Abstract
Autism spectrum disorder (ASD) is characterized by impaired social-communicative abilities, as well as restricted or repetitive behavior, unusual sensitivity to environmental stimuli, and in some cases severe challenging behavior. This chapter considers the rising prevalence rates of ASD and recent changes to the DSM-5. In addition, three broad theoretical or biological perspectives including behavioral, relationship-based, and biomedical or complimentary and alternative medicine (CAM) are reviewed. The best available evidence to date suggests treatments derived from the field of applied behavior analysis can produce benefit for a range of areas (e.g., employment, sexuality education, social skills, etc.). For this reason, antecedent- and consequent-based interventions are recommended and should ideally be used simultaneously. Although available evidence is compelling, the preponderance of evidence supporting this approach has been generated for younger children on the autism spectrum. In addition, stereotypic and other maladaptive behaviors remain the most challenging targets to alter. Although psychopharmacological treatments are available to address associated behaviors (e.g., inattention, aggression, etc.), they often are prescribed “off label” and often result in significant side effects.
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References
Abbeduto, L., Seltzer, M., Shattuck, P., Krauss, M., Orsmond, G., & Murphy, M. (2004). Psychological well-being and coping in mothers of youths with autism, Down Syndrome, or Fragile X Syndrome. American Journal on Mental Retardation, 109, 237–254.
Abrahams, B., & Geschwind, D. (2008). Advances in autism genetics: On the threshold of a new neurobiology. Nature Reviews Genetics, 9, 341–355.
Ahearn, W. H., Clark, K. M., DeBar, R., & Florentino, C. (2005). On the role of preference in response competition. Journal of Applied Behavior Analysis, 38, 247–250.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Williams & Wilkins.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.
American Psychological Association. (1994, August 14). Resolution on facilitated communication. Retrieved November 13, 2013 from http://www.apa.org/divisions/div33/fcpolicy.html
Arnold, G. L., Hyman, S. L., Mooney, R. A., & Kirby, R. S. (2003). Plasma amino acids profiles in children with autism: Potential risk of nutritional deficiencies. Journal of Autism and Developmental Disabilities, 33, 449–454.
Bauer, S. C., & Msall, M. E. (2011). Genetic testing for autism spectrum disorders. Developmental Disabilities Research Reviews, 17, 3–8.
Bazzano, A., Zeldin, A., Schuster, E., Barrett, C., & Lehrer, D. (2012). Vaccine-related beliefs and practices of parents of children with autism spectrum disorders. American Journal of Intellectual and Developmental Disabilities, 117, 233–242.
Bereznak, S., Ayres, K., Mechling, L., & Alexander, J. (2012). Video self-prompting and mobile technology to increase daily living and vocational independence for students with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 24, 269–285.
Bernier, R., Gerdts, J., Munson, J., Dawson, G., & Estes, A. (2012). Evidence for broader autism phenotype characteristics in parents from multiple incidence autism families. Autism Research, 5, 13–20.
Bledsoe, R., Myles, B. S., & Simpson, R. L. (2003). Use of a Social Story intervention to improve mealtime skills of an adolescent with Asperger syndrome. Autism, 7, 289–295.
Blumberg, S. J., Bramlett, M. D., Kogan, M. D., Schieve, L. A., Jones, J. R., & Lu, M. C. (2013). Changes in prevalence of parent-reported autism spectrum disorder in school-aged U.S. children: 2007 to 2011-2012. National Health Statistics Reports, 65(March), 1–11.
Brugha, T. S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., et al. (2011). Epidemiology of autism spectrum disorders in adults in the community in England. Archives of General Psychiatry, 68(5), 459–466.
Butler, L. R., & Luiselli, J. K. (2007). Escape-maintained problem behavior in a child with autism: Antecedent functional analysis and intervention evaluation of noncontingent escape and instructional fading. Journal of Positive Behavior Interventions, 9, 195–202.
Cappadocia, M. C., & Weiss, J. A. (2011). Review of social skills training groups for youth with Asperger syndrome and high functioning Autism. Research in Autism Spectrum Disorders, 5, 70–78.
Carr, E. G. (1994). Emerging themes in the functional analysis of problem behavior. Journal of Applied Behavior Analysis, 27, 393–399.
Carter, E. W., Austin, D., & Trainor, A. A. (2012). Predictors of postschool employment outcomes for young adults with severe disabilities. Journal of Disability Policy Studies, 23, 50–63.
Cihak, D. F., Wright, R., & Ayres, K. M. (2010). The use of self-modeling static-picture prompts via a handheld computer to facilitate self-monitoring in the general education classroom. Education and Training in Developmental Disabilities, 45, 136–149.
Cohen, D., Raffin, M., Canitano, R., Bodeau, N., Bonnot, O., Périsse, D., et al. (2013). Risperidone or aripiprazole in children and adolescents with autism and/or intellectual disability: A Bayesian meta-analysis of efficacy and secondary effects. Research in Autism Spectrum Disorders, 7, 167–175.
Cook, B. G., & Odom, S. L. (2013). Evidence-based practices and implementation science in special education. Exceptional Children, 79, 135–144.
Davis, T. N., O’Reilly, M., Kang, S., Lang, R., Rispoli, M., Sigafoos, J., et al. (2013). Chelation treatment for autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 7, 49–55.
Eikeseth, S., Smith, T., Jahr, E., & Eldevik, S. (2007). Outcome for children with autism who begin intensive behavioral intervention between ages 4 and 7 a comparison controlled study. Behavior Modification, 31, 264–278.
Elder, J. H., Shankar, M., Shuster, J., Theriaque, D., Burns, S., & Sherrill, L. (2006). The gluten-free, casein-free diet in autism: Results of a preliminary double-blind clinical trial. Journal of Autism and Developmental Disorders, 36, 413–420.
Floyd, E. F., & McIntosh, D. E. (2009). Current practice in psychopharmacology for children and adolescents with autism spectrum disorders. Psychology in the Schools, 46, 905–909.
Freij, B. J., South, M. A., & Sever, J. L. (1998). Maternal rubella and the congenital rubella syndrome. Clinical Perinatology, 15, 247–257.
Gardener, H., Spiegelman, D., & Buka, S. L. (2009). Prenatal risk factors for autism: Comprehensive meta-analysis. The British Journal of Psychiatry, 195, 7–14.
Gerhardt, P. F., & Lanier, H. (2011). Addressing the needs of adolescents and adults with ASD: A crisis on the horizon. Journal of Contemporary Psychotherapy, 41, 37–45.
Ghezzi, P. M., Williams, L. W., & Carr, J. E. (1999). Autism: Behavior-analytic perspectives. Reno, NV: Context Press.
Graetz, J. E., Mastropieri, M. A., & Scruggs, T. E. (2009). Decreasing inappropriate behaviors for adolescents with Autism Spectrum Disorders using modified Social Stories. Education and Training in Developmental Disabilities, 44, 91–104.
Gray, C. A., & Garand, J. D. (1993). Social stories: Improving responses of students with autism with accurate social information. Focus on Autism and Other Developmental Disabilities, 8, 1–10.
Greenspan, S. I., & Weider, S. (1997). Developmental patterns and outcomes in infants and children with disorders in relating and communicating: A chart review of 200 cases of children with autistic spectrum diagnoses. Journal of Developmental and Learning Disorders, 1, 87–141.
Gutstein, S. E., Burgess, A. F., & Montfort, K. (2007). Evaluation of the relationship development intervention program. Autism, 11, 397–411.
Hagopian, L. P., Kuhn, S. A. C., Long, E. S., & Rush, K. S. (2005). Schedule thinning following communication training: Using competing stimuli to enhance tolerance to decrements in reinforcer density. Journal of Applied Behavior Analysis, 38, 177–193.
Hall, L. J. (2013). Autism spectrum disorders: From theory to practice. Upper Saddle River, NJ: Pearson Education.
Heiger, M. L., England, L. J., Molloy, C. A., Yu, K. F., Manning-Courtney, P., & Mills, J. L. (2008). Reduced bone cortical thickness in boys with autism or autism spectrum disorders. Journal of Autism and Developmental Disorders, 38, 848–856.
Heward, W. L. (2012). Exceptional children: An introduction to special education. Columbus, OH: Pearson Education.
Horner, R. D. (1980). The effects of an environmental “enrichment” program on the behavior of institutionalized profoundly retarded children. Journal of Applied Behavior Analysis, 13, 473–491.
Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32, 423–446.
Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45, 212–229.
Johnson, N., Frenn, M., Feetham, S., & Simpson, P. (2011). Autism spectrum disorder: Parenting stress, family functioning, and health-related quality of life. Family Systems & Health, 29, 232–252.
Kandalafat, M., Didehbani, N., Krawczyk, D., Allen, T., & Chapman, S. (2013). Virtual reality social cognition training for young adults with high-functioning autism. Journal of Autism and Developmental Disorders, 43, 34–44.
King, B. H., & Bostic, J. Q. (2006). An update on pharmacologic treatments for autism spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 15, 161–175.
Klett, L. S., & Turan, Y. (2012). Generalized effects of social stories with task analysis for teaching menstrual care to three young girls with autism. Sexuality and Disability, 30, 319–336.
Kliebert, M. L., Tiger, J. H., & Toussaint, K. A. (2011). An approach to identifying the conditions under which response interruption will reduce automatically reinforced problem behavior. Behavior Analysis in Practice, 4, 17–26.
Knivsberg, A. M., Reichelt, K. L., Hoien, T., & Nodland, M. (2002). A randomized, controlled study of dietary intervention in autistic syndromes. Nutritional Neuroscience, 5, 251–261.
Koegel, L. K., Ashbaugh, K., Koegel, R. L., Detar, W. J., & Regester, A. (2013). Increasing socialization in adults with Asperger’s Syndrome. Psychology in the Schools, 9, 899–909. doi:10.1002/pits.21715.
Koegel, R. L., & Frea, W. D. (1993). Treatment of social behavior in autism through the modification of pivotal social skills. Journal of Applied Behavior Analysis, 26, 369–377.
Koegel, R. L., & Koegel, L. K. (2006). Pivotal response treatments for autism: Communication, social, and academic development. Baltimore, MD: Brookes Publishing.
Kokina, A., & Kern, L. (2010). Social story interventions for children with autism spectrum disorders: A meta-analysis. Journal of Autism and Developmental Disorders, 40, 812–826.
Lerman, D. C., Kelly, M. E., Vorndran, C. M., & Van Camp, C. M. (2003). Collateral effects of response blocking during the treatment of stereotypic behavior. Journal of Applied Behavior Analysis, 36, 119–123.
Lichtenstein, P., Carlstrom, E., Rastam, M., Gillberg, C., & Anckarsater, H. (2010). The genetics of autism spectrum disorders and related neuropsychiatric disorders in childhood. American Journal of Psychiatry, 167, 1357–1363.
Lord, C., & Jones, R. M. (2012). Annual research review: Re-thinking the classification of autism spectrum disorders. Journal of Child Psychology and Psychiatry, 53, 490–509.
Mackay, T., Knott, F., & Dunlop, A. W. (2007). Developing social interaction and understanding in individuals with autism spectrum disorder: A groupwork intervention. Journal of Intellectual and Developmental Disability, 34, 279–290.
Matson, J. L., & Dempsey, T. (2008). Autism spectrum disorders: Pharmacotherapy for challenging behaviors. Journal of Developmental and Physical Disabilities, 20, 175–191.
Mazurek, M. O., Kanne, S. M., & Wodka, E. L. (2013). Physical aggression in children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 7, 455–465.
McDougle, C. J., Scahill, L., Aman, M. G., McCracken, J. T., Tierney, E., Davies, M., et al. (2005). Risperidone for the core symptom domains of autism: Results from the study by the Autism Network of the Research Units on Pediatric Psychopharmacology. American Journal of Psychiatry, 162, 1142–1148.
McGee, G. G., Morrier, M. J., & Daly, T. (1999). An incidental teaching approach to early intervention for toddlers with autism. Journal of the Association for Persons with Severe Handicaps, 24, 133–146.
McGuinness, T. M., & Lewis, S. (2010). Update on autism and vaccines. Journal of Psychosocial Nursing, 48(6), 15–18.
Meek, S. E., Lemery-Chalfant, K., Jahromi, L. B., & Valiente, C. (2013). A review of gene-environment correlations and their implications for autism: A conceptual model. Psychological Review, 120, 497–521.
Mesibov, G. B., Shea, V., & Schopler, E. (2004). The TEACCH approach to autism spectrum disorders. New York, NY: Springer.
Myers, R. A., Casals, F., Gauthier, J., Hamdan, F. F., Keebler, J., Boyko, A. R., et al. (2011). A population genetic approach to mapping neurological disorder genes using deep resequencing. Public Library of Science Genetics, 7(2), 1–10. doi:10.1371/journal.pgen.1001318.
National Autism Center. (2009). National Standards Report. Randolph, MA: National Autism Center.
Neale, B. M., Kou, Y., Liu, L., Ma’ayan, A., Samocha, K. E., Sabo, A., et al. (2012). Patterns and rates of exonic de novo mutations in autism spectrum disorders. Nature, 485, 242–246.
Odom, S. L., Boyd, B. A., Hall, L. J., & Hume, K. (2010). Evaluation of comprehensive treatment models for individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 40, 425–436.
Orsmond, G. I., Krauss, M. W., & Seltzer, M. M. (2004). Peer relationships and social and recreational activities among adolescents and adults with autism. Journal of Autism and Developmental Disorders, 34, 245–256.
Ozonoff, S. (2012). Editorial: DSM-5 and autism spectrum disorders-two decades of perspectives from the JCPP. Journal of Child Psychology and Psychiatry, 53, e4–e6.
Price, C. S., Thompson, W. W., Goodson, B., Weintraub, E. S., Croen, L. A., Hinrichsen, V. L., et al. (2010). Prenatal and infant exposure to thimerosal from vaccines and immunoglobulins and risk of autism. Pediatrics, 126, 656–664.
Rehfeldt, R. A., Dillen, J. E., Ziomek, M. M., & Kowalchuk, R. K. (2007). Assessing relational learning deficits in perspective-taking in children with high-functioning autism spectrum disorder. The Psychological Record, 57, 23–47.
Reichenberg, A., Gross, R., Weiser, M., Bresnahan, M., Silverman, J., Harlap, S., et al. (2006). Advancing paternal age and autism. Archives of General Psychiatry, 63, 1026–1032.
Reichow, B. (2011). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 521–520.
Retraction. (2010). Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet, 375, 637–641.
Rodrigue, J., Morgan, S., & Geffken, G. (1992). Psychosocial adaptation of fathers of children with autism, down syndrome, and normal development. Journal of Autism and Developmental Disorders, 22, 249–263.
Rogers, M. F., & Myles, B. S. (2001). Using Social Stories and comic strip conversations to interpret social situations for an adolescent with Asperger syndrome. Intervention in School and Clinic, 36, 310–313.
Ronald, A., & Hoekstra, R. A. (2011). Autism spectrum disorders and autistic traits: A decade of new twin studies. American Journal of Medical Genetics: Part B. Neuropsychiatric Genetics, 156, 255–274.
Sandin, S., Hultman, C. M., Kolevzon, A., Gross, R., MacCabe, J. H., & Reichenberg, A. (2012). Advancing maternal age is associated with increasing risk for autism: A review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 477–486.
Siegel, M., & Beaulieu, A. A. (2012). Psychotropic medications in children with autism spectrum disorders: A systematic review and synthesis for evidenced-based practice. Journal of Autism and Developmental Disorders, 42, 1592–1605.
Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 921–929.
Smith, T. (2001). Discrete trial training in the treatment of autism. Focus on Autism and Other Developmental Disabilities, 16, 86–92.
State, M. W., & Levitt, P. (2011). The conundrums of understanding genetic risks for autism spectrum disorders. Nature Science, 14, 1499–1506.
Stokes, M. A., Newton, N., & Kaur, A. (2007). Stalking, and social and romantic functioning among adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 37, 1969–1986.
Strickland, D. C., Coles, C. D., & Southern, L. B. (2013). JobTIPS: A transition to employment program for individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43, 2472–2483.
Sullivan, A., & Caterino, L. C. (2008). Addressing the sexuality and sex education of adolescents and adults with autism spectrum disorders. Education and Treatment of Children, 31, 381–394.
Sullivan, P. F., Magnusson, C., Reichenberg, A., Boman, M., Dalman, C., Davidson, M., et al. (2012). Family History of Schizophrenia and Bipolar Disorder as Risk Factors for Autism Family History of Psychosis as Risk Factor for ASD. Archives of General Psychiatry, 69, 1099–1103.
Taheri, A., & Perry, A. (2012). Exploring the proposed DSM-5 criteria in a clinical sample. Journal of Autism Developmental Disorders, 42, 1810–1817.
Taylor, B. (2006). Vaccines and the changing epidemiology of autism. Child: Care, Health and Development, 32, 511–519.
Taylor, J. L., & Seltzer, M. M. (2011). Employment and postsecondary education activities for young adults with autism spectrum disorders during the transition to adulthood. Journal of Autism and Developmental Disorders, 41, 566–574.
Test, D., Richter, S., Knight, V., & Spooner, F. (2011). A comprehensive review and meta-analysis of the Social Stories literature. Focus on Autism and Other Developmental Disabilities, 26, 49–62.
Trammell, B., Wilczynski, S. M., Dale, B., & McIntosh, D. E. (2013). Assessment and differential diagnosis of comorbid conditions in adolescents and adults with Autism Spectrum Disorder. Psychology in the Schools, 1–11.
Tullis, C. A., & Zangrillo, A. N. (2013). Sexuality education for adolescents and adults with autism spectrum disorders. Psychology in the Schools, 50, 866–875.
Vaughan, M. E., & Michael, J. L. (1982). Automatic reinforcement: An important but ignored concept. Behaviorism, 10, 217–228.
Wakefield, A. J., Murch, S. H., Anthony, A., Linnell, J., Casson, D. M., Malik, M., et al. (1998). Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet, 351, 637–641.
Weeden, M., Ehrhardt, K., & Poling, A. (2013). Psychotropic drug treatments for people with autism and other developmental disorders: A primer for practicing behavior analysts. Behavior Analysis in Practice, 3, 4–12.
Wilczynski, S. M. (2011). Outcome assessment. In J. K. Luiselli (Ed.), Teaching and behavior support for children and adults with autism spectrum disorder: A practitioner’s guide (pp. 55–64). New York: Oxford Press.
Wilczynski, S. M., Trammell, B., & Clarke, L. S. (2013). Improving employment outcomes among adolescents and adults on the autism spectrum. Psychology in the Schools, 50, 876–887. doi:10.1002/pits.21718.
Wrobel, M. (2003). Taking care of myself: A healthy hygiene, puberty and personal curriculum for young people with autism. Arlington, TX: Future Horizons.
Yeargin-Allsopp, M., Rice, C., Karapurkar, T., Doernburg, N., Boyle, C., & Murphy, C. (2003). Prevalence of autism in a US metropolitan area. Journal of the American Medical Association, 289, 49–55.
Zhao, X., Leotta, A., Kustanovich, V., Lajonchere, C., & Geschwind, D. H. (2007). A unified genetic theory for sporadic and inherited autism. Proceedings of the National Academy for Sciences of the United States of American, 104, 12831–12836.
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Wilczynski, S., McIntosh, D.E., Tullis, C.A., Cullen, J., Querim, A. (2015). Autism Spectrum Disorder in Adolescents. In: Gullotta, T., Plant, R., Evans, M. (eds) Handbook of Adolescent Behavioral Problems. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7497-6_18
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