic experiences. Results were similar when we adjusted for schizophrenia polygenic risk scores (PRS).Discussion: Childhood social communication difficulties are associated with psychotic experiences by age 24. This association does not appear to be explained by genetic risk as captured by current schizophrenia PRS. The experience of trauma may be an important, potentially modifiable pathway between autistic features and later onset of psychotic psychopathology where interventions could be targeted.

Relationship between Sensory Alterations and Repetitive Behaviours in Children with Autism Spectrum Disorders: A Parents’ Questionnaire Based Study

The relationship between sensory profile and repetitive behaviours in autism spectrum disorder (ASD) has long been known. However, there is no consensus on the type of relationship that exists between them. This monocentric retrospective–prospective observational study aimed (a) to detect a clinical correlation between the severity of repetitive behaviours and the alterations of sensory profile in a sample of 50 children diagnosed with ASD; (b) to evaluate how different patterns of stereotypies and sensory alterations correlate with each other and with the main clinical–instrumental variables in the same sample. We enrolled 29 children in the retrospective phase of the study and 21 in the prospective phase. The Repetitive Behaviour Scale-Revised (RBS-R) and the Short Sensory Profile (SSP) were administered to the caregivers, and clinical–instrumental data were collected. SSP and RBS-R total scores directly correlated with a high significance rate. Among the subscales, the strongest correlations involved “Visual/Auditory Sensitivity”, related to “Stereotyped Behaviour” and “Sameness Behaviour”. “Under-Responsive/Seeks Sensation” related to “Stereotyped Behaviour”. Sex and intellectual disability significantly influenced both the stereotypies and the sensory alterations of the examined population. In conclusion, this study provides new insights into the relationship between sensory alterations and repetitive behaviours in ASD children by using direct medical observation and parent observation.

A systematic review on Valproate induced rat model of autism: Pathophysiology, treatment, developmental and neurobehavioral assessment of rat offsprings

Autism Spectrum disorder (ASD) is charecterised by certain degrees of disabilities in social communication, restrictive repetitive behaviour and altered motor and sensory perception. Translational research is carried out by creating animal models of autism to find out the correlation between behavioural changes and the pathology of brain tissue and for clinical trials of newer therapeutic formulations. Valproate induced animal model of autism has significant validity to demonstrate ASD manifestations. An early appreciation of ASD symptoms is needed for a better prognosis. So assessment of behavioural abnormalities and development stones in the first month of animal life are much important to study ASD.An extensive literature search was done on different databases. (PUBMED-MeSH, PMC, Webof Science, Google scholar and Research Gate). Original articles reported between the years 2000-2020 were selected. PRISMA protocol was followed. There are good quantities of studies on behavioural assessment of valproate induced animal model. This review explains the pathophysiology and various treatment modalities tried in valporate induced animal model and it also enlists the developmental and behavioural assessment methods of rat off springs. It will be useful to demonstrate all signs of autism.

Recognition of Disease Genetic Information from Unstructured Text Data Based on BiLSTM-CRF for Molecular Mechanisms

Disease relevant entities are an important task in mining unstructured text data from the biomedical literature for achieving biomedical knowledge. Autism spectrum disorder (ASD) is a disease related to a neurological and developmental disorder characterized by deficits in communication and social interaction and by repetitive behaviour. However, this kind of disease remains unclear to date. In this study, it identifies entities associated with disease using the machine learning of a computational way from text data collection for molecular mechanisms related to ASD. Entities related to disease are extracted from the biomedical literature related to autism by using deep learning with bidirectional long short-term memory (BiLSTM) and conditional random field (CRF) model. Compared other previous works, the approach is promising for identifying entities related to disease. The proposed approach including five types of molecular entities is evaluated by GENIA corpus to obtain an F-score of 76.81%. The work has extracted 9146 proteins, 145 RNAs, 7680 DNAs, 1058 cell-types, and 981 cell-lines from the autism biomedical literature after removing repeated molecular entities. Finally, we perform GO and KEGG analyses of the test dataset. This study could serve as a reference for further studies on the etiology of disease on the basis of molecular mechanisms and provide a way to explore disease genetic information.