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Sensory Features as a Marker of Autism Spectrum Disorders / Ebonee BIZZELL in Journal of Autism and Developmental Disorders, 50-6 (June 2020)
[article]
Titre : Sensory Features as a Marker of Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Ebonee BIZZELL, Auteur ; Judith ROSS, Auteur ; Carly ROSENTHAL, Auteur ; Rachel DUMONT, Auteur ; Roseann C. SCHAAF, Auteur Article en page(s) : p.2240-2246 Langues : Anglais (eng) Mots-clés : Autism Diagnosis Sensory Sensory features Xyy Index. décimale : PER Périodiques Résumé : We explored sensory features as distinguishing characteristics of Autism spectrum disorder (ASD). Four groups of males (n?=?36): Six with 47, XYY syndrome and ASD (XYY+ASD), six with 47, XYY syndrome and no ASD (XYY-ASD), 12 with idiopathic ASD (ASD-I) and 12 typically developing (TYP). The short sensory profile (SSP) the sensory challenge protocol (SCP) were used to assess sensory features. SSP Total Score for the YY+ASD was significantly lower than the XYY-ASD (p?=?.002) and TYP (p?.001), but were not different from ASD-I (p?=?.714). The XYY+ASD group had significantly lower baseline heart rate variability during the SCP than TYP (p?=?.044). Findings provide preliminary support of sensory features as important in ASD diagnosis. En ligne : http://dx.doi.org/10.1007/s10803-019-03948-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425
in Journal of Autism and Developmental Disorders > 50-6 (June 2020) . - p.2240-2246[article] Sensory Features as a Marker of Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Ebonee BIZZELL, Auteur ; Judith ROSS, Auteur ; Carly ROSENTHAL, Auteur ; Rachel DUMONT, Auteur ; Roseann C. SCHAAF, Auteur . - p.2240-2246.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 50-6 (June 2020) . - p.2240-2246
Mots-clés : Autism Diagnosis Sensory Sensory features Xyy Index. décimale : PER Périodiques Résumé : We explored sensory features as distinguishing characteristics of Autism spectrum disorder (ASD). Four groups of males (n?=?36): Six with 47, XYY syndrome and ASD (XYY+ASD), six with 47, XYY syndrome and no ASD (XYY-ASD), 12 with idiopathic ASD (ASD-I) and 12 typically developing (TYP). The short sensory profile (SSP) the sensory challenge protocol (SCP) were used to assess sensory features. SSP Total Score for the YY+ASD was significantly lower than the XYY-ASD (p?=?.002) and TYP (p?.001), but were not different from ASD-I (p?=?.714). The XYY+ASD group had significantly lower baseline heart rate variability during the SCP than TYP (p?=?.044). Findings provide preliminary support of sensory features as important in ASD diagnosis. En ligne : http://dx.doi.org/10.1007/s10803-019-03948-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 Brainstem white matter microstructure is associated with hyporesponsiveness and overall sensory features in autistic children / Olivia SURGENT in Molecular Autism, 13 (2022)
[article]
Titre : Brainstem white matter microstructure is associated with hyporesponsiveness and overall sensory features in autistic children Type de document : Texte imprimé et/ou numérique Auteurs : Olivia SURGENT, Auteur ; Ali RIAZ, Auteur ; Karla K. AUSDERAU, Auteur ; Nagesh ADLURU, Auteur ; Gregory R. KIRK, Auteur ; Jose GUERRERO-GONZALEZ, Auteur ; Emily C. SKALETSKI, Auteur ; Steven R. KECSKEMETI, Auteur ; Douglas C. DEAN III, Auteur ; Susan ELLIS WEISMER, Auteur ; Andrew L. ALEXANDER, Auteur ; Brittany G. TRAVERS, Auteur Article en page(s) : 48 p. Langues : Anglais (eng) Mots-clés : Humans Child White Matter Brain Quality of Life Autistic Disorder Brain Stem Autism Brainstem Dti Sensory features Voxel-based analysis White matter TherVoyant). While both companies are involved in developing MRI-based surgery techniques, neither are associated with any current areas of his research, including the present publication. All other authors report no biomedical financial interests of potential conflicts of interest. Index. décimale : PER Périodiques Résumé : BACKGROUND: Elevated or reduced responses to sensory stimuli, known as sensory features, are common in autistic individuals and often impact quality of life. Little is known about the neurobiological basis of sensory features in autistic children. However, the brainstem may offer critical insights as it has been associated with both basic sensory processing and core features of autism. METHODS: Diffusion-weighted imaging (DWI) and parent-report of sensory features were acquired from 133 children (61 autistic children with and 72 non-autistic children, 6-11Â years-old). Leveraging novel DWI processing techniques, we investigated the relationship between sensory features and white matter microstructure properties (free-water-elimination-corrected fractional anisotropy [FA] and mean diffusivity [MD]) in precisely delineated brainstem white matter tracts. Follow-up analyses assessed relationships between microstructure and sensory response patterns/modalities and analyzed whole brain white matter using voxel-based analysis. RESULTS: Results revealed distinct relationships between brainstem microstructure and sensory features in autistic children compared to non-autistic children. In autistic children, more prominent sensory features were generally associated with lower MD. Further, in autistic children, sensory hyporesponsiveness and tactile responsivity were strongly associated with white matter microstructure in nearly all brainstem tracts. Follow-up voxel-based analyses confirmed that these relationships were more prominent in the brainstem/cerebellum, with additional sensory-brain findings in the autistic group in the white matter of the primary motor and somatosensory cortices, the occipital lobe, the inferior parietal lobe, and the thalamic projections. LIMITATIONS: All participants communicated via spoken language and acclimated to the sensory environment of an MRI session, which should be considered when assessing the generalizability of this work to the whole of the autism spectrum. CONCLUSIONS: These findings suggest unique brainstem white matter contributions to sensory features in autistic children compared to non-autistic children. The brainstem correlates of sensory features underscore the potential reflex-like nature of behavioral responses to sensory stimuli in autism and have implications for how we conceptualize and address sensory features in autistic populations. En ligne : http://dx.doi.org/10.1186/s13229-022-00524-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=491
in Molecular Autism > 13 (2022) . - 48 p.[article] Brainstem white matter microstructure is associated with hyporesponsiveness and overall sensory features in autistic children [Texte imprimé et/ou numérique] / Olivia SURGENT, Auteur ; Ali RIAZ, Auteur ; Karla K. AUSDERAU, Auteur ; Nagesh ADLURU, Auteur ; Gregory R. KIRK, Auteur ; Jose GUERRERO-GONZALEZ, Auteur ; Emily C. SKALETSKI, Auteur ; Steven R. KECSKEMETI, Auteur ; Douglas C. DEAN III, Auteur ; Susan ELLIS WEISMER, Auteur ; Andrew L. ALEXANDER, Auteur ; Brittany G. TRAVERS, Auteur . - 48 p.
Langues : Anglais (eng)
in Molecular Autism > 13 (2022) . - 48 p.
Mots-clés : Humans Child White Matter Brain Quality of Life Autistic Disorder Brain Stem Autism Brainstem Dti Sensory features Voxel-based analysis White matter TherVoyant). While both companies are involved in developing MRI-based surgery techniques, neither are associated with any current areas of his research, including the present publication. All other authors report no biomedical financial interests of potential conflicts of interest. Index. décimale : PER Périodiques Résumé : BACKGROUND: Elevated or reduced responses to sensory stimuli, known as sensory features, are common in autistic individuals and often impact quality of life. Little is known about the neurobiological basis of sensory features in autistic children. However, the brainstem may offer critical insights as it has been associated with both basic sensory processing and core features of autism. METHODS: Diffusion-weighted imaging (DWI) and parent-report of sensory features were acquired from 133 children (61 autistic children with and 72 non-autistic children, 6-11Â years-old). Leveraging novel DWI processing techniques, we investigated the relationship between sensory features and white matter microstructure properties (free-water-elimination-corrected fractional anisotropy [FA] and mean diffusivity [MD]) in precisely delineated brainstem white matter tracts. Follow-up analyses assessed relationships between microstructure and sensory response patterns/modalities and analyzed whole brain white matter using voxel-based analysis. RESULTS: Results revealed distinct relationships between brainstem microstructure and sensory features in autistic children compared to non-autistic children. In autistic children, more prominent sensory features were generally associated with lower MD. Further, in autistic children, sensory hyporesponsiveness and tactile responsivity were strongly associated with white matter microstructure in nearly all brainstem tracts. Follow-up voxel-based analyses confirmed that these relationships were more prominent in the brainstem/cerebellum, with additional sensory-brain findings in the autistic group in the white matter of the primary motor and somatosensory cortices, the occipital lobe, the inferior parietal lobe, and the thalamic projections. LIMITATIONS: All participants communicated via spoken language and acclimated to the sensory environment of an MRI session, which should be considered when assessing the generalizability of this work to the whole of the autism spectrum. CONCLUSIONS: These findings suggest unique brainstem white matter contributions to sensory features in autistic children compared to non-autistic children. The brainstem correlates of sensory features underscore the potential reflex-like nature of behavioral responses to sensory stimuli in autism and have implications for how we conceptualize and address sensory features in autistic populations. En ligne : http://dx.doi.org/10.1186/s13229-022-00524-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=491 Brief report: Attention patterns to non-social stimuli and associations with sensory features in autistic children / Yun-Ju CHEN in Research in Autism Spectrum Disorders, 98 (October 2022)
[article]
Titre : Brief report: Attention patterns to non-social stimuli and associations with sensory features in autistic children Type de document : Texte imprimé et/ou numérique Auteurs : Yun-Ju CHEN, Auteur ; Clare HARROP, Auteur ; Maura SABATOS-DEVITO, Auteur ; John BULLUCK, Auteur ; Aysenil BELGER, Auteur ; Grace T. BARANEK, Auteur Article en page(s) : 102035 Langues : Anglais (eng) Mots-clés : Autism Eye-tracking Non-social attention Sensory features Index. décimale : PER Périodiques Résumé : Background Aberrant attention patterns have been commonly reported in autistic children. However, few studies have examined attention to non-social stimuli varying in salience and complexity using eye-tracking technology, as well as their links to clinical sensory features. Method Forty-one children [16 with autism spectrum disorder (ASD), 10 with developmental delay (DD), and 15 neurotypical (NT)] ages 4 to 13 years were included in this cross-sectional study. Children completed a passive-viewing eye-tracking task designed to measure visual attention (e.g., fixation duration and count) to non-social stimuli with sensory qualities involving motion (spinning or non-spinning) and sound. Parents completed a clinical questionnaire about their child’s sensory behaviors. Eye-tracking metrics were compared across stimulus conditions and diagnostic groups, and their associations with parent-report sensory features were examined. Results Overall children showed longer fixation durations and fewer fixation counts to more complex stimuli (e.g., moving or spinning objects), but such facilitatory effects of stimulus properties tended to be less evident in DD versus ASD or NT groups. More clinical sensory features, especially hyperresponsiveness, were moderately to highly associated with quicker initial fixations and longer fixation durations across stimulus conditions in ASD, but not in DD and NT groups. Conclusion The overall attention and initial orientation to non-social stimuli were comparable across autistic children and their non-autistic peers, with some sensory properties such as dynamic motion producing a facilitatory effect (i.e., fewer fixations of longer durations) on attention. However, sensory differences, particularly hyperresponsiveness, might underlie attention patterns as impacted by stimulus properties specifically in autism. En ligne : https://doi.org/10.1016/j.rasd.2022.102035 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490
in Research in Autism Spectrum Disorders > 98 (October 2022) . - 102035[article] Brief report: Attention patterns to non-social stimuli and associations with sensory features in autistic children [Texte imprimé et/ou numérique] / Yun-Ju CHEN, Auteur ; Clare HARROP, Auteur ; Maura SABATOS-DEVITO, Auteur ; John BULLUCK, Auteur ; Aysenil BELGER, Auteur ; Grace T. BARANEK, Auteur . - 102035.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 98 (October 2022) . - 102035
Mots-clés : Autism Eye-tracking Non-social attention Sensory features Index. décimale : PER Périodiques Résumé : Background Aberrant attention patterns have been commonly reported in autistic children. However, few studies have examined attention to non-social stimuli varying in salience and complexity using eye-tracking technology, as well as their links to clinical sensory features. Method Forty-one children [16 with autism spectrum disorder (ASD), 10 with developmental delay (DD), and 15 neurotypical (NT)] ages 4 to 13 years were included in this cross-sectional study. Children completed a passive-viewing eye-tracking task designed to measure visual attention (e.g., fixation duration and count) to non-social stimuli with sensory qualities involving motion (spinning or non-spinning) and sound. Parents completed a clinical questionnaire about their child’s sensory behaviors. Eye-tracking metrics were compared across stimulus conditions and diagnostic groups, and their associations with parent-report sensory features were examined. Results Overall children showed longer fixation durations and fewer fixation counts to more complex stimuli (e.g., moving or spinning objects), but such facilitatory effects of stimulus properties tended to be less evident in DD versus ASD or NT groups. More clinical sensory features, especially hyperresponsiveness, were moderately to highly associated with quicker initial fixations and longer fixation durations across stimulus conditions in ASD, but not in DD and NT groups. Conclusion The overall attention and initial orientation to non-social stimuli were comparable across autistic children and their non-autistic peers, with some sensory properties such as dynamic motion producing a facilitatory effect (i.e., fewer fixations of longer durations) on attention. However, sensory differences, particularly hyperresponsiveness, might underlie attention patterns as impacted by stimulus properties specifically in autism. En ligne : https://doi.org/10.1016/j.rasd.2022.102035 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 Disagreement between mothers’ and their sons’ with an ASD on ratings of Sensory Features / Vicki BITSIKA in Research in Autism Spectrum Disorders, 22 (February 2016)
[article]
Titre : Disagreement between mothers’ and their sons’ with an ASD on ratings of Sensory Features Type de document : Texte imprimé et/ou numérique Auteurs : Vicki BITSIKA, Auteur ; Christopher F. SHARPLEY, Auteur ; Richard MILLS, Auteur Article en page(s) : p.10-19 Langues : Anglais (eng) Mots-clés : ASD Sensory Features Children Adolescents Index. décimale : PER Périodiques Résumé : To test for the presence of any significant differences in the assessment of Sensory Features (SF) given by the two sources, 135 boys with an Autism Spectrum Disorder (ASD) were self-assessed and also assessed by their mothers using versions of the Sensory Profile (Dunn, 1999) to measure four sensory quadrants and six sensory domains. MANOVA indicated that mothers rated their sons’ SF significantly less severely than the boys did themselves and that younger boys received more severe ratings from their mothers than older boys did. There was a significant interaction between source of assessment and age of the boys, due to the mothers assessing their older sons’ SF less severely than their younger sons but the sons showing the opposite trend in self-ratings. These findings challenge the validity of clinical assessments of SF that are based solely upon parents’ ratings and argue for a more comprehensive approach to diagnosing the presence and severity of SF in boys with an ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.09.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=278
in Research in Autism Spectrum Disorders > 22 (February 2016) . - p.10-19[article] Disagreement between mothers’ and their sons’ with an ASD on ratings of Sensory Features [Texte imprimé et/ou numérique] / Vicki BITSIKA, Auteur ; Christopher F. SHARPLEY, Auteur ; Richard MILLS, Auteur . - p.10-19.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 22 (February 2016) . - p.10-19
Mots-clés : ASD Sensory Features Children Adolescents Index. décimale : PER Périodiques Résumé : To test for the presence of any significant differences in the assessment of Sensory Features (SF) given by the two sources, 135 boys with an Autism Spectrum Disorder (ASD) were self-assessed and also assessed by their mothers using versions of the Sensory Profile (Dunn, 1999) to measure four sensory quadrants and six sensory domains. MANOVA indicated that mothers rated their sons’ SF significantly less severely than the boys did themselves and that younger boys received more severe ratings from their mothers than older boys did. There was a significant interaction between source of assessment and age of the boys, due to the mothers assessing their older sons’ SF less severely than their younger sons but the sons showing the opposite trend in self-ratings. These findings challenge the validity of clinical assessments of SF that are based solely upon parents’ ratings and argue for a more comprehensive approach to diagnosing the presence and severity of SF in boys with an ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.09.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=278 Dissecting the phenotypic heterogeneity in sensory features in autism spectrum disorder: a factor mixture modelling approach / J. TILLMANN in Molecular Autism, 11 (2020)
[article]
Titre : Dissecting the phenotypic heterogeneity in sensory features in autism spectrum disorder: a factor mixture modelling approach Type de document : Texte imprimé et/ou numérique Auteurs : J. TILLMANN, Auteur ; M. ULJAREVIC, Auteur ; D. CRAWLEY, Auteur ; G. DUMAS, Auteur ; E. LOTH, Auteur ; D. MURPHY, Auteur ; Jan K. BUITELAAR, Auteur ; Tony CHARMAN, Auteur Article en page(s) : 67 p. Langues : Anglais (eng) Mots-clés : Anxiety Autism spectrum disorder Heterogeneity Phenotype Sensory features Social-communication symptoms of/and/or speaker for Takeda/Shire, Roche, Medice, Servier and Angelini. He is not an employee of any of these companies, and not a stock shareholder of any of these companies. He has no other financial or material support, including expert testimony, patents and royalties. Julian Tillmann is a consultant to F. Hoffmann-La Roche. Index. décimale : PER Périodiques Résumé : BACKGROUND: Heterogeneity in the phenotypic presentation of autism spectrum disorder (ASD) is apparent in the profile and the severity of sensory features. Here, we applied factor mixture modelling (FMM) to test a multidimensional factor model of sensory processing in ASD. We aimed to identify homogeneous sensory subgroups in ASD that differ intrinsically in their severity along continuous factor scores. We also investigated sensory subgroups in relation to clinical variables: sex, age, IQ, social-communication symptoms, restricted and repetitive behaviours, adaptive functioning and symptoms of anxiety and attention-deficit/hyperactivity disorder. METHODS: Three hundred thirty-two children and adults with ASD between the ages of 6 and 30?years with IQs varying between 40 and 148 were included. First, three different confirmatory factor models were fit to the 38 items of the Short Sensory Profile (SSP). Then, latent class models (with two-to-six subgroups) were evaluated. The best performing factor model, the 7-factor structure, was subsequently used in two FMMs that varied in the number of subgroups: a two-subgroup, seven-factor model and a three-subgroup and seven-factor model. RESULTS: The 'three-subgroup/seven-factor' FMM was superior to all other models based on different fit criteria. Identified subgroups differed in sensory severity from severe, moderate to low. Accounting for the potential confounding effects of age and IQ, participants in these sensory subgroups had different levels of social-communicative symptoms, restricted and repetitive behaviours, adaptive functioning skills and symptoms of inattention and anxiety. LIMITATIONS: Results were derived using a single parent-report measure of sensory features, the SSP, which limits the generalisability of findings. CONCLUSION: Sensory features can be best described by three homogeneous sensory subgroups that differ in sensory severity gradients along seven continuous factor scores. Identified sensory subgroups were further differentiated by the severity of core and co-occurring symptoms, and level of adaptive functioning, providing novel evidence on the associated clinical correlates of sensory subgroups. These sensory subgroups provide a platform to further interrogate the neurobiological and genetic correlates of altered sensory processing in ASD. En ligne : http://dx.doi.org/10.1186/s13229-020-00367-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433
in Molecular Autism > 11 (2020) . - 67 p.[article] Dissecting the phenotypic heterogeneity in sensory features in autism spectrum disorder: a factor mixture modelling approach [Texte imprimé et/ou numérique] / J. TILLMANN, Auteur ; M. ULJAREVIC, Auteur ; D. CRAWLEY, Auteur ; G. DUMAS, Auteur ; E. LOTH, Auteur ; D. MURPHY, Auteur ; Jan K. BUITELAAR, Auteur ; Tony CHARMAN, Auteur . - 67 p.
Langues : Anglais (eng)
in Molecular Autism > 11 (2020) . - 67 p.
Mots-clés : Anxiety Autism spectrum disorder Heterogeneity Phenotype Sensory features Social-communication symptoms of/and/or speaker for Takeda/Shire, Roche, Medice, Servier and Angelini. He is not an employee of any of these companies, and not a stock shareholder of any of these companies. He has no other financial or material support, including expert testimony, patents and royalties. Julian Tillmann is a consultant to F. Hoffmann-La Roche. Index. décimale : PER Périodiques Résumé : BACKGROUND: Heterogeneity in the phenotypic presentation of autism spectrum disorder (ASD) is apparent in the profile and the severity of sensory features. Here, we applied factor mixture modelling (FMM) to test a multidimensional factor model of sensory processing in ASD. We aimed to identify homogeneous sensory subgroups in ASD that differ intrinsically in their severity along continuous factor scores. We also investigated sensory subgroups in relation to clinical variables: sex, age, IQ, social-communication symptoms, restricted and repetitive behaviours, adaptive functioning and symptoms of anxiety and attention-deficit/hyperactivity disorder. METHODS: Three hundred thirty-two children and adults with ASD between the ages of 6 and 30?years with IQs varying between 40 and 148 were included. First, three different confirmatory factor models were fit to the 38 items of the Short Sensory Profile (SSP). Then, latent class models (with two-to-six subgroups) were evaluated. The best performing factor model, the 7-factor structure, was subsequently used in two FMMs that varied in the number of subgroups: a two-subgroup, seven-factor model and a three-subgroup and seven-factor model. RESULTS: The 'three-subgroup/seven-factor' FMM was superior to all other models based on different fit criteria. Identified subgroups differed in sensory severity from severe, moderate to low. Accounting for the potential confounding effects of age and IQ, participants in these sensory subgroups had different levels of social-communicative symptoms, restricted and repetitive behaviours, adaptive functioning skills and symptoms of inattention and anxiety. LIMITATIONS: Results were derived using a single parent-report measure of sensory features, the SSP, which limits the generalisability of findings. CONCLUSION: Sensory features can be best described by three homogeneous sensory subgroups that differ in sensory severity gradients along seven continuous factor scores. Identified sensory subgroups were further differentiated by the severity of core and co-occurring symptoms, and level of adaptive functioning, providing novel evidence on the associated clinical correlates of sensory subgroups. These sensory subgroups provide a platform to further interrogate the neurobiological and genetic correlates of altered sensory processing in ASD. En ligne : http://dx.doi.org/10.1186/s13229-020-00367-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433 Early developmental profiles of sensory features and links to school-age adaptive and maladaptive outcomes: A birth cohort investigation / Yun-Ju CHEN in Development and Psychopathology, 36-1 (February 2024)
PermalinkRelations among restricted and repetitive behaviors, anxiety and sensory features in children with autism spectrum disorders / Jane S. M. LIDSTONE in Research in Autism Spectrum Disorders, 8-2 (February 2014)
PermalinkSex differences in Sensory Features between boys and girls with Autism Spectrum Disorder / Vicki BITSIKA in Research in Autism Spectrum Disorders, 51 (July 2018)
PermalinkThe Role of Sensory Features in Mediating Associations Between Autism Symptoms and Anxiety in Boys with Autism Spectrum Disorder / Vicki BITSIKA in Journal of Autism and Developmental Disorders, 50-7 (July 2020)
PermalinkUnusual sensory features are related to resting-state cardiac vagus nerve activity in autism spectrum disorders / Kanae MATSUSHIMA in Research in Autism Spectrum Disorders, 25 (May 2016)
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