Is mild intellectual disability associated with a rhythmic skills impairment? A developmental perspective.

This 10-year longitudinal study investigated the developmental trajectories of executive functioning (EF) in individuals with autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD), compared to typically developing (TD) individuals from childhood into young adulthood. There were 173 participants at baseline (T1; ASD = 38 (eight with co-occurring ADHD), ADHD = 85, TD = 50; Mage = 11.7 years, SD = 2.1), 168 at 2-year follow-up (T2) and 127 at 10-year follow-up (T3). Participants were assessed with three neuropsychological tests aimed at capturing central components of EF: working memory/Letter-Number Sequencing Test (LNS), inhibition/Color-Word Interference Test, Condition 3 (CWIT3), and flexibility/Trail Making Test, Condition 4 (TMT4). Test results were analyzed using linear mixed models (LMM). At baseline, the TD participants outperformed the ASD and ADHD participants on all three tests. From T1 to T2, the ASD participants had less improvement than the ADHD and TD participants on the LNS test (p = .007 and .025, respectively), while having more improvement on the CWIT3 relative to the TD participants (p = .027). From T2 to T3, the ADHD participants had less improvement on the LNS test than the ASD and TD participants (p = .004 and .021, respectively). The ASD and ADHD groups mainly displayed similar maturation on the neuropsychological measures, and displayed continuous impairment relative to the TD group. The need for support and facilitation of EF in school, workplace, and social arenas might continue into young adulthood among certain individuals with ASD and ADHD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Cerebellar volume, in particular vermal lobule areas VI-VII, have been extensively researched in individuals with autism spectrum disorder (ASD), although findings are often unclear. The aim of the present study is to consolidate all existing cerebellar and age data of individuals with ASD, and compare this data to typically developing (TD) controls. Raw data, or the means and standard deviations of cerebellar volume and age, were obtained from 17 studies (NCerebellum: 421 ASD and 370 TD participants; NVI-VII: 506 ASD and 290 TD participants). Total cerebellar volume, or VI-VII area, was plotted against age and lines of fit of ASD and TD data were compared. Mean differences in cerebellar volume and VI-VII area between participants with ASD and TD participants were then compared via ANCOVA analyses. Findings revealed multiple differences in VI-VII area between participants with ASD and TD participants below 18 years of age. Additionally, cerebellar volume was greater in males with ASD than TD males between 2 and 4 years. In the present study, cerebellar volume and VI-VII area show different rates of change across age for those with autism compared with those without. These morphological differences provide a neurobiological justification to investigate related behavioural correlates.

Duration judgments in children and adolescents with and without mild intellectual disability

ABSTRACTArtificial grammar learning is an empirical paradigm that investigates basic pattern and structural processing in different populations. It can inform how higher cognitive functions, such as language use, take place. Our study used artificial grammar learning to assess how children with Williams syndrome (WS;n= 16) extract patterns in structured sequences of synthetic speech, how they compare to typically developing (TD) children (n= 60), and how prosodic cues affect learning. The TD group was divided into a group whose nonverbal abilities were within the range of the WS group, and a group whose chronological age was within the range of the WS group. TD children relied mainly on rule-based generalization when making judgments about sequence acceptability, whereas children with WS relied on familiarity with specific stimulus combinations. The TD participants whose nonverbal abilities were similar to the WS group showed less evidence of relying on grammaticality than TD participants whose chronological age was similar to the WS group. In absence of prosodic cues, the children with WS did not demonstrate evidence of learning. Results suggest that, in WS children, the transition to rule-based processing in language does not keep pace with TD children and may be an indication of differences in neurocognitive mechanisms.

ObjectivesTo identify, using eye-tracking technology, if readers on the autism spectrum (AS) would exhibit longer mean fixation times during question-answering but similar levels of comprehension accuracy to typically developing (TD) individuals.MethodsThe eye-gaze behavior of two school-aged autistic children and two TD children with similar reading abilities, age, gender, and grade level, was tracked while they read age-appropriate passages and answered related comprehension questions.ResultsBoth participants on the AS displayed longer mean fixations than TD participants during question-answering. Despite the longer fixations during question-answering, the accuracy of the participants on the AS was equal to or superior to those of the TD participants.ConclusionsLonger mean fixation durations during question-answering did not result in lower reading comprehension scores.

Williams syndrome (WS)is a genetic condition with a distinctive social phenotype characterized by excessive sociability accompanied by a relative proficiency in face recognition, despite severe deficits in the visuospatial domain of cognition. This consistent phenotypic characteristic and the relative homogeneity of the WS genotype make WS a compelling human model for examining genotype–phenotype relations, especially with respect to social behavior. Following up on a recent report suggesting that individuals with WS do not show race bias and racial stereotyping, this study was designed to investigate the neural correlates of the perception of faces from different races, in individuals with WS as compared to typically developing (TD) controls. Caucasian WS and TD participants performed a gender identification task with own-race (White) and other-race (Black) faces while event-related potentials (ERPs) were recorded. In line with previous studies with TD participants, other-race faces elicited larger amplitude ERPs within the first 200 ms following the face onset, in WS and TD participants alike. These results suggest that, just like their TD counterparts, individuals with WS differentially processed faces of own-race versus other-race, at relatively early stages of processing, starting as early as 115 ms after the face onset. Overall, these results indicate that neural processing of faces in individuals with WS is moderated by race at early perceptual stages, calling for a reconsideration of the previous claim that they are uniquely insensitive to race.

Trajectory of sleep patterns across adolescence in autistic and neurotypical youth.

Williams syndrome (WS) is a neurodevelopmental genetic disorder associated with high rates of anxiety and social issues. We examined diurnal cortisol, a biomarker of the stress response, in adults with WS in novel and familiar settings, and compared these profiles to typically developing (TD) adults. WS and TD participants had similar profiles in a familiar setting, while participants with WS had elevated cortisol late in the day in the novel setting when social demands were higher. The cortisol awakening response in WS was associated with parent-reported levels of somatic complaints and social difficulties. Results suggest that adults with WS have a typical diurnal cortisol profile that may be sensitive to social and activity transitions throughout the day.

Rhythmic skills have been repeatedly found to relate to children’s early literacy skills. Using rhythmic tasks to predict language and reading performance seems a promising direction as they can be easily administered early as a screening test to identify at-risk children. In the present study, we measured Hungarian children’s (N = 37) general cognitive abilities (working memory, non-verbal reasoning and rapid automatized naming), language and literacy skills (vocabulary, word reading, phonological awareness and spelling) and finger tapping performance in a longitudinal design in the first and third grades. We applied metronome stimuli in three tempi (80, 120, 150 bpm) using a synchronization-continuation paradigm and also measured participants’ spontaneous motor tempo. While children’s synchronization asynchrony was lower in third than in the first grade, with the exception of the slow-tempo trials, tapping consistency and continuation tapping success showed no development in this period. First-year tapping consistency in the slow-tempo tasks was associated with third-year reading and spelling outcomes. Our results show that the relation between tapping performance and literacy skills persists throughout the third school year, making the sensorimotor synchronization task a potentially effective instrument for predicting literacy outcomes, and a useful tool for early screening of reading difficulties.

Introduction The cardiac autonomic control system (CACS) is frequently impaired post-traumatic brain injury (TBI). However, the prevalence of vestibular/oculomotor impairment is less studied. These two systems interact during position change and contribute to blood-pressure regulation through the vestibulo-sympathetic reflex. Aim: To assess the CACS, the vestibular/oculomotor systems and their integrative function in adolescents post-TBI compared to typically-developing (TD) adolescents. Methods: 19 adolescents in the subacute stage following a severe TBI (14–117 days post injury) and 19 age and sex matched TD controls were recruited. Heart Rate Variability (HRV) was assessed at rest and during a modified tilt-test. A quantified version of the Vestibular/Ocular-Motor Screening (VOMS) was also administered. Results: At rest, the TBI group had higher HR and lower HRV values (p < .001). All participants with TBI demonstrated impairments in the VOMS (median of positive tests: 5 [range 2–9]) compared to only 6 out of 19 in the TD participants (median 0 [0–2]) (z = −5.34; p < .001). In response to the modified tilt test, the HRV increased significantly in the lifting period and decreased significantly once in standing only in the TBI group (z = −2.85, p = .025). Conclusion: Adolescents post severe TBI demonstrated impairments in the CACS, positive tests on the VOMS and significantly greater changes in the modified tilt test as compared to TD. Clinical trial gov. number: NCT03215082

Spontaneous and stimulus-driven rhythmic behaviors in ADHD adults and controls

Durational patterns provide cues to linguistic structure, thus so variations in rhythm skills may have consequences for language development. Understanding individual differences in rhythm skills, therefore, could help explain variability in language abilities across the population. We investigated the neural foundations of rhythmic proficiency and its relation to language skills in young adults. We hypothesized that rhythmic abilities can be characterized by at least two constructs, which are tied to independent language abilities and neural profiles. Specifically, we hypothesized that rhythm skills that require integration of information across time rely upon the consistency of slow, low-frequency auditory processing, which we measured using the evoked cortical response. On the other hand, we hypothesized that rhythm skills that require fine temporal precision rely upon the consistency of fast, higher-frequency auditory processing, which we measured using the frequency-following response. Performance on rhythm tests aligned with two constructs: rhythm sequencing and synchronization. Rhythm sequencing and synchronization were linked to the consistency of slow cortical and fast frequency-following responses, respectively. Furthermore, whereas rhythm sequencing ability was linked to verbal memory and reading, synchronization ability was linked only to nonverbal auditory temporal processing. Thus, rhythm perception at different time scales reflects distinct abilities, which rely on distinct auditory neural resources. In young adults, slow rhythmic processing makes the more extensive contribution to language skills.

Computer-assisted comparison of melodic and rhythmic discrimination skills in hearing-impaired and normally hearing children: A pilot study

Background: Sexual health includes physical, emotional, mental, and social wellbeing related to sexuality. Given people with mild intellectual disabilities’ reliance on relatives and support staff, it is important to explore the latter’s understanding of sexual health. Method: Relatives (n = 7) and support staff (n = 15) of people with mild intellectual disabilities participated in a concept mapping procedure that included brainstorming, sorting and ranking activities. An expert group interpreted the results. Results: Relatives and support staff identified aspects of sexual health of people with mild intellectual disabilities, including sexual preferences, sexual behaviour and support and education. While relatives prioritised relationships, support staff emphasised sexual identity. Conclusions: The study highlights the necessity of adopting a comprehensive approach to sexual health for people with mild intellectual disabilities. This approach should consider developmental perspectives, incorporating support, education and a positive attitude towards their sexual health. Implications for research and practice are discussed.

Recent research on autism spectrum disorders (ASDs) suggests that individuals with autism may have a basic deficit in synchronizing with others, and that this difficulty may lead to more complex social and communicative deficits. Here, we examined synchronization during an open-ended joint improvisation (JI) paradigm, called the mirror game (MG). In the MG, two players take turns leading, following, and jointly improvising motion using two handles set on parallel tracks, while their motion tracks are recorded with high temporal and spatial resolution. A series of previous studies have shown that players in the MG attain moments of highly synchronized co-confident (CC) motion, in which there is no typical kinematic pattern of leader and reactive follower. It has been suggested that during these moments players act as a coupled unit and feel high levels of connectedness. Here, we aimed to assess whether participants with ASD are capable of attaining CC, and whether their MG performance relates to broader motor and social skills. We found that participants with ASD (n = 34) can indeed attain CC moments when playing with an expert improviser, though their performance was attenuated in several ways, compared to typically developing (TD) participants (n = 35). Specifically, ASD participants had lower rates of CC, compared with TD participants, which was most pronounced during the following rounds. In addition, the duration of their CC segments was shorter, across all rounds. When controlling for participants’ motor skills (both on the MG console, and more broadly) some of the variability in MG performance was explained, but group differences remained. ASD participants’ alexithymia further correlated with their difficulty following another’s lead; though other social skills did not relate to MG performance. Participants’ subjective reports of the game suggest that other cognitive and emotional factors, such as attention, motivation, and reward-processing, which were not directly measured in the experiment, may impact their performance. Together, these results show that ASD participants can attain moments of high motor synchronization with an expert improviser, even during an open-ended task. Future studies should examine the ways in which these skills may be further harnessed in clinical settings.