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Torres EB, Twerski G, Varkey H, Rai R, Elsayed M, Katz MT, Tarlowe J. The time is ripe for the renaissance of autism treatments: evidence from clinical practitioners. Front Integr Neurosci 2023; 17:1229110. [PMID: 37600235 PMCID: PMC10437220 DOI: 10.3389/fnint.2023.1229110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 07/14/2023] [Indexed: 08/22/2023] Open
Abstract
Introduction Recent changes in diagnostics criteria have contributed to the broadening of the autism spectrum disorders and left clinicians ill-equipped to treat the highly heterogeneous spectrum that now includes toddlers and children with sensory and motor issues. Methods To uncover the clinicians' critical needs in the autism space, we conducted surveys designed collaboratively with the clinicians themselves. Board Certified Behavioral Analysts (BCBAs) and developmental model (DM) clinicians obtained permission from their accrediting boards and designed surveys to assess needs and preferences in their corresponding fields. Results 92.6% of BCBAs are open to diversified treatment combining aspects of multiple disciplines; 82.7% of DMs also favor this diversification with 21.8% valuing BCBA-input and 40.6% neurologists-input; 85.9% of BCBAs and 85.3% of DMs advocate the use of wearables to objectively track nuanced behaviors in social exchange; 76.9% of BCBAs and 57.0% DMs feel they would benefit from augmenting their knowledge about the nervous systems of Autism (neuroscience research) to enhance treatment and planning programs; 50.0% of BCBAs feel they can benefit for more training to teach parents. Discussion Two complementary philosophies are converging to a more collaborative, integrative approach favoring scalable digital technologies and neuroscience. Autism practitioners seem ready to embrace the Digital-Neuroscience Revolutions under a new cooperative model.
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Affiliation(s)
- Elizabeth B. Torres
- Sensory Motor Integration Laboratory, Department of Psychology, Rutgers the State University of New Jersey, Piscataway, NJ, United States
- Rutgers Center for Cognitive Science, Rutgers the State University of New Jersey, Piscataway, NJ, United States
- Department of Computer Science, Rutgers Center for Biomedicine Imaging and Modeling, Rutgers the State University of New Jersey, Piscataway, NJ, United States
| | | | - Hannah Varkey
- Sensory Motor Integration Laboratory, Department of Psychology, Rutgers the State University of New Jersey, Piscataway, NJ, United States
| | - Richa Rai
- Sensory Motor Integration Laboratory, Department of Psychology, Rutgers the State University of New Jersey, Piscataway, NJ, United States
| | - Mona Elsayed
- Sensory Motor Integration Laboratory, Department of Psychology, Rutgers the State University of New Jersey, Piscataway, NJ, United States
| | - Miriam Tirtza Katz
- MTK Therapy, Yahalom NJ, Family Advocacy and Support, Agudas Yisroel of America, Lakewood, NJ, United States
| | - Jillian Tarlowe
- Sensory Motor Integration Laboratory, Department of Psychology, Rutgers the State University of New Jersey, Piscataway, NJ, United States
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D’Amelio A, Patania S, Buršić S, Cuculo V, Boccignone G. Inferring Causal Factors of Core Affect Dynamics on Social Participation through the Lens of the Observer. SENSORS (BASEL, SWITZERLAND) 2023; 23:2885. [PMID: 36991595 PMCID: PMC10051943 DOI: 10.3390/s23062885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 02/28/2023] [Accepted: 03/01/2023] [Indexed: 06/19/2023]
Abstract
A core endeavour in current affective computing and social signal processing research is the construction of datasets embedding suitable ground truths to foster machine learning methods. This practice brings up hitherto overlooked intricacies. In this paper, we consider causal factors potentially arising when human raters evaluate the affect fluctuations of subjects involved in dyadic interactions and subsequently categorise them in terms of social participation traits. To gauge such factors, we propose an emulator as a statistical approximation of the human rater, and we first discuss the motivations and the rationale behind the approach.The emulator is laid down in the next section as a phenomenological model where the core affect stochastic dynamics as perceived by the rater are captured through an Ornstein-Uhlenbeck process; its parameters are then exploited to infer potential causal effects in the attribution of social traits. Following that, by resorting to a publicly available dataset, the adequacy of the model is evaluated in terms of both human raters' emulation and machine learning predictive capabilities. We then present the results, which are followed by a general discussion concerning findings and their implications, together with advantages and potential applications of the approach.
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Affiliation(s)
- Alessandro D’Amelio
- PHuSe Lab, Department of Computer Science, University of Milano Statale, Via Celoria 18, 20133 Milan, Italy
| | - Sabrina Patania
- PHuSe Lab, Department of Computer Science, University of Milano Statale, Via Celoria 18, 20133 Milan, Italy
| | - Sathya Buršić
- PHuSe Lab, Department of Computer Science, University of Milano Statale, Via Celoria 18, 20133 Milan, Italy
- Department of Psychology, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, Italy
| | - Vittorio Cuculo
- PHuSe Lab, Department of Computer Science, University of Milano Statale, Via Celoria 18, 20133 Milan, Italy
| | - Giuseppe Boccignone
- PHuSe Lab, Department of Computer Science, University of Milano Statale, Via Celoria 18, 20133 Milan, Italy
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Li C, Chen W, Li X, Li T, Chen Y, Zhang C, Ning M, Wang X. Gray matter asymmetry atypical patterns in subgrouping minors with autism based on core symptoms. Front Neurosci 2023; 16:1077908. [PMID: 36760800 PMCID: PMC9905125 DOI: 10.3389/fnins.2022.1077908] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Accepted: 12/30/2022] [Indexed: 01/26/2023] Open
Abstract
Abnormal gray matter (GM) asymmetry has been verified in autism spectrum disorder (ASD), which is characterized by high heterogeneity. ASD is distinguished by three core symptom domains. Previous neuroimaging studies have offered support for divergent neural substrates of different core symptom domains in ASD. However, no previous study has explored GM asymmetry alterations underlying different core symptom domains. This study sought to clarify atypical GM asymmetry patterns underlying three core symptom domains in ASD with a large sample of 230 minors with ASD (ages 7-18 years) and 274 matched TD controls from the Autism Brain Imaging Data Exchange I (ABIDE I) repository. To this end, the scores of the revised autism diagnostic interview (ADI-R) subscales were normalized for grouping ASD into three core-symptom-defined subgroups: social interaction (SI), verbal communication (VA), and restricted repetitive behaviors (RRB). We investigated core-symptom-related GM asymmetry alterations in ASD resulting from advanced voxel-based morphometry (VBM) by general linear models. We also examined the relationship between GM asymmetry and age and between GM asymmetry and symptom severity assessed by the Autism Diagnostic Observation Schedule (ADOS). We found unique GM asymmetry alterations underlying three core-symptom-defined subgroups in ASD: more rightward asymmetry in the thalamus for SI, less rightward asymmetry in the superior temporal gyrus, anterior cingulate and caudate for VA, and less rightward asymmetry in the middle and inferior frontal gyrus for RRB. Furthermore, the asymmetry indexes in the thalamus were negatively associated with ADOS_SOCIAL scores in the general ASD group. We also showed significant correlations between GM asymmetry and age in ASD and TD individuals. Our results support the theory that each core symptom domain of ASD may have independent etiological and neurobiological underpinnings, which is essential for the interpretation of heterogeneity and the future diagnosis and treatment of ASD.
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Affiliation(s)
- Cuicui Li
- Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Wenxiong Chen
- Guangzhou Women and Children’s Medical Center, Guangzhou, China
| | - Xiaojing Li
- Guangzhou Women and Children’s Medical Center, Guangzhou, China
| | - Tong Li
- Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Ying Chen
- Central Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Chunling Zhang
- Central Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Mingmin Ning
- Guangzhou Women and Children’s Medical Center, Guangzhou, China,*Correspondence: Mingmin Ning,
| | - Ximing Wang
- Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China,Ximing Wang,
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A Personalized Approach to Evaluating and Treating Autism Spectrum Disorder. J Pers Med 2022; 12:jpm12020147. [PMID: 35207636 PMCID: PMC8877244 DOI: 10.3390/jpm12020147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 01/17/2022] [Indexed: 02/05/2023] Open
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Torres EB. Connecting movement and cognition through different modes of learning. PSYCHOLOGY OF LEARNING AND MOTIVATION 2022. [DOI: 10.1016/bs.plm.2022.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Precision Autism: Genomic Stratification of Disorders Making Up the Broad Spectrum May Demystify Its "Epidemic Rates". J Pers Med 2021; 11:jpm11111119. [PMID: 34834471 PMCID: PMC8620644 DOI: 10.3390/jpm11111119] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 10/27/2021] [Accepted: 10/28/2021] [Indexed: 12/16/2022] Open
Abstract
In the last decade, Autism has broadened and often shifted its diagnostics criteria, allowing several neuropsychiatric and neurological disorders of known etiology. This has resulted in a highly heterogeneous spectrum with apparent exponential rates in prevalence. I ask if it is possible to leverage existing genetic information about those disorders making up Autism today and use it to stratify this spectrum. To that end, I combine genes linked to Autism in the SFARI database and genomic information from the DisGeNET portal on 25 diseases, inclusive of non-neurological ones. I use the GTEx data on genes’ expression on 54 human tissues and ask if there are overlapping genes across those associated to these diseases and those from SFARI-Autism. I find a compact set of genes across all brain-disorders which express highly in tissues fundamental for somatic-sensory-motor function, self-regulation, memory, and cognition. Then, I offer a new stratification that provides a distance-based orderly clustering into possible Autism subtypes, amenable to design personalized targeted therapies within the framework of Precision Medicine. I conclude that viewing Autism through this physiological (Precision) lens, rather than viewing it exclusively from a psychological behavioral construct, may make it a more manageable condition and dispel the Autism epidemic myth.
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Bermperidis T, Rai R, Ryu J, Zanotto D, Agrawal SK, Lalwani AK, Torres EB. Optimal time lags from causal prediction model help stratify and forecast nervous system pathology. Sci Rep 2021; 11:20904. [PMID: 34686679 PMCID: PMC8536772 DOI: 10.1038/s41598-021-00156-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Accepted: 09/27/2021] [Indexed: 12/26/2022] Open
Abstract
Traditional clinical approaches diagnose disorders of the nervous system using standardized observational criteria. Although aiming for homogeneity of symptoms, this method often results in highly heterogeneous disorders. A standing question thus is how to automatically stratify a given random cohort of the population, such that treatment can be better tailored to each cluster's symptoms, and severity of any given group forecasted to provide neuroprotective therapies. In this work we introduce new methods to automatically stratify a random cohort of the population composed of healthy controls of different ages and patients with different disorders of the nervous systems. Using a simple walking task and measuring micro-fluctuations in their biorhythmic motions, we combine non-linear causal network connectivity analyses in the temporal and frequency domains with stochastic mapping. The methods define a new type of internal motor timings. These are amenable to create personalized clinical interventions tailored to self-emerging clusters signaling fundamentally different types of gait pathologies. We frame our results using the principle of reafference and operationalize them using causal prediction, thus renovating the theory of internal models for the study of neuromotor control.
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Affiliation(s)
| | - Richa Rai
- Psychology Department, Rutgers University, Piscataway, USA
| | - Jihye Ryu
- Neurosurgery Department, University of California Los Angeles, Los Angeles, USA
| | - Damiano Zanotto
- Department of Mechanical Engineering, Stevens Institute of Technology, Hoboken, USA
| | - Sunil K Agrawal
- Department of Mechanical Engineering, School of Engineering, Columbia University, New York, USA.,Department of Rehabilitative and Regenerative Medicine, Columbia University Medical Center, New York, USA
| | - Anil K Lalwani
- New York Presbyterian-Columbia University Irving Medical Center, New York, USA.,Division of Otology, Neurotology, and Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA
| | - Elizabeth B Torres
- Psychology Department, Rutgers University, Piscataway, USA. .,Rutgers University Center for Cognitive Science (RUCCS), Piscataway, USA. .,Computational Biomedicine Imaging and Modelling, Piscataway, USA.
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