LEC 12: Autism

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What is Autism Spectrum Disorder?

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9 Terms

1

What is Autism Spectrum Disorder?

A neurological and developmental disorder that begins early in childhood and lasts throughout a person's life, characterized by a range of symptoms that affect communication, social interaction, and behaviour/interests

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2

Prevalence of ASD

  • 1 in 66, 78% diagnosed by age 8

  • male to female ratio is 4:1

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3

Etiology of ASD

  • ASD is highly heritable

  • Genetic predisposition combined with an environmental impact

    • exposure to air pollutants

    • poor socioeconomic status

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4

Risk factors of developing ASD

  • maternal diet: deficient in essential nutrients; affects gut microbiome and immune responses

  • folic acid status

  • maternal smoking, alcohol or drugs during pregnancy

  • maternal infection during pregnancy

  • advanced maternal and paternal age

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5

Theory of Mind and how to test for it

  • the ability to attribute mental states to others, knowing that others are separate selves, with own points of view and feelings

  • the Sally-Anne test

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6

Neurobiology of autism

  • ASD results from overall brain reorganization that begins early in development:

    • accelerated brain development early in life (“early brain overgrowth”)

    • morphological abnormalities at the microstructural level

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7

Treatment for ASD

  • no pharmacotherapy available

  • Applied Behaviour Analysis (ABA): emphasize play, social interaction and communication initiation; the “natural consequences” are the reward (controversial)

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8

The Gut-Brain Axis

the gut microbiome can influence brain function, potentially affecting behaviours associated with autism

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9

Mirror neuron system

  • provides a neurobiological basis for social cognition

  • mirror neurons respond to the understanding of an action, not to some superficial aspect of it

  • these neurons are found all throughout the cortex

  • they also play a role in empathy

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