Age-Related Effects on Social Cognition in Adults with Autism Spectrum Disorder: A Possible Protective Effect on Theory of Mind / Esra ZIVRALI YARAR in Autism Research, 14-5 (May 2021)  

Public ISBD [article]  inAutism Research > 14-5 (May 2021) . - p.911-920 Titre : Age-Related Effects on Social Cognition in Adults with Autism Spectrum Disorder: A Possible Protective Effect on Theory of Mind Type de document : texte imprimé Auteurs : Esra ZIVRALI YARAR, Auteur ; Patricia HOWLIN, Auteur ; Rebecca A. CHARLTON, Auteur ; Francesca HAPPE, Auteur Article en page(s) : p.911-920 Langues : Anglais (eng) Mots-clés : aging  alexithymia  autism spectrum disorder  cognition  empathy  social  theory of mind Index. décimale : PER Périodiques Résumé : Impaired social cognition has been suggested to underlie the social communication difficulties that define autism spectrum disorder (ASD). In typical development, social cognition may deteriorate in older age, but age effects in ASD adults have been little explored. In the present study, we compared groups of younger and older adults with and without ASD (n = 97), who completed a set of social cognition tasks assessing theory of mind (ToM), and self-report measures of empathy and alexithymia. While typically developing (TD) younger adults outperformed elderly TD and younger ASD participants, younger and older ASD adults did not differ in their ToM performance, and the elderly ASD and TD groups performed equivalently. By contrast, ASD adults reported lower empathy scores and higher levels of alexithymia symptoms compared to TD adults regardless of age. The difference between ASD and TD groups in self-reported empathy scores was no longer significant when alexithymia was covaried (with the exception of the Perspective Taking subscore). Results suggest a possible age-protective effect on ToM in the ASD group. In addition, empathy difficulties appear to be associated with alexithymia rather than ASD per se. Possible interpretations are discussed, and future directions for autism aging research are proposed. LAY SUMMARY: People with autism spectrum disorder (ASD) have difficulties with social understanding. Some age-related studies in typical development have shown a decline in social understanding in older age. We investigated whether a similar pattern is present in adults with ASD. We found that understanding what someone is thinking was not worse in older versus younger autistic adults. Also, we reported further evidence suggesting that emotional empathy difficulties were related to difficulties with understanding one's own emotions rather than with autism itself. Autism Res 2021, 14: 911-920. © 2020 International Society for Autism Research and Wiley Periodicals LLC. En ligne : http://dx.doi.org/10.1002/aur.2410 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Age-Related Effects on Social Cognition in Adults with Autism Spectrum Disorder: A Possible Protective Effect on Theory of Mind [texte imprimé] / Esra ZIVRALI YARAR, Auteur ; Patricia HOWLIN, Auteur ; Rebecca A. CHARLTON, Auteur ; Francesca HAPPE, Auteur . - p.911-920. Langues : Anglais (eng) in Autism Research > 14-5 (May 2021) . - p.911-920 Mots-clés : aging  alexithymia  autism spectrum disorder  cognition  empathy  social  theory of mind Index. décimale : PER Périodiques Résumé : Impaired social cognition has been suggested to underlie the social communication difficulties that define autism spectrum disorder (ASD). In typical development, social cognition may deteriorate in older age, but age effects in ASD adults have been little explored. In the present study, we compared groups of younger and older adults with and without ASD (n = 97), who completed a set of social cognition tasks assessing theory of mind (ToM), and self-report measures of empathy and alexithymia. While typically developing (TD) younger adults outperformed elderly TD and younger ASD participants, younger and older ASD adults did not differ in their ToM performance, and the elderly ASD and TD groups performed equivalently. By contrast, ASD adults reported lower empathy scores and higher levels of alexithymia symptoms compared to TD adults regardless of age. The difference between ASD and TD groups in self-reported empathy scores was no longer significant when alexithymia was covaried (with the exception of the Perspective Taking subscore). Results suggest a possible age-protective effect on ToM in the ASD group. In addition, empathy difficulties appear to be associated with alexithymia rather than ASD per se. Possible interpretations are discussed, and future directions for autism aging research are proposed. LAY SUMMARY: People with autism spectrum disorder (ASD) have difficulties with social understanding. Some age-related studies in typical development have shown a decline in social understanding in older age. We investigated whether a similar pattern is present in adults with ASD. We found that understanding what someone is thinking was not worse in older versus younger autistic adults. Also, we reported further evidence suggesting that emotional empathy difficulties were related to difficulties with understanding one's own emotions rather than with autism itself. Autism Res 2021, 14: 911-920. © 2020 International Society for Autism Research and Wiley Periodicals LLC. En ligne : http://dx.doi.org/10.1002/aur.2410 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

Aging and autism: Do measures of autism symptoms, co-occurring mental health conditions, or quality of life differ between younger and older autistic adults? / Esra ZÄ+vralÄ+ YARAR in Autism Research, 15-8 (August 2022)  

Public ISBD [article]  inAutism Research > 15-8 (August 2022) . - p.1482-1494 Titre : Aging and autism: Do measures of autism symptoms, co-occurring mental health conditions, or quality of life differ between younger and older autistic adults? Type de document : texte imprimé Auteurs : Esra ZÄ+vralÄ+ YARAR, Auteur ; Amanda ROESTORF, Auteur ; Debbie SPAIN, Auteur ; Patricia HOWLIN, Auteur ; Dermot M. BOWLER, Auteur ; Rebecca A. CHARLTON, Auteur ; Francesca HAPPE, Auteur Article en page(s) : p.1482-1494 Langues : Anglais (eng) Mots-clés : Adult  Aging  Autism Spectrum Disorder/complications/epidemiology/psychology  Autistic Disorder/complications/epidemiology/psychology  Cross-Sectional Studies  Humans  Mental Health  Quality of Life/psychology  adults  autism spectrum disorder  quality of life Index. décimale : PER Périodiques Résumé : Previous research has indicated that autistic adults experience higher rates of co-occurring mental health difficulties and poorer quality of life (QoL) than their non-autistic peers. Little is known, however, about these aspects in older age or whether younger and older autistic adults experience similar patterns This cross-sectional study investigated potential age-related effects on autism symptoms, self-reported mental health, and QoL in younger and older autistic adults (n = 79, aged 19-71years) compared to a non-autistic control group (n = 57) matched for gender, age and IQ. Results showed that autistic adults had higher levels of self-reported autism symptoms and poorer QoL than controls. There were no significant age effects on autism symptoms or on most self-rated mental health symptoms. However, significantly more autistic adults in the younger versus older group scored above the clinical threshold for anxiety, somatoform disorders and eating disorders. Older autistic adults rated social QoL as significantly better than younger autistic adults; there was no significant age difference in the control group. Self-reported QoL was best predicted by self-ratings of severity of depressive symptoms in both groups. Further research is needed to track autism and co-occurring mental health symptomatology across the lifespan, so that service provision can be tailored accordingly. LAY SUMMARY: Young autistic adults have reported more psychological difficulties and poorer quality of life (QoL) than the general population. We investigated whether these difficulties continue into older age. Autism symptoms and mental health problems were common in autistic adults, with no difference between age groups, except for anxiety, physical and eating problems. Although QoL was poorer in both younger and older autistic compared to non-autistic adults, older autistic adults reported better social QoL than those who were younger. En ligne : http://dx.doi.org/10.1002/aur.2780 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483 [article] Aging and autism: Do measures of autism symptoms, co-occurring mental health conditions, or quality of life differ between younger and older autistic adults? [texte imprimé] / Esra ZÄ+vralÄ+ YARAR, Auteur ; Amanda ROESTORF, Auteur ; Debbie SPAIN, Auteur ; Patricia HOWLIN, Auteur ; Dermot M. BOWLER, Auteur ; Rebecca A. CHARLTON, Auteur ; Francesca HAPPE, Auteur . - p.1482-1494. Langues : Anglais (eng) in Autism Research > 15-8 (August 2022) . - p.1482-1494 Mots-clés : Adult  Aging  Autism Spectrum Disorder/complications/epidemiology/psychology  Autistic Disorder/complications/epidemiology/psychology  Cross-Sectional Studies  Humans  Mental Health  Quality of Life/psychology  adults  autism spectrum disorder  quality of life Index. décimale : PER Périodiques Résumé : Previous research has indicated that autistic adults experience higher rates of co-occurring mental health difficulties and poorer quality of life (QoL) than their non-autistic peers. Little is known, however, about these aspects in older age or whether younger and older autistic adults experience similar patterns This cross-sectional study investigated potential age-related effects on autism symptoms, self-reported mental health, and QoL in younger and older autistic adults (n = 79, aged 19-71years) compared to a non-autistic control group (n = 57) matched for gender, age and IQ. Results showed that autistic adults had higher levels of self-reported autism symptoms and poorer QoL than controls. There were no significant age effects on autism symptoms or on most self-rated mental health symptoms. However, significantly more autistic adults in the younger versus older group scored above the clinical threshold for anxiety, somatoform disorders and eating disorders. Older autistic adults rated social QoL as significantly better than younger autistic adults; there was no significant age difference in the control group. Self-reported QoL was best predicted by self-ratings of severity of depressive symptoms in both groups. Further research is needed to track autism and co-occurring mental health symptomatology across the lifespan, so that service provision can be tailored accordingly. LAY SUMMARY: Young autistic adults have reported more psychological difficulties and poorer quality of life (QoL) than the general population. We investigated whether these difficulties continue into older age. Autism symptoms and mental health problems were common in autistic adults, with no difference between age groups, except for anxiety, physical and eating problems. Although QoL was poorer in both younger and older autistic compared to non-autistic adults, older autistic adults reported better social QoL than those who were younger. En ligne : http://dx.doi.org/10.1002/aur.2780 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483

Alexithymia and autism diagnostic assessments: Evidence from twins at genetic risk of autism and adults with anorexia nervosa / Hannah HOBSON in Research in Autism Spectrum Disorders, 73 (May 2019)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 73 (May 2019) . - 101531 Titre : Alexithymia and autism diagnostic assessments: Evidence from twins at genetic risk of autism and adults with anorexia nervosa Type de document : texte imprimé Auteurs : Hannah HOBSON, Auteur ; Heather WESTWOOD, Auteur ; Jane CONWAY, Auteur ; Fiona S. MCEWEN, Auteur ; Emma COLVERT, Auteur ; Caroline CATMUR, Auteur ; Geoffrey BIRD, Auteur ; Francesca HAPPE, Auteur Article en page(s) : 101531 Langues : Anglais (eng) Mots-clés : ADOS  Alexithymia  Diagnosis  Autism  Anorexia nervosa Index. décimale : PER Périodiques Résumé : Background Alexithymia, a difficulty identifying and communicating one’s own emotions, affects socio-emotional processes, such as emotion recognition and empathy. Co-occurring alexithymia is prevalent in Autism Spectrum Disorder (ASD) and underlies some socio-emotional difficulties usually attributed to autism. Socio-emotional abilities are examined during behavioural diagnostic assessments of autism, yet the effect of alexithymia on these assessments is not known. This study aimed to examine the associations between alexithymia and Autism Diagnostic Observation Schedule (ADOS) assessment scores. Method Two previously collected samples of ADOS assessments were used to examine the relationship between alexithymia and ADOS scores. Participants included 96 women with anorexia, and 147 adolescents who were either high in autistic symptoms, or whose twin had high autistic symptoms. We examined 1) the impact of alexithymia on meeting the criteria for autism/ASD, 2) correlations between alexithymia and ADOS subscales, and 3) whether alexithymia predicted scores on specific ADOS items, selected a priori based on existing literature. Results In the adolescent group, parent-reported (but not self-reported) alexithymia correlated with both ADOS sub-scales, predicted scores on ADOS items, and predicted meeting clinical cut-offs for an ASD/autism diagnosis. Few associations were observed in the anorexic sample between self-reported alexithymia and ADOS subscale and item scores, but the presence of alexithymia predicted the likelihood of meeting diagnostic criteria for autism/ASD in this sample. Conclusions Alexithymia does show relationships with ADOS assessment scores. We discuss potential clinical and research implications, particularly in studies of autism where the ADOS is often the only diagnostic measure used. En ligne : https://doi.org/10.1016/j.rasd.2020.101531 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421 [article] Alexithymia and autism diagnostic assessments: Evidence from twins at genetic risk of autism and adults with anorexia nervosa [texte imprimé] / Hannah HOBSON, Auteur ; Heather WESTWOOD, Auteur ; Jane CONWAY, Auteur ; Fiona S. MCEWEN, Auteur ; Emma COLVERT, Auteur ; Caroline CATMUR, Auteur ; Geoffrey BIRD, Auteur ; Francesca HAPPE, Auteur . - 101531. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 73 (May 2019) . - 101531 Mots-clés : ADOS  Alexithymia  Diagnosis  Autism  Anorexia nervosa Index. décimale : PER Périodiques Résumé : Background Alexithymia, a difficulty identifying and communicating one’s own emotions, affects socio-emotional processes, such as emotion recognition and empathy. Co-occurring alexithymia is prevalent in Autism Spectrum Disorder (ASD) and underlies some socio-emotional difficulties usually attributed to autism. Socio-emotional abilities are examined during behavioural diagnostic assessments of autism, yet the effect of alexithymia on these assessments is not known. This study aimed to examine the associations between alexithymia and Autism Diagnostic Observation Schedule (ADOS) assessment scores. Method Two previously collected samples of ADOS assessments were used to examine the relationship between alexithymia and ADOS scores. Participants included 96 women with anorexia, and 147 adolescents who were either high in autistic symptoms, or whose twin had high autistic symptoms. We examined 1) the impact of alexithymia on meeting the criteria for autism/ASD, 2) correlations between alexithymia and ADOS subscales, and 3) whether alexithymia predicted scores on specific ADOS items, selected a priori based on existing literature. Results In the adolescent group, parent-reported (but not self-reported) alexithymia correlated with both ADOS sub-scales, predicted scores on ADOS items, and predicted meeting clinical cut-offs for an ASD/autism diagnosis. Few associations were observed in the anorexic sample between self-reported alexithymia and ADOS subscale and item scores, but the presence of alexithymia predicted the likelihood of meeting diagnostic criteria for autism/ASD in this sample. Conclusions Alexithymia does show relationships with ADOS assessment scores. We discuss potential clinical and research implications, particularly in studies of autism where the ADOS is often the only diagnostic measure used. En ligne : https://doi.org/10.1016/j.rasd.2020.101531 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421

Alexithymia in Adolescents with Autism Spectrum Disorder: Its Relationship to Internalising Difficulties, Sensory Modulation and Social Cognition / Bosiljka MILOSAVLJEVIC in Journal of Autism and Developmental Disorders, 46-4 (April 2016)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 46-4 (April 2016) . - p.1354-1367 Titre : Alexithymia in Adolescents with Autism Spectrum Disorder: Its Relationship to Internalising Difficulties, Sensory Modulation and Social Cognition Type de document : texte imprimé Auteurs : Bosiljka MILOSAVLJEVIC, Auteur ; Virginia CARTER LENO, Auteur ; Emily SIMONOFF, Auteur ; Gillian BAIRD, Auteur ; Andrew PICKLES, Auteur ; Catherine R.G. JONES, Auteur ; Catherine ERSKINE, Auteur ; Tony CHARMAN, Auteur ; Francesca HAPPE, Auteur Article en page(s) : p.1354-1367 Langues : Anglais (eng) Mots-clés : Alexithymia  Autism spectrum disorder  Emotion recognition  Theory of mind  Anxiety  Sensory processing Index. décimale : PER Périodiques Résumé : Alexithymia is a personality trait frequently found in adults with autism spectrum disorder (ASD), and has been linked to impairments in emotion recognition and empathy. The presentation of alexithymia within ASD at younger ages remains unexplored, and was examined in the present study. Alexithymia rates were significantly elevated in ASD (55 %; 31/56 scoring above cut-off) versus non-ASD adolescents (16 %; 5/32 scoring above cut-off). Within individuals with ASD, alexithymia was associated with increased self-reported anxiety, parent-reported emotional difficulties, self-reported sensory processing atypicalities, and poorer emotion recognition, but was not associated with theory of mind ability. Overall, our results suggest that alexithymia is highly prevalent, and has selective cognitive correlates in young people with ASD. En ligne : http://dx.doi.org/10.1007/s10803-015-2670-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=284 [article] Alexithymia in Adolescents with Autism Spectrum Disorder: Its Relationship to Internalising Difficulties, Sensory Modulation and Social Cognition [texte imprimé] / Bosiljka MILOSAVLJEVIC, Auteur ; Virginia CARTER LENO, Auteur ; Emily SIMONOFF, Auteur ; Gillian BAIRD, Auteur ; Andrew PICKLES, Auteur ; Catherine R.G. JONES, Auteur ; Catherine ERSKINE, Auteur ; Tony CHARMAN, Auteur ; Francesca HAPPE, Auteur . - p.1354-1367. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 46-4 (April 2016) . - p.1354-1367 Mots-clés : Alexithymia  Autism spectrum disorder  Emotion recognition  Theory of mind  Anxiety  Sensory processing Index. décimale : PER Périodiques Résumé : Alexithymia is a personality trait frequently found in adults with autism spectrum disorder (ASD), and has been linked to impairments in emotion recognition and empathy. The presentation of alexithymia within ASD at younger ages remains unexplored, and was examined in the present study. Alexithymia rates were significantly elevated in ASD (55 %; 31/56 scoring above cut-off) versus non-ASD adolescents (16 %; 5/32 scoring above cut-off). Within individuals with ASD, alexithymia was associated with increased self-reported anxiety, parent-reported emotional difficulties, self-reported sensory processing atypicalities, and poorer emotion recognition, but was not associated with theory of mind ability. Overall, our results suggest that alexithymia is highly prevalent, and has selective cognitive correlates in young people with ASD. En ligne : http://dx.doi.org/10.1007/s10803-015-2670-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=284

Annual Research Review: Looking back to look forward - changes in the concept of autism and implications for future research / Francesca HAPPE in Journal of Child Psychology and Psychiatry, 61-3 (March 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-3 (March 2020) . - p.218-232 Titre : Annual Research Review: Looking back to look forward - changes in the concept of autism and implications for future research Type de document : texte imprimé Auteurs : Francesca HAPPE, Auteur ; Uta FRITH, Auteur Article en page(s) : p.218-232 Langues : Anglais (eng) Mots-clés : Asperger disorder  Autism spectrum disorders  neurodevelopmental disorders  social cognition Index. décimale : PER Périodiques Résumé : The concept of autism is a significant contribution from child psychiatry that has entered wider culture and public consciousness, and has evolved significantly over the last four decades. Taking a rather personal retrospective, reflecting on our own time in autism research, this review explores changes in the concept of autism and the implications of these for future research. We focus on seven major changes in how autism is thought of, operationalised, and recognised: (1) from a narrow definition to wide diagnostic criteria; (2) from a rare to a relatively common condition, although probably still under-recognised in women; (3) from something affecting children, to a lifelong condition; (4) from something discreet and distinct, to a dimensional view; (5) from one thing to many 'autisms', and a compound or 'fractionable' condition; (6) from a focus on 'pure' autism, to recognition that complexity and comorbidity is the norm; and finally, (7) from conceptualising autism purely as a 'developmental disorder', to recognising a neurodiversity perspective, operationalised in participatory research models. We conclude with some challenges for the field and suggestions for areas currently neglected in autism research. En ligne : http://dx.doi.org/10.1111/jcpp.13176 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=420 [article] Annual Research Review: Looking back to look forward - changes in the concept of autism and implications for future research [texte imprimé] / Francesca HAPPE, Auteur ; Uta FRITH, Auteur . - p.218-232. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-3 (March 2020) . - p.218-232 Mots-clés : Asperger disorder  Autism spectrum disorders  neurodevelopmental disorders  social cognition Index. décimale : PER Périodiques Résumé : The concept of autism is a significant contribution from child psychiatry that has entered wider culture and public consciousness, and has evolved significantly over the last four decades. Taking a rather personal retrospective, reflecting on our own time in autism research, this review explores changes in the concept of autism and the implications of these for future research. We focus on seven major changes in how autism is thought of, operationalised, and recognised: (1) from a narrow definition to wide diagnostic criteria; (2) from a rare to a relatively common condition, although probably still under-recognised in women; (3) from something affecting children, to a lifelong condition; (4) from something discreet and distinct, to a dimensional view; (5) from one thing to many 'autisms', and a compound or 'fractionable' condition; (6) from a focus on 'pure' autism, to recognition that complexity and comorbidity is the norm; and finally, (7) from conceptualising autism purely as a 'developmental disorder', to recognising a neurodiversity perspective, operationalised in participatory research models. We conclude with some challenges for the field and suggestions for areas currently neglected in autism research. En ligne : http://dx.doi.org/10.1111/jcpp.13176 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=420

Annual Research Review: Towards a developmental neuroscience of atypical social cognition / Francesca HAPPE in Journal of Child Psychology and Psychiatry, 55-6 (June 2014)  

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Anxiety and Attentional Bias to Threat in Children at Increased Familial Risk for Autism Spectrum Disorder / B. MILOSAVLJEVIC in Journal of Autism and Developmental Disorders, 47-12 (December 2017)  

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Assessing Theory of Mind Nonverbally in Those With Intellectual Disability and ASD: The Penny Hiding Game / Antonia SAN JOSE CACERES in Autism Research, 7-5 (October 2014)  

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Associations between theory of mind and conduct problems in autistic and nonautistic youth / Virginia CARTER LENO in Autism Research, 14-2 (February 2021)  

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Autism and pitch processing splinter skills / Pamela HEATON in Autism, 12-2 (March 2008)  

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Autism. / Sue FLETCHER-WATSON

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Autism: A New Introduction to Psychological Theory and Current Debate / Sue FLETCHER-WATSON in Good Autism Practice - GAP, 20-1 (May 2019)

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Autism screening and diagnosis in low resource settings: Challenges and opportunities to enhance research and services worldwide / Maureen S. DURKIN in Autism Research, 8-5 (October 2015)  

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Autism Spectrum Disorder and Mental Health Problems: Patterns of Difficulties and Longitudinal Trajectories in a Population-Based Twin Sample / E. COLVERT in Journal of Autism and Developmental Disorders, 52-3 (March 2022)  

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Autism spectrum disorder and obstetric optimality: a twin study and meta-analysis of sibling studies / S. GÓMEZ-VALLEJO in Journal of Child Psychology and Psychiatry, 62-11 (November 2021)  

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