A new study shows that infants who are later diagnosed with autism react more strongly to sudden changes in light. This finding provides support for the view that sensory processing plays an important role in the development of the disorder.

Autism and Light

Autism and Light

Strong pupillary light reflex in infancy to later autism diagnosis

A new study published in Nature Communications shows that infants who are later diagnosed with autism react more strongly to sudden changes in light. This finding provides support for the view that sensory processing plays an important role in the development of the disorder.

Despite being defined by symptoms in social communication, researchers are increasingly embracing the view that the earliest signs of autism may reside in more basic processes of brain development. Also, in the latest edition of the diagnostic manual used to diagnose the condition in many countries, sensory symptoms have been included as defining features.

In the new study, the researchers investigated the pupillary light reflex in 9-to-10 month old infants — this reflex is a basic regulatory mechanism controlling the amount of light that reaches the retina. The infants who fulfilled criteria for autism at three years of age constricted their pupils more than infants who did not fulfill autism criteria at follow up. Further, the amount of pupil restriction in infancy was associated with the strength of autism symptoms at follow up.

“Earlier studies on older children with autism has suggested a weak pupillary light reflex in this group. These findings motivated us to assess the reflex in infant siblings of children with autism. Most of these infants develop typically, yet the probability of later being diagnosed with autism is considerably higher in this group than in the general population. Surprisingly, we found that in infancy, the group differences were in the opposite direction than in older children: We found stronger reflexes in the infants later diagnosed with autism than in controls” says Terje Falck-Ytter, Associate Professor at the Department of Psychology at Uppsala University and Principal Investigator for the study.

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Staging special events for people with autism carries its own risks, argues Professor Rita Jordan

The Good, the Bad and the Ugly

The Good, the Bad and the Ugly

Inclusion is best for people with autism.

Rhiannon Lucy Cosslett’s article on access for autistic individuals recognised that “autism friendly” sessions are not necessarily a solution, and carry their own dangers (Guess what – people with autism like the cinema too, 2 May).

Many conferences on autism now have modifications such as quiet withdrawal spaces, reduced lighting and “deaf clapping” (silent waving). It is reasonable to meet the needs of known autistic individuals attending an event but not to assume all “autistic” needs are common.

A withdrawal space may be useful for all (although perhaps then not so quiet). Some autistic individuals find it difficult to cope with fluorescent lighting and/or high glare or contrast, but others are disturbed and disoriented by low levels of lighting, especially if this results in more shadows. Many autistic individuals have learned to cope with clapping if they know when it will happen and it does not go on for too long. Some are excited by “flapping” and feel compelled to join in when exposed to it, often becoming disoriented and upset.

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Graeme took a dyslexia test at the age of 24, which showed he had signs of autism. He describes how he was finally diagnosed with Asperger syndrome and what the diagnosis meant to him.

Dyslexia Test

Dyslexia Test


Graeme took a dyslexia test at the age of 24, which showed he had signs of autism. He describes how he was finally diagnosed with Asperger syndrome and what the diagnosis meant to him.

 

How a Muslim community overcame disinformation linking vaccines to autism

Autism and a Muslim Community

Autism and a Muslim Community

When health officials in Minnesota were confronted by the biggest outbreak of measles in decades, they knew that earning the community’s trust would be crucial.

The section of the community most affected by the outbreak that eventually infected 79 people, the same as for the entire country in any average year, were Somali-Americans. The vast majority were children under 10 who had not been vaccinated.

The state’s Somali-Americans used to vaccinate their children more than other Minnesotans, but the rate fell between 2004 to 2014, from 92 per cent to 40 per cent. Officials have linked this to visits paid to the community by anti-vaccine activist Andrew Wakefield and other campaigners, whose influence still reverberates.

“The biggest impact is connecting a condition that is one that challenges any parent who has a child with autism, and connecting that to immunisations, and specifically MMR,” Lynn Bahta, the immunisation clinical consultant with the Minnesota Department of Health, told The Independent last summer as they fought to tackle the outbreak.

“Among our Somali-American community we have their rates go from 92 per cent, which was higher than non-Somali rates, down to 42 per cent. And that puts them in a very, very vulnerable position.”

To help the state get their message delivered most effectively, officials asked for help from community leaders, in particular imams, who lead prayers at neighbourhood mosques.

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