Telepsychiatry in Asperger’s syndrome

2017 ◽  
Vol 35 (4) ◽  
pp. 325-328
Author(s):  
C. S. Clarke
Keyword(s):  
Mental Health Problems ◽  
Autism Spectrum ◽  
Social Impairment ◽  
Internet Technology ◽  
Adolescent Male ◽  
Initial Assessment ◽  
Aspergers Syndrome ◽  
Technical Problems ◽  
Remote Interaction ◽  
Spectrum Disorders

BackgroundInternet technology offers psychiatrists new opportunities for remote interaction with patients. It also raises issues regarding therapeutic effectiveness, safety, technical problems and possibilities for overcoming them, and matters related to specific mental health problems such as autism. The case presented concerns an adolescent male with severe social impairment and isolation as manifestations of Aspergers syndrome.MethodsThe patient was accepted contact with psychiatric services through telepsychiatry, which enabled initial assessment and the development of a therapeutic relationship.ResultsIn due course the patient was able to attend the clinic in person. He became somewhat reconciled to his family. With appropriate adaptations he was able to resume his education and career.ConclusionsTelepsychiatry shows promise in engaging with patients with autism spectrum disorders. As experience accrues, there is some evidence that it is safe and effective. Adaptations to traditional clinical psychotherapy may be required.

Individual Differences in Intrinsic Brain Networks Predict Symptom Severity in Autism Spectrum Disorders

2020 ◽  
Vol 31 (1) ◽  
pp. 681-693 ◽  
Author(s):  
Emmanuel Peng Kiat Pua ◽  
Phoebe Thomson ◽  
Joseph Yuan-Mou Yang ◽  
Jeffrey M Craig ◽  
Gareth Ball ◽  
...  
Keyword(s):  
Autism Spectrum Disorders ◽  
Individual Differences ◽  
Face Perception ◽  
Symptom Severity ◽  
Brain Networks ◽  
Monozygotic Twins ◽  
Autism Spectrum ◽  
Social Impairment ◽  
Individual Level ◽  
Spectrum Disorders

Abstract The neurobiology of heterogeneous neurodevelopmental disorders such as Autism Spectrum Disorders (ASD) is still unknown. We hypothesized that differences in subject-level properties of intrinsic brain networks were important features that could predict individual variation in ASD symptom severity. We matched cases and controls from a large multicohort ASD dataset (ABIDE-II) on age, sex, IQ, and image acquisition site. Subjects were matched at the individual level (rather than at group level) to improve homogeneity within matched case–control pairs (ASD: n = 100, mean age = 11.43 years, IQ = 110.58; controls: n = 100, mean age = 11.43 years, IQ = 110.70). Using task-free functional magnetic resonance imaging, we extracted intrinsic functional brain networks using projective non-negative matrix factorization. Intrapair differences in strength in subnetworks related to the salience network (SN) and the occipital-temporal face perception network were robustly associated with individual differences in social impairment severity (T = 2.206, P = 0.0301). Findings were further replicated and validated in an independent validation cohort of monozygotic twins (n = 12; 3 pairs concordant and 3 pairs discordant for ASD). Individual differences in the SN and face-perception network are centrally implicated in the neural mechanisms of social deficits related to ASD.

scholarly journals Role of Inner Speech on Serial Recall in Children with ASD: A Pilot Study Using the Luria Hand Test

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Shota Mitsuhashi ◽  
Shogo Hirata ◽  
Hideyuki Okuzumi
Keyword(s):  
Serial Recall ◽  
Cognitive Abilities ◽  
Articulatory Suppression ◽  
Autism Spectrum ◽  
Social Impairment ◽  
Inner Speech ◽  
Children With Asd ◽  
Hand Test ◽  
Spectrum Disorders

This study was conducted to investigate the relation between the effect of articulatory suppression on the serial recall and severity of social impairments among children with autism spectrum disorders (ASD). The Luria hand test (LHT) was administered to evaluate the capacity for serial recall in 13 children with ASD. The LHT was administered under three conditions: control, under articulatory suppression, and under spatial suppression. Performance on the LHT of children with ASD was significantly lower in terms of both articulatory suppression and the spatial suppression condition. Moreover, the severity of social impairment in children with ASD was related to individual differences of effects of articulatory suppression on the LHT, but not with effects of spatial suppression. These results support the notion that dialogic inner speech which mediates complex cognitive abilities has inherently social origins.

scholarly journals Interventions to support parents of pre-school children with Autism Spectrum Disorders: a systematic review

2021 ◽  
Vol 10 (14) ◽  
pp. e102101421932
Author(s):  
Maria Zygopoulou ◽  
Eleni Gkiolnta ◽  
Elpis Papaefstathiou ◽  
Kyriaki Sarri ◽  
Christine K. Syriopoulou-Delli
Keyword(s):  
Preschool Children ◽  
Mental Health Problems ◽  
Children With Autism ◽  
Well Being ◽  
Autism Spectrum ◽  
Depression And Anxiety ◽  
Positive Effects ◽  
Children With Asd ◽  
Different Types ◽  
Spectrum Disorders

Parents of children with a recently ASD diagnosis face elevated distress and mental health problems like stress, depression, and anxiety. Lately, few interventions which target directly parents of preschool children well-being have been implemented in some researches. It was conducted a review of studies that empirically tested the effects of different kind of interventions targeting improvements in parents of preschool children with ASD well-being. The objective of this review is to find out the different types of interventions that have been used and the outcomes on parental well-being enhancement. Searching on four databases and following a range of search strategies, a total of 9 studies met inclusion criteria. Findings suggest that in most cases, any type of intervention leads to positive effects on parents’ distress and well-being. However, comparisons and conclusions among the different approaches are difficult to be made, as each of the presented studies follows different methodology. Certainly, more studies have to focus on the parents of preschool children with ASD well-being and take into consideration all the limitations of the studies that are reviewed in this paper. Despite this fact, it is very encouraging that more and more researchers and clinicians are concerned about these kinds of interventions in order families with a child with ASD to get supported appropriately.

scholarly journals Pharmacologic treatments for the behavioral symptoms associated with autism spectrum disorders across the lifespan

2012 ◽  
Vol 14 (3) ◽  
pp. 263-279 ◽  
Keyword(s):  
Autism Spectrum Disorders ◽  
Adverse Effects ◽  
Autism Spectrum ◽  
Social Impairment ◽  
Behavioral Symptoms ◽  
Stereotyped Behaviors ◽  
Symptom Domains ◽  
Adolescents And Adults ◽  
Spectrum Disorders ◽  
Pharmacologic Treatments

This review outlines pharmacologic treatments for the behavioral symptoms associated with autism spectrum disorders (ASDs) in children, adolescents, and adults. Symptom domains include repetitive and stereotyped behaviors, irritability and aggression, hyperactivity and inattention, and social impairment. Medications covered include serotonin reuptake inhibitors (SRIs), mirtazapine, antipsychotics, psychostimulants, atomoxetine, α-2 agonists, D-cycloserine, and memantine. Overall, SRIs are less efficacious and more poorly tolerated in children with ASDs than in adults. Antipsychotics are the most efficacious drugs for the treatment of irritability in ASDs, and may be useful in the treatment of other symptoms. Psychostimulants demonstrate some benefit for the treatment of hyperactivity and inattention in individuals with ASDs, but are less efficacious and associated with more adverse effects compared with individuals with ADHD. D-cycloserine and memantine appear helpful in the treatment of social impairment, although further research is needed.

Relationship between motor skill and social impairment in children with autism spectrum disorders

2014 ◽  
Vol 60 (4) ◽  
pp. 251-256 ◽  
Author(s):  
Shogo Hirata ◽  
Hideyuki Okuzumi ◽  
Yoshio Kitajima ◽  
Tomio Hosobuchi ◽  
Akio Nakai ◽  
...  
Keyword(s):  
Autism Spectrum Disorders ◽  
Motor Skill ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Social Impairment ◽  
Spectrum Disorders
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