Paul Whiteley

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Autism research, research blogging and health science stuff (picture is accurate)

Questioning Answers
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  • October 28, 2016
  • 05:15 AM

Lower autism rate under DSM-5 (yet again)

by Paul Whiteley in Questioning Answers

So: "Results indicate that individuals diagnosed with PDD [pervasive developmental disorder] by DSM-IV-TR criteria may not be diagnosed using DSM-5 criteria."That was the conclusion reached by Ferhat Yaylaci & Suha Miral [1] following their study of 150 children (3-15 years old) diagnosed with PDD "by DSM-IV-TR" whose symptoms/presentation were "reviewed through psychiatric assessment based on DSM-IV-TR and DSM-5 criteria." The percentage figure they arrived at (19.3%) indicat........ Read more »

  • October 27, 2016
  • 05:00 AM

Autism and inborn errors of metabolism

by Paul Whiteley in Questioning Answers

I'd like to think that the review article by Annik Simons and colleagues [1] (open-access) highlights some pretty strong evidence to suggest there being at least some connection between some autism and some of the collected inborn errors of metabolism. Indeed, when people generally talk about 'not knowing what causes autism' if we perhaps consider a more plural view of 'the autisms', there is a case to be made to say we might know what causes 'some' autism and some of it might lie in this area.......... Read more »

  • October 26, 2016
  • 07:42 AM

'Super-parenting' improves children's autism: headline fail as PACT re-emerges...

by Paul Whiteley in Questioning Answers

The title of this post is partially taken from the BBC take on the findings reported by Andrew Pickles and colleagues [1] detailing a long-term follow up (and slight adjustment to the calculation of behavioural scores) of the Preschool Autism Communication Trial (PACT). PACT by the way, is a strategy based on the important tenet of shared attention where: "The approach aims to help parents adapt their communication style to their child’s impairments and respond to their child with enhance........ Read more »

  • October 26, 2016
  • 05:25 AM

"Increased risk for substance use-related problems in autism"

by Paul Whiteley in Questioning Answers

"We aimed to investigate the risk of substance use-related problems in ASD [autism spectrum disorder]."Findings: "The risk of substance use-related problems was the highest among individuals with ASD and ADHD [attention-deficit hyperactivity disorder]."So said the findings reported by Agnieszka Butwicka and colleagues [1] (open-access) looking again at an important but slightly uncomfortable topic: substance use-related problems or substance use disorder (SUD) with autism in ........ Read more »

Butwicka, A., Långström, N., Larsson, H., Lundström, S., Serlachius, E., Almqvist, C., Frisén, L., & Lichtenstein, P. (2016) Increased Risk for Substance Use-Related Problems in Autism Spectrum Disorders: A Population-Based Cohort Study. Journal of Autism and Developmental Disorders. DOI: 10.1007/s10803-016-2914-2  

  • October 25, 2016
  • 05:27 AM

Vitamin D toxicity and autism: a case report

by Paul Whiteley in Questioning Answers

"Alternative medicine treatment put four-year-old boy in A&E [accident & emergency / emergency room]" went the recent BBC headline talking about the case report published by Drs Catriona Boyd and Abdul Moodambail [2].Describing the experiences of a 4-year old boy who attended A&E (the emergency room) following an extended period of "vomiting, loss of appetite, constipation, polyuria, polydipsia and loss of 3kg in weight" in previous weeks, the authors report how after an unremar........ Read more »

  • October 24, 2016
  • 04:22 AM

Bipolar disorder and the autism spectrum continued

by Paul Whiteley in Questioning Answers

In a previous post on this blog I talked about an important paper by Vannucchi and colleagues [1] summarising the state of the peer-reviewed research (up to 2014) on bipolar disorder and Asperger syndrome (AS). Today, I'm adding to the conversation on this important topic by introducing two papers to the discussions: the first by Xenia Borue and colleagues [2] and the second by Ahmad Abu-Akel and colleagues [3] covering the longitudinal course of bipolar disorder (BD) in rela........ Read more »

Borue, X., Mazefsky, C., Rooks, B., Strober, M., Keller, M., Hower, H., Yen, S., Gill, M., Diler, R., Axelson, D.... (2016) Longitudinal Course of Bipolar Disorder in Youth With High-Functioning Autism Spectrum Disorder. Journal of the American Academy of Child . DOI: 10.1016/j.jaac.2016.08.011  

Abu-Akel, A., Clark, J., Perry, A., Wood, S., Forty, L., Craddock, N., Jones, I., Gordon-Smith, K., & Jones, L. (2016) Autistic and Schizotypal Traits and Global Functioning in Bipolar I Disorder. Journal of Affective Disorders. DOI: 10.1016/j.jad.2016.09.059  

  • October 22, 2016
  • 04:21 AM

Language and motor skills: preschool predictors of academic achievement in autism

by Paul Whiteley in Questioning Answers

A fairly quick post for your reading delight today as I bring the paper by Miller and colleagues [1] to your attention suggesting that: "Early intervention targeting language and motor skills may improve later achievement in this population."'This population' referred to a small cohort (N=26) of children diagnosed with an autism spectrum disorder (ASD) who were examined "at the approximate ages of two, four, and ten" years with regards to their academic achievement and the variables that might b........ Read more »

Miller LE, Burke JD, Troyb E, Knoch K, Herlihy LE, & Fein DA. (2016) Preschool predictors of school-age academic achievement in autism spectrum disorder. The Clinical neuropsychologist, 1-22. PMID: 27705180  

  • October 21, 2016
  • 04:37 AM

One more time: asthma and autism

by Paul Whiteley in Questioning Answers

I'm actually getting a little bored of talking about the various peer-reviewed research looking at a possible connection between asthma and autism on this blog. It's not that it isn't an interesting topic but rather that the data is coming in thick and fast suggesting that behaviour and physiology are not completely separate anymore.I did however want to direct you to the paper by Alessandro Tonacci and colleagues [1] who, following a systematic review "according to the PRISMA guidelines" s........ Read more »

Tonacci A, Billeci L, Ruta L, Tartarisco G, Pioggia G, & Gangemi S. (2016) A systematic review of the association between allergic asthma and autism. Minerva pediatrica. PMID: 27706122  

  • October 20, 2016
  • 04:32 AM

"Folinic acid improves communication in childhood autism"

by Paul Whiteley in Questioning Answers

A quote to begin: "... in this small trial of children with non-syndromic ASD [autism spectrum disorder] and language impairment, treatment with high-dose folinic acid for 12 weeks resulted in improvement in verbal communication as compared with placebo, particularly in those participants who were positive for FRAAs [folate receptor-α autoantibody]."Those were the findings reported by Richard Frye and colleagues [1] (open-access) continuing a research theme from this group l........ Read more »

  • October 19, 2016
  • 02:51 AM

Paracetamol for fever 'associated' with autism?

by Paul Whiteley in Questioning Answers

"In this study, we again show that acetaminophen use is associated with ASD [autism spectrum disorder]."That was one of the results reported by Stephen Schultz & Georgianna Gould [1] (open-access available here) as part of their survey of the US "National Database for Autism Research (NDAR) of the National Institute of Mental Health (NIMH)" looking at "whether ASD is associated with acetaminophen use." Acetaminophen by the way, is another name for paracetamol, the over-the-counter ........ Read more »

  • October 18, 2016
  • 04:32 AM

Chronic fatigue syndrome and the detrimental application of the 'biopsychosocial model'

by Paul Whiteley in Questioning Answers

'The times they are a changin'' said a Nobel prize winner and that's also a sentiment that seems true when it comes to chronic fatigue syndrome / myalgic encephalomyeltis (CFS/ME) too (see here for example).Anyone who has followed the tos-and-fros of the PACE trial - the one that suggested that CBT (cognitive behavioural therapy) and GET (graded exercise therapy) might provide some significant relief of symptoms associated with CFS/ME - will probably have heard the ........ Read more »

Geraghty KJ, & Esmail A. (2016) Chronic fatigue syndrome: is the biopsychosocial model responsible for patient dissatisfaction and harm?. The British journal of general practice : the journal of the Royal College of General Practitioners, 66(649), 437-8. PMID: 27481982  

  • October 17, 2016
  • 03:00 AM

Maternal obesity and offspring autism meta-analysed (again)

by Paul Whiteley in Questioning Answers

Meta-analyses eh? You spend ages waiting for one and two come along in quick succession. Well today I'm posting about yet another meta-analysis of the peer-reviewed scientific literature suggesting that "excessive maternal BMI [body mass index] is associated with an increased ASD [autism spectrum disorder] risk in offspring." [1]The review by Ying Wang et al follows hot on the heels of the meta-analysis by Li and colleagues [2] (see here for my take) but further looked a........ Read more »

  • October 15, 2016
  • 04:50 AM

Atopic dermatitis and the "increased risk of developing ADHD and ASD later in life"

by Paul Whiteley in Questioning Answers

I'm not gonna dwell too much on the findings reported by Lee and colleagues [1] talking about how "toddlers who suffer from AD [atopic dermatitis] at the age younger than 3 years are at a higher risk of developing ADHD [attention-deficit hyperactivity disorder] and ASD [autism spectrum disorder] during later childhood" because science already seems to understand that there may be an important connection between early allergic disease and later offspring behavioural/........ Read more »

  • October 14, 2016
  • 02:58 AM

Yet more on potential biomarkers and chronic fatigue syndrome

by Paul Whiteley in Questioning Answers

'Thick and fast' is probably the best way that I can describe the flurry of peer-reviewed scientific papers recently appearing (see here and see here for examples) talking about how chronic fatigue syndrome (CFS) (also linked to the diagnosis of myalgic encephalomyelitis, ME) might have some important biological processes attached to it.Now we can add the findings reported by Federica Ciregia and colleagues [1] (open-access) to the list and their observations that "the identification of bio........ Read more »

  • October 13, 2016
  • 02:56 AM

ADHD and conduct disorder long-term

by Paul Whiteley in Questioning Answers

Today I'm once again blogging about peer-reviewed research suggesting that when it comes to the long-term effects of attention-deficit/hyperactivity disorder (ADHD) on a person, there is some pretty solid evidence that addressing symptoms early could "potentially avert a wide range of future adverse outcomes."The paper making such a conclusion is the one from Holly Erskine and colleagues [1] who conducted a systematic review and meta-analysis pertinent to this topic; also taking into accoun........ Read more »

Erskine HE, Norman RE, Ferrari AJ, Chan GC, Copeland WE, Whiteford HA, & Scott JG. (2016) Long-Term Outcomes of Attention-Deficit/Hyperactivity Disorder and Conduct Disorder: A Systematic Review and Meta-Analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 55(10), 841-50. PMID: 27663939  

  • October 12, 2016
  • 03:02 AM

Obesity in adolescent chronic fatigue syndrome (CFS)

by Paul Whiteley in Questioning Answers

"At 13 years, adolescents who had received a diagnosis of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) who were attending specialist CFS/ME services were more than two times more likely to be obese than adolescents in the general population."At first reading, I wasn't particularly surprised by the findings reported by Norris and colleagues [1] (open-access) drawing on data partly derived from everyone's favourite UK longitudinal birth cohort: ALSPAC (Avon Longitudinal Study of Par........ Read more »

Norris T, Hawton K, Hamilton-Shield J, & Crawley E. (2016) Obesity in adolescents with chronic fatigue syndrome: an observational study. Archives of disease in childhood. PMID: 27655658  

  • October 11, 2016
  • 03:01 AM

Taekwondo training and balance in autism

by Paul Whiteley in Questioning Answers

"TKD [Taekwondo] training can help children with ASD [autism spectrum disorder] improve their balance."Go on."Our findings suggest that TKD can be a fun, feasible, and effective therapeutic option for balance improvement of children with ASD."So said the results of the study by Yumi Kim [1] (open-access) looking at whether the Korean martial art might be able to help with aspects of some of the very important movement issues that can be associated with a diagnosis of autism.B........ Read more »

Kim Y, Todd T, Fujii T, Lim JC, Vrongistinos K, & Jung T. (2016) Effects of Taekwondo intervention on balance in children with autism spectrum disorder. Journal of exercise rehabilitation, 12(4), 314-9. PMID: 27656628  

  • October 10, 2016
  • 04:39 AM

"Learning difficulties linked with winter conception"

by Paul Whiteley in Questioning Answers

Having recently mentioned the BBC headline that makes up the title of this entry in a related post (see here) I'm pleased to be finally able to bring the paper by Daniel Mackay and colleagues [1] (open-access) to your attention.Observing that in Scotland at least, "that season of conception is strikingly associated with the subsequent risk of special educational needs in the offspring" there are various potential implications to come from such data covering both learning (intellectual) disabilit........ Read more »

  • October 8, 2016
  • 03:27 AM

Pregnancy hypertension and offspring autism

by Paul Whiteley in Questioning Answers

"Hypertension in pregnancy was associated with ASD [autism spectrum disorder] in this population even after controlling for known confounders."So said the findings reported by Eileen Curran and colleagues [1] who, once again (see here), relied on "data from the Millennium Cohort Study" to produce some potentially important information about how adverse pregnancy conditions may/may not impact on offspring behaviour and development.Hypertension (a.k.a high blood pressure) during pre........ Read more »

Eileen A. Curran, Ali S. Khashan, Gerard W. O’Keeffe, & Louise C. Kenny. (2016) 35 Hypertension in pregnancy and autism spectrum disorder in a British cohort. regnancy Hypertension: An International Journal of Women's Cardiovascular Health., 153. info:/

  • October 7, 2016
  • 03:11 AM

Is parental age difference important for offspring autism and schizophrenia risk?

by Paul Whiteley in Questioning Answers

In answer to the question that titles this post on whether parental age differences at offspring conception might matter when it comes to offspring risk of autism or schizophrenia, the answer is very possibly. As the paper by Byars & Boomsma [1] (open-access) reports: "Our study shows that autistic and schizophrenic disorder risks tend to be higher, in more dissimilarly aged parents, relative to parents with the most similar ages." This age disparity issue has been mentioned previously in th........ Read more »

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