Autistic Traits in the General NT Population

 I'm somewhat conflicted on this research. We have hardly gotten around to understanding and finding solutions for the vast heterogeneity that is autism today. Frankly its one hot mess right now.

Are we adding to the confusion with studies like this which are going about investigating the general NT population to see if they too have "autistic traits." Its almost like trying to prove, everyone has some autistic traits which is all nice for a coffee chit chat, but is distracting us from focus on research based solutions that many of the more impacted autistics desperately need. Because if everyone has autism, then no further action is needed.

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Article 1

Palmer CJ, Paton B, Enticott PG, Hohwy J. 2015. “Subtypes” in the presentation of autistic traits in the general adult population. J. Autism Dev. Disord. 45:1291–301 

Key Takeaways.

• The study examined the presentation of autistic traits in a large adult population sample using the Autism-Spectrum Quotient (AQ).
• Cluster analysis was used to identify two subgroups with distinguishable trait profiles related to autism.
• The first subgroup (n = 1,059) reported significantly higher scores on the AQ subscales related to social difficulties (Social Skills and Communication) and significantly lower scores on the Detail Orientation subscale.
• The second subgroup (n = 1,284) reported significantly higher scores on the Detail Orientation subscale and significantly lower scores on the Social Skills subscale.
• The study also found that the AQ had a three-factor solution, with two related social-themed factors (Sociability and Mentalising) and a third non-social factor that varied independently (Detail Orientation).
• These findings suggest that there is significant variability in the presentation of autistic traits in the general adult population, and that different profiles of autistic characteristics tend to occur in nonclinical populations.

Article 2

Austin EJ. 2005. Personality correlates of the broader autism phenotype as assessed by the Autism Spectrum Quotient (AQ). Personal. Individ. Differ. 38:451–60

Key Takeaways

• There is evidence to suggest the existence of a broader autism phenotype, with non-autistic relatives of autistic individuals showing similar traits and characteristics.
• The study aimed to characterize the five-factor personality model profile of the broader autism phenotype as assessed by the Autism Spectrum Quotient (AQ) which has shown to be a valid tool for assessing autism traits in the general population. 
• The AQ and personality scale were completed by 201 undergraduates and a second group of 136 adults completed the personality scale and the Asperger screening measure.
• High scores on both 'autism' measures were associated with high neuroticism and low extraversion and agreeableness.
• Three of the five proposed sub-scales of the AQ emerged from the factor analysis.
• Males had higher AQ scores than females, 'hard' science students had higher scores than other students, and students with parent(s) in a scientific occupation had higher scores.
• The AQ and sub-scales had satisfactory or near-satisfactory reliabilities.
• Male participants, science students, and individuals from a scientific family background tend to have higher scores on the AQ, indicating a higher likelihood of autistic traits.

This study explored the broader autism phenotype and its association with personality traits using the Autism Spectrum Quotient (AQ). The study found correlations between AQ scores and personality traits, suggesting that the broader autism phenotype is associated with high Neuroticism and possibly Conscientiousness, as well as low Extraversion. The factor structure of the AQ was also examined, and group differences in AQ scores were observed. The study also compared the results from the student group with a screening instrument for Asperger syndrome in an older adult group. Overall, the AQ was found to have good psychometric properties and provided valuable insights into the broader autism phenotype.

Article 3: 

Ruzich E, Allison C, Smith P, Watson P, Auyeung B, et al. 2015. Measuring autistic traits in the general population: a systematic review of the Autism-Spectrum Quotient.  

Key Takeaways:

• The study reports a comprehensive systematic review of the literature to estimate a reliable mean AQ score in individuals without a diagnosis of an autism, in order to establish a reference norm for future studies.
• Mean AQ score for the nonclinical population was 16.94 (95% CI 11.6, 20.0), while mean AQ score for the clinical population with ASC was found to be 35.19 (95% CI 27.6, 41.1).
• In the nonclinical population, a sex difference in autistic traits was found, although no sex difference in AQ score was seen in the clinical ASC population.

WASI-II Wechsler Abbreviated Scale of Intelligence

The WASI-II (Wechsler Abbreviated Scale of Intelligence) is an IQ test for ages 6-90.  It is a shorter and simpler measure based on the more comprehensive Wechsler Intelligence Scale for Children (WISC) and the Wechsler Adult Intelligence Scale (WAIS). 

WASI-II measures cognitive abilities across a range of domains and provides an estimate of a person's general intellectual ability (or Full Scale IQ - FSIQ). It is often used in research studies, and often used to screen for intellectual disability or giftedness, or to assess cognitive abilities in the context of neuropsychological evaluations or clinical diagnoses.

Uses in autistic population

• Assessment of Cognitive Abilities: believed to help identify cognitive strengths and weaknesses in verbal comprehension and perceptual reasoning, which can be informative for planning educational/ behavioral interventions.
• Research: frequently used in autism research studies as measure of cognitive ability.
• Diagnosis: While the WASI-II itself isn't a dx tool for autism, it can be part of a broader diagnostic assessment as it is believed that understanding an individual's cognitive functioning can perhaps provide context for other symptoms or behaviors.

April 15 is Middle-Aged Autistics Day

The growing number of young adult autistics of today will soon join the ranks of becoming Middle Aged Autistics of tomorrow. 

There is limited research on issues specifically related to middle-aged autistics, as most studies tend to focus on children and adolescents with autism. 

Acknowledging the need for knowledge of what happens in this phase, along with the services and supports that will be needed.