1. Hamilton AF. Research review: {{Goals, intentions and mental states: challenges for theories of autism}}. {J Child Psychol Psychiatry};2009 (Jun 5)
The ability to understand the goals and intentions behind other people’s actions is central to many social interactions. Given the profound social difficulties seen in autism, we might expect goal understanding to be impaired in these individuals. Two influential theories, the ‘broken mirror’ theory and the mentalising theory, can both predict this result. However, a review of the current data provides little empirical support for goal understanding difficulties; several studies demonstrate normal performance by autistic children on tasks requiring the understanding of goals or intentions. I suggest that this conclusion forces us to reject the basic broken mirror theory and to re-evaluate the breadth of the mentalising theory. More subtle theories which distinguish between different types of mirroring and different types of mentalising may be able to account for the present data, and further research is required to test and refine these theories.
2. Krajcovicova-Kudlackova M, Valachovicova M, Mislanova C, Hudecova Z, Sustrova M, Ostatnikova D. {{Plasma concentrations of selected antioxidants in autistic children and adolescents}}. {Bratisl Lek Listy};2009;110(4):247-250.
Few studies have demonstrated an increased vulnerability to oxidative stress in autism. The results of previous studies have shown that endogenous antioxidant defence is insufficient, indicating that exogenous antioxidant could play a crucial role for oxidative stress prevention in autism. Plasma concentrations of vitamins C, E, A, carotenoids beta-carotene and lycopene were measured in 51 subjects with autistic spectrum disorders aged 5-18 years (27 children aged 5-10 years, 24 subjects aged 11-18 years). Older autistic group was compared with a group of healthy Slovak subjects aged 11-18 years. Older autistic subjects vs. healthy control showed significantly higher vitamin C and beta-carotene plasma values with 92% and 71% vs 54% and 13% of optimal over-threshold values, respectively. This indicates a reduced risk of free radical disease. In younger vs. older autistic group the similarly high plasma vitamin concentrations were recorded. Favourable values of these vitamins suggested that consumption of fruit and vegetables in autistic subjects is optimal. Autistic average vitamin E and A plasma concentrations (non-significantly changed in comparison to control group) were below-threshold with low percentage of over-threshold values. Insufficient vitamin E and A plasma values indicate lower consumption of food rich in vitamins A and E (e.g. whole-grain products, plant oils, oil seeds, nuts, fat spreads and dairy products). Autistic average lycopene concentration is lower in comparison to published non-Slovak data. Conclusions of this pilot study suggest that plasma concentrations of exogenous antioxidants, vitamins E and A, and lycopene in autistic subjects are insufficient (Tab. 1, Ref. 30). Full Text (Free, PDF) www.bmj.sk.
3. Rickards AL, Walstab JE, Wright-Rossi RA, Simpson J, Reddihough DS. {{One-year follow-up of the outcome of a randomized controlled trial of a home-based intervention programme for children with autism and developmental delay and their families}}. {Child Care Health Dev};2009 (Jun 8)
Introduction There is debate about the type and intensity of early childhood intervention that is most helpful for children with developmental problems. The aim of the study was to determine whether a home-based programme provided over 12 months resulted in sustained improvement in development and behaviour 12 months after the intervention ceased. The characteristics of the children and families who benefited most from the intervention were also studied. Method Randomized controlled trial. Participants A total of 59 children, aged 3-5 years, attending two early childhood intervention centres in Melbourne, Australia. Intervention Half of the subjects received an additional home-based programme consisting of 40 weekly visits. Main outcome measures Bayley Scales of Infant Development and Wechsler Preschool and Primary Scale of Intelligence Revised, Preschool Behaviour Checklist, Bayley Behaviour Rating Scale and Behaviour Screening Questionnaire. All tests administered pre-intervention, following the intervention and 12 months later. Secondary outcome measures Family stress, support and empowerment. Results Fifty-four children completed the assessments 12 months after conclusion of the intervention. Compared with the control group, improvement in aspects of cognitive development in the children who received the extra intervention was sustained 1 year later (P= 0.007) while significant behavioural differences post intervention were not. Analyses of the data by the Reliable Change Index indicated improvement of clinical significance occurred in non-verbal areas. In contrast to the control group who deteriorated, language skills in the intervention group remained stable. Improvements were significantly associated with higher stress in the families. Conclusion Improvements following the provision of a home-based programme to preschool children with developmental disabilities were sustained 1 year later. Children from highly stressed families appeared to benefit most, reinforcing the importance of involving families in early childhood intervention programmes.
