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Comorbid Deafblindness and Autism Spectrum Disorder—Characteristics, Differential Diagnosis, and Possible Interventions

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Abstract

As the prevalence of autism spectrum disorder (ASD) increases, so has the escalation of the diagnosis of ASD individuals with deafblindness (DB). This literature review examines the characteristics of individuals with DB and those with ASD, overlapping characteristics of the two disorders, intervention practices used in each field, evidence-based practices (EBPs) used in each field, possibilities for differential educational diagnosis of comorbid DB and ASD, and educational implications.

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References

*Study included in the review

  • 29 U.S. Code § 1905—Definitions. (n.d.). Retrieved April 28, 2016, from https://www.law.cornell.edu/uscode/text/29/1905.

  • AFIRM Team (2015a). Exercise. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, FPG Child Development Center, University of North Carolina. Retrieved from http://afirm.fpg.unc.edu/exercise.

  • AFIRM Team (2015b). Peer-mediated instruction and intervention. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, FPG Child Development Center, University of North Carolina. Retrieved from http://afirm.fpg.unc.edu/peer-mediated-instruction-and-intervention.

  • AFIRM Team (2015c). Prompting. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, FPG Child Development Center, University of North Carolina. Retrieved from http://afirm.fpg.unc.edu/prompting.

  • AFIRM Team (2015d). Reinforcement. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, FPG Child Development Center, University of North Carolina. Retrieved from http://afirm.fpg.unc.edu/reinforcement.

  • AFIRM Team (2015e). Social narratives. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, FPG Child Development Center, University of North Carolina. Retrieved from http://afirm.fpg.unc.edu/social-narratives.

  • *Belote, M., & Maier, J. (2014). Why deaf-blindness and autism can look so much alike. reSources, 19(2), 1–16.

  • Bernstein, V., & Denno, L. S. (2005). Repetitive behaviors in CHARGE syndrome: differential diagnosis and treatment options. American Journal of Medical Genetics, 133A, 232–239. doi:10.1002/ajmg.a.30542.

    Article  PubMed  Google Scholar 

  • Bogin, J. (2008). Overview of discrete trial training. Sacramento: National Professional Development Center on Autism Spectrum Disorders, M.I.N.D. Institute, The University of California at Davis Medical School.

    Google Scholar 

  • Bogin, J., & Sullivan, L. (2009). Overview of differential reinforcement of other behaviors. Sacramento: The National Professional Development Center on Autism Spectrum Disorders, M.I.N.D. Institute, University of California at Davis School of Medicine.

    Google Scholar 

  • Bondy, A. S., & Frost, L. A. (1998). The picture exchange communication system. Seminars in Speech and Language, 19, 373–388. doi:10.1055/s-2008-1064055.

    Article  PubMed  Google Scholar 

  • *Bracken, M., & Rohrer, N. (2014). Using an adapted form of the Picture Exchange Communication System to increase independent requesting in deafblind adults with learning disabilities. Research in Developmental Disabilities, 35, 269–277. doi:10.1016/j.ridd.2013.10.031.

  • *Brady, N. C., & Bashinski, S. M. (2008). Increasing communication in children with concurrent vision and hearing loss. Research and Practice for Persons with Severe Disabilities, 33(1), 59–70. doi:10.2511/rpsd.33.1-2.59.

  • Brock, M. E. (2013). Cognitive behavioral intervention (CBI) fact sheet. Chapel Hill: The University of North Carolina, Frank Porter Graham Child Development Institute, The National Professional Development Center on Autism Spectrum Disorders.

    Google Scholar 

  • Browder, D., Ahlgrim-Delzell, L., Spooner, F., Mims, P. J., & Baker, J. N. (2009). Using time delay to teach literacy to students with severe developmental disabilities. Exceptional Children, 75(3), 343–364.

    Article  Google Scholar 

  • Bruce, S. (2005a). The impact of congenital deafblindness on the struggle to symbolism. International Journal of Disability, Development and Education, 52(3), 233–251. doi:10.1080/10349120500252882.

    Article  Google Scholar 

  • Bruce, S. (2005b). The application of Werner and Kaplan’s concept of" distancing" to children who are deaf-blind. Journal of Visual Impairment & Blindness, 99(8), 464–477.

    Google Scholar 

  • Bruce, S. M., & Borders, C. (2015). Communication and language in learners who are deaf and hard of hearing with disabilities: Theories, research, and practice. American Annals of the Deaf, 160(4), 368–384. doi:10.1353/aad.2015.0035.

    Article  PubMed  Google Scholar 

  • Bulman, K. (2006). Understanding children’s development. In L. Savory (Ed.), BTEC first children’s care learning and development series, BTEC first (pp. 1–20). Portsmouth: Heinemann Publishing.

    Google Scholar 

  • Centers for Disease Control and Prevention MMWR (2014). Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2010 (CDC Publication 63 (SS02)). Retrieved from http://www.cdc.gov/mmwr/pdf/ss/ss6302.pdf.

  • Centers for Disease Control and Prevention (2015). Autism spectrum disorder (ASD). Retrieved from http://www.cdc.gov/ncbddd/autism/research.html.

  • CHARGE syndrome (2016). Retrieved April 27, 2016, from https://ghr.nlm.nih.gov/condition/charge-syndrome.

  • Collette-Klingenberg, L. (2008a). Overview of functional behavior assessment. Madison: The National Professional Development Center on Autism Spectrum Disorders, Waisman Center, The University of Wisconsin.

    Google Scholar 

  • Collette-Klingenberg, L. (2008b). Overview of Picture Exchange Communication System (PECS) for children and youth with autism spectrum disorders. Madison: National Professional Development Institute on ASD, The Waisman Center, The University of Wisconsin.

    Google Scholar 

  • Collette-Klingenberg, L. (2009a). Overview of social skills groups. Madison: The National Professional Development Center on Autism Spectrum Disorders, Waisman Center, University of Wisconsin.

    Google Scholar 

  • Collette-Klingenberg, L. (2009b). Overview of computer-aided instruction. Madison: The National Professional Development Center on Autism Spectrum Disorders, Waisman Center, The University of Wisconsin.

    Google Scholar 

  • Dammeyer, J. (2010). Prevalence and aetiology of congenitally deafblind people in Denmark. International Journal of Audiology, 49(2), 76–82. doi:10.3109/14992020903311388.

    Article  PubMed  Google Scholar 

  • *Dammeyer, J. (2014). Symptoms of autism among children with congenital deafblindness. Journal of Autism and Developmental Disorders, 44(5), 1095–1102. doi:10.1007/s10803-013-1967-8.

  • Dogoe, M., & Banda, D. R. (2009). Review of recent research using constant time delay to teach chained tasks to persons with developmental disabilities. Education and Training in Developmental Disabilities, 44(2), 177–186.

    Google Scholar 

  • Edyburn, D. L., Higgins, K., & Boone, R. (2005). Preface. In D.L. Edyburn, K. Higgins, & R. Boone (Eds.), Handbook of special education technology research and practice (pp. xiii–xvi). Whitefish Bay: Knowledge by Design.

  • Evenhuis, H. M. (1996). Dutch consensus on diagnosis and treatment of hearing impairment in children and adults with intellectual disability. The Consensus Committee. Journal of Intellectual Disability Research, 40(5), 451–456. doi:10.1046/j.1365-2788.1996.788788.x.

    Article  PubMed  Google Scholar 

  • *Fellinger, J., Holzinger, D., Dirmhirn, A., van Dijk, J., & Goldberg, D. (2009). Failure to detect deaf-blindness in a population of people with intellectual disability. Journal of Intellectual Disability Research, 53(10), 874–881. doi:10.1111/j.1365-2788.2009.01205.x.

  • Fernell, E., Olsson, V. A., Karlgren-Leitner, C., Norlin, B., Hagberg, B., & Gillberg, C. (1999). Autistic disorders in children with CHARGE association. Developmental Medicine and Child Neurology, 41(4), 270–272. doi:10.1017/s0012162299000572.

    Article  PubMed  Google Scholar 

  • Ferrell, K. A., Bruce, S., & Luckner, J. L. (2014). Evidence-based practices for students with sensory impairments (Document No. IC-4). Retrieved from University of Florida, Collaboration for Effective Educator, Development, Accountability, and Reform Center website: http://ceedar.education.ufl.edu/tools/innovation-configurations.

  • Fleury, V. P. (2013). Scripting (SC) fact sheet. Chapel Hill: The University of North Carolina, Frank Porter Graham Child Development Institute, The National Professional Development Center on Autism Spectrum Disorders.

    Google Scholar 

  • Franzone, E. (2009a). Overview of functional communication training (FCT). Madison: National Professional Development Center on Autism Spectrum Disorders, Waisman Center, University of Wisconsin.

    Google Scholar 

  • Franzone, E. (2009b). Overview of naturalistic intervention. Madison: National Professional Development Center on Autism Spectrum Disorders, Waisman Center, University of Wisconsin.

    Google Scholar 

  • Franzone, E., & Collette-Klingenberg, L. (2008a). Overview of speech generating devices for children and youth with autism spectrum disorders. Madison: The National Professional Development Center on Autism Spectrum Disorders, Waisman Center, University of Wisconsin.

  • Franzone, E., & Collette-Klingenberg, L. (2008b). Overview of video modeling. Madison: The National Professional Development Center on Autism Spectrum Disorders, Waisman Center, University of Wisconsin.

  • Goldenhar syndrome (2016). Retrieved April 28, 2016 from http://www.healthline.com/health/goldenhar-syndrome#Symptoms2.

  • Hall, C. (2003). Programs for training teachers of deaf-blind students. American Annals of the Deaf, 148(2), 162.

    Google Scholar 

  • Hartshorne, T. S., Grialou, T. L., & Parker, K. R. (2005). Autistic-like behavior in CHARGE syndrome. American Journal of Medical Genetics, 133A, 257–261. doi:10.1002/ajmg.a.30545.

    Article  PubMed  Google Scholar 

  • *Heller, K. W., Ware, S., Allgood, M. H., & Castelle, M. (1994). Use of dual communication boards with students who are deaf-blind. Journal of Visual Impairment & Blindness, 88, 368–378.

  • Hendricks, D.R. (2009). Overview of parent-implemented intervention. Chapel Hill: The National Professional Development Center on ASD, Frank Porter Graham Child Development Institute, University of North Carolina.

  • Hersh, M. (2013). Deafblind people, communication, independence, and isolation. Journal of Deaf Studies and Deaf Education, 18, 446–463. doi:10.1093/deafed/ent022.

    Article  PubMed  Google Scholar 

  • *Hoevenaars-van den Boom, M. A. A., Antonissen, A. C. F. M., Knoors, H., & Vervloed, M. P. J. (2009). Differentiating characteristics of deafblindness and autism in people with congenital deafblindness and profound intellectual disability. Journal of Intellectual Disability Research, 53(6), 548–558. doi:10.1111/j.1365-2788.2009.01175.x.

  • Holte, L., Prickett, J. G., van Dyke, D. C., Olson, R. J., Lubrica, P., Knutson, C. L., …Berg, W. (2006). Issues in the management of infants and young children who are deaf-blind. Infants & Young Children, 19(4), 323–337. doi:10.1097/00001163-200610000-00005.

  • Horner, R. H., Carr, E. G., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single-subject research to identify evidence-based practice in special education. Council for Exceptional Children, 71(2), 165–179. doi:10.1177/001440290507100203.

    Article  Google Scholar 

  • Hume, K. (2008). Overview of visual supports. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, Frank Porter Graham Child Development Institute, The University of North Carolina.

  • Hwang, S. J., & Chen, Y. S. (2010). Congenital rubella syndrome with autistic disorder. Journal of the Chinese Medical Association, 73(2), 104–7. doi:10.1016/s1726-4901(10)70011-3.

    Article  PubMed  Google Scholar 

  • İFtar, E. T., Kurt, O., & ÖÇEtİN, Ö. (2011). A comparison of constant time delay instruction with high and low treatment integrity. Educational Sciences: Theory & Practice, 11(1), 375–381.

    Google Scholar 

  • Individuals with Disabilities Education Improvement Act, 20 U.S.C. § 1400 (2004). Retrieved from http://idea.ed.gov/download/statute.html.

  • *Janssen, M. J., Riksen-Walraven, J. M., & Van Dijk, J. P. (2002). Enhancing the quality of interaction between deafblind children and their educators. Journal of Developmental and Physical Disabilities, 14(1), 87–109.

  • *Janssen, M. J., Riksen-Walraven, J. M., & Van Dijk, J. P. (2003). Toward a diagnostic intervention model for fostering harmonious interactions between deaf-blind children and their educators. Journal of Visual Impairment & Blindness, 97(4), 197–214.

  • *Janssen, M. J., Riksen-Walraven, J. M., & Van Dijk, J. P. (2004). Enhancing the interactive competence of deafblind children: do intervention effects endure? Journal of Developmental and Physical Disabilities, 16(1), 73–94. doi:10.1023/b:jodd.0000010040.54094.0f.

  • *Janssen, M., Riksen-Walraven, J. M., & van Dijk, J. (2006). Applying the diagnostic intervention model for fostering harmonious interactions between deaf-blind children and their educators: a case study. Journal of Visual Impairment & Blindness, 100(2), 91–105.

  • *Johansson, M., Gillberg, C., & Råstam, M. (2010). Autism spectrum conditions in individuals with Möbius sequence, CHARGE syndrome, and oculo-auriculo-vertebral spectrum: diagnostic aspects. Research in Developmental Disabilities, 31, 9–24. doi:10.1016/j.ridd.2009.07.011.

  • *Johnson, N., & Parker, A. T. (2013). Effects of wait time when communicating with children who have sensory and additional disabilities. Journal of Visual Impairment & Blindness, 107(5), 363–374.

  • Knutson, J., & Sullivan, P. (1993). Communicative disorders as a risk factor in abuse. Topics in Language Disorders, 13(4), 1–14. doi:10.1097/00011363-199308000-00005.

    Article  Google Scholar 

  • Krug, D. A., Arick, J. R., & Almond, P. J. (1980). Autism screening instrument for education planning. ASIEP Education Company.

  • Krug, D. A., Arick, J. R., & Almond, P. J. (1993). Autism screening instrument for educational planning: An assessment and educational planning system for autism and developmental disabilities: examiner’s manual. Pro-Ed.

  • Larsen, F. A., & Damen, S. (2014). Definitions of deafblindness and congenital deafblindness. Research in Developmental Disabilities, 35, 2568–2576. doi:10.1016/j.ridd.2014.05.029.

    Article  Google Scholar 

  • Le Couteur, A., Rutter, M., & Lord, C. (2003). ADI-R autism diagnostic interview—revised. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Malloy, P. & Killoran, J. (2007). Children who are deaf blind. Practice perspectives—highlighting information on deaf-blindness. Monmouth: National Consortium on Deaf-Blindness (NCDB), Teaching Research Institute, Western Oregon University. Retrieved from http://nationaldb.org/NCDBProducts.

  • *Martens, M. A., Janssen, M. J., Ruijssenaars, W. A., Huisman, M., & Riksen-Walraven, J. M. (2014). Applying the intervention model for fostering affective involvement with persons who are congenitally deafblind: an effect study. Journal of Visual Impairment & Blindness, 108(5), 399–413.

  • McLetchie, B. A. B., & MacFarland, S. Z. C. (1995). The need for qualified teachers of students who are deaf-blind. Journal of Visual Impairment & Blindness, 89(3), 244–248.

    Google Scholar 

  • Miles, B. (2003). Talking the language of the hands to the hands: the importance of hands to the person who is deafblind. Retrieved from the National Center on Deaf-Blindness website: https://nationaldb.org/library/page/1930.

  • Miles, B. (2008). Overview on deaf-blindness. Retrieved from http://documents.nationaldb.org/products/Overview.pdf.

  • Moebius syndrome (2016, June 28). Retrieved 6/29/2016 from https://ghr.nlm.nih.gov/condition/moebius-syndrome.

  • Mueller, E. (2006). Deaf-blind child counts: issues and challenges. Alexandria: Project Forum at NASDSE. Retrieved from http://nasdse.org/DesktopModules/DNNspotStore/ProductFiles/25_b77a012d-78ff-40ca-87e7-03bb13784ba4.pdf.

    Google Scholar 

  • Muhle, R., Trentacoste, S. V., & Rapin, I. (2004). The genetics of autism. Pediatrics, 113(5), 472–486. doi:10.1542/peds.113.5.e472.

    Article  Google Scholar 

  • National Autism Center (NAC). (2011). Evidence-based practice and autism in schools: a guide for providing appropriate interventions to students with autism spectrum disorders. New York: National Standards Project.

    Google Scholar 

  • National Center on Deaf-Blindness. (2014). The 2013 national child count of children and youth who are deaf-blind. Watertown: Perkins.

    Google Scholar 

  • National Center on Deaf-Blindness. (2015). The 2014 national child count of children and youth who are deaf-blind. Watertown: Perkins.

    Google Scholar 

  • Neitzel, J. (2009a). Overview of antecedent-based interventions. Chapel Hill: The National Professional Development Center on Autism Spectrum Disorders, Frank Porter Graham Child Development Institute, The University of North Carolina.

  • Neitzel, J. (2009b). Overview of response interruption/redirection. Chapel Hill: The National Professional Development Center on Autism Spectrum Disorders, Frank Porter Graham Child Development Institute, The University of North Carolina.

  • Neitzel, J. (2009c). Overview of time delay. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, Frank Porter Graham Child Development Institute, The University of North Carolina.

  • Neitzel, J. & Busick, M. (2009). Overview of self-management. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, Frank Porter Graham Child Development Institute, The University of North Carolina.

  • Nelson, C., Van Dijk, J., McDonnell, P., & Thompson, K. (2002). A framework for understanding young children with severe multiple disabilities: the Van Dijk approach to assessment. Research and Practice for Persons with Severe Disabilities, 27, 97–111. doi:10.2511/rpsd.27.2.97.

    Article  Google Scholar 

  • Nordisk Lederforum (2007). The revised Nordic definition of deafblindness [internet]. Aalborg, Denmark, Nordisk Velfærdscenter Uddannelse for Døblindpersonale. Retrieved from https://translate.google.com/translate?hl=en&sl=cs&u=http://www.lorm.cz/pro-hluchoslepe/definice-hluchoslepoty/&prev=search.

  • Odom, S. L. (2013). Structured play groups (SPG) fact sheet. Chapel Hill: The University of North Carolina, Frank Porter Graham Child Development Institute, The National Professional Development Center on Autism Spectrum Disorders.

    Google Scholar 

  • Okolo, C. M. (2008). Technology and individuals with mild disabilities. In J. D. Lindsey (Ed.), Technology and exceptional individuals (pp. 325–376). Austin: PRO-ED.

    Google Scholar 

  • Parker, A. T., Grimmett, E. S., & Summers, S. (2008). Evidence-based communication practices for children with visual impairments and additional disabilities: an examination of single subject design studies. Journal of Visual Impairment & Blindness, 102, 540–552.

    Google Scholar 

  • Parving, A., & Hauch, A. M. (1994). The cause of profound hearing impairment in a school for the deaf: a longitudinal study. British Journal of Audiology, 28(2), 63–69. doi:10.3109/03005369409077916.

    Article  PubMed  Google Scholar 

  • Rowland, C., & Schweigert, P. (1989). Tangible symbols: symbolic communication for individuals with multisensory impairments. Augmentative and Alternative Communication, 5(4), 226–234.

    Article  Google Scholar 

  • Smith, T. M., Nichols, S. L., Issekutz, K., & Blake, K. (2005). Behavioral profiles and symptoms of autism in CHARGE syndrome: preliminary Canadian epidemiological data. American Journal of Medical Genetics, 133A(3), 248–256. doi:10.1002/ajmg.a.30544.

    Article  PubMed  Google Scholar 

  • Stickler syndrome (2016, June 28). Retrieved 6/29/2016 from https://ghr.nlm.nih.gov/condition/stickler-syndrome.

  • Sullivan, L., & Bogin, J. (2010). Overview of extinction. Sacramento: National Professional Development Center on Autism Spectrum Disorders, M.I.N.D. Institute. University of California at Davis Medical School.

    Google Scholar 

  • Task Analysis (2015). Retrieved from http://www.aspminds.com/taskanalysis.html.

  • *Taylor, K., & Preece, D. (2010). Using aspects of the TEACCH structured teaching approach with students with multiple disabilities and visual impairment: reflections on practice. British Journal of Visual Impairment, 28(3), 244–259. doi:10.1177/0264619610374682.

  • Trottier, G., Srivastava, L., & Walker, C. D. (1999). Etiology of infantile autism: a review of recent advances in genetic and neurobiological research. Journal of Psychiatry & Neuroscience, 24(2), 103–115.

    Google Scholar 

  • Trief, E., Bruce, S. M., Cascella, P. W., & Ivy, S. (2009). The development of a universal tangible symbol system. Journal of Visual Impairment & Blindness, 103, 425–430.

    Google Scholar 

  • Vernon, M. (2010). Deaf-blindness and autistic spectrum disorder. Journal of the American Deafness and Rehabilitation Association, 44, 201–213.

    Google Scholar 

  • Vismara, L. A., & Bogin, J. (2009). Steps for implementation: pivotal response training. Sacramento: The National Professional Development Center on Autism Spectrum Disorders, The M.I.N.D. Institute, The University of California at Davis School of Medicine.

    Google Scholar 

  • Watson, D., & Taff-Watson, M. (Eds.). (1993). A model service delivery system for persons who are deaf-blind (2nd ed.). Arkansas: University of Arkansas.

    Google Scholar 

  • Wheeler, L., & Griffin, H. C. (1997). A movement-based approach to language development in children who are deaf-blind. American Annals of the Deaf, 142(5), 387–390. doi:10.1353/aad.2012.0300.

    Article  PubMed  Google Scholar 

  • Zambone, A. M., & Huebner, K. M. (1993). Services for children and youths who are deaf-blind: an overview. Journal of Visual Impairment & Blindness, 86(7), 287–290.

    Google Scholar 

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Probst, K.M., Borders, C.M. Comorbid Deafblindness and Autism Spectrum Disorder—Characteristics, Differential Diagnosis, and Possible Interventions. Rev J Autism Dev Disord 4, 95–117 (2017). https://doi.org/10.1007/s40489-016-0100-2

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