Social communicative deficits and stereotyped or repetitive interests or behaviors are the defining features of autism spectrum disorder (ASD). A growing body of research suggests that gross motor deficits are also present in most children with ASD. This study sought to understand how pediatric ASD severity is related to motor skills and social skills. A multivariate analysis of variance analysis of 483 children with autism ( N = 444) and ASD ( N = 39) revealed a nonsignificant difference between groups. Results suggest little difference between severity groups on gross motor and social skills within the limited age range of the participants (about 5.6 years of age).
Previous studies have shown that individuals with autism spectrum disorder (ASD) demonstrate poorer driving performance than their peers and are less likely to obtain a driver’s license. This study aims to examine the relationship between driving performance and executive functioning for novice drivers, with and without ASD, using a driving simulator. Forty-four males (ages 15–23), 17 with ASD and 27 healthy controls, completed paradigms assessing driving skills and executive functioning. ASD drivers demonstrated poorer driving performance overall and the addition of a working memory task resulted in a significant decrement in their performance relative to control drivers. Results suggest that working memory may be a key mechanism underlying difficulties demonstrated by ASD drivers and provides insight for future intervention programs.
ASD is one of the most heritable neuropsychiatric disorders, though comprehensive genetic liability remains elusive. To facilitate genetic research, researchers employ the concept of the broad autism phenotype (BAP), a milder presentation of traits in undiagnosed relatives. Research suggests that the BAP Questionnaire (BAPQ) demonstrates psychometric properties superior to other self-report measures. To examine evidence regarding validity of the BAPQ, the current study used confirmatory factor analysis to test the assumption of model invariance across genders. Results of the current study upheld model invariance at each level of parameter constraint; however, model fit indices suggested limited goodness-of-fit between the proposed model and the sample. Exploratory analyses investigated alternate factor structure models but ultimately supported the proposed three-factor structure model.
Using data from the Simons Simplex Collection, the present study examined the impact of child externalizing behavior and parental broad autism phenotype traits on substance use among parents of children with autism spectrum disorder (n = 2,388). For both fathers and mothers, child externalizing behaviors predicted tobacco use (OR = 1.01 and OR = 1.02, respectively), whereas rigidity increased risk of tobacco use for fathers (OR = 1.29) but not mothers. Additionally, among mothers, child externalizing behaviors increased risk of illegal substance use (OR = 1.04), whereas maternal rigidity decreased risk of alcohol use (OR = .83). Collectively, results suggest that child externalizing behaviors and parental rigidity may have differing impacts on the types of substances used by parents.
A paucity of research exists regarding driving skills and individuals with Autism Spectrum Disorders (ASD). The current study sought to gain a better understanding of driving and ASD by surveying parents/caregivers of adolescents/young adults with ASD who were currently attempting, or had previously attempted, to learn to drive. Respondents included 123 parents/caregivers of adolescents/young adults with ASD. The results indicate that learning to drive presents a substantial challenge for individuals with ASD; complex driving demands (e.g., multi-tasking) may be particularly problematic. Respondents provided suggestions that may be useful to others who seek to teach these skills. The survey results offer guidance for next steps in the study of driving with ASD.
The present study examined whether deficits in inhibitory control in preschoolaged children are predictive of attention-deficit/hyperactivity disorder (ADHD) symptoms and certain social difficulties in middle childhood, specifically third grade. Although many studies have examined the concurrent relationships among disinhibition, ADHD and social competence, few have focused on the preschoolaged population and the longitudinal relationship between early inhibition and later ADHD symptoms and social skills. Using a non-referred sample of children, laboratory measures of inhibition administered at 54 months of age, and parent/primary caregiver and teacher ratings of ADHD behaviors and social skills at third grade, the study revealed a significant but modest relationship between early disinhibition and later ADHD symptoms and social difficulties. Regression analysis indicated that early difficulties with inhibitory control could explain little of the variance in later inattention, hyperactivity/impulsivity and social competence.
This study compared the psychosocial and emotional adjustment of siblings of children with autism and siblings of non-disabled children. In addition, differences between self and parent reports, as well as various demographic characteristics were examined. Fifty-one siblings of children with autism and 35 siblings of non-disabled children, between the ages of 7 and 17, along with one parent of each sibling, participated. Results indicated that the presence of a child with autism appears to enhance the psychosocial and emotional development of non-disabled siblings when demographic risk factors are limited. However, the presence of a child with autism appears to have an increasingly unfavorable impact on the non-disabled sibling as demographic risk factors increase.
The relation between parent interview reports of physical discipline at home, and children's acting-out school behaviors was examined in part to validate interview methods of assessment for early intervention. Parent reports of discipline methods were gathered at entrance to kindergarten, and teacher reports of acting-out behaviors were obtained twice in kindergarten and in first grade. Children who required physical discipline at home exhibited significantly more acting-out behaviors at school than did their nonphysically disciplined peers. Children who received frequent physical discipline (at least once per week) acted out significantly more than those who received infrequent physical discipline. The frequency of nonphysical discipline at home was not related to degree of acting-out school behaviors. Socioeconomic status (SES) was significantly related to acting out in first grade but not in kindergarten. The results are discussed in terms of the utility of interview methods of assessment for early intervention.
Several critical issues involved in successfully initiating and maintaining a community mental health center program in a rural setting are discussed. These include the necessity of accurately assessing the existing social, cultural, and political system, and of fitting the mental health center program into these systems as smoothly as possible; the special problems faced in maintaining confidentiality; and the importance of recognizing and dealing with the front-line pressures on professional staff that are peculiar to the rural setting. Advantages as well as disadvantages of working in a rural program are considered.