- The SCQ is a screening tool and should not be used as a standalone diagnostic instrument. A comprehensive evaluation by a trained clinician using multiple assessment methods is necessary for a formal autism diagnosis.
- Co-occurring Conditions: Many individuals with ASD may have co-occurring conditions such as intellectual disabilities, language impairments, ADHD, anxiety, or sensory processing difficulties. The SCQ focuses specifically on social communication and interaction and may not fully capture the range of challenges associated with co-occurring conditions such as language challenges, ADHD, anxiety or sensory processing.
- Caregiver reports are subject to biases and inaccuracies, as they rely on the caregiver's observations and interpretations of the individual's behaviors.
- Caregivers' ability to accurately report on specific social communication behaviors and experiences of nonspeaking autistics may be limited.
- The SCQ is not designed to assess other developmental disabilities apart from ASD.
SCQ - Social Communication Questionnaire
Psychiatry Symposium
https://www.vumc.org/psychiatry/AcademicPsychiatry2023
10:45-10:50am | Welcome and Introduction |
10:50-11:50am | Oral Session #1 |
11:50am-12:00pm | Break |
12:00-1:00pm | Collaboration Talks |
1:00-1:10pm | Break |
1:10-2:10pm | Poster Session |
1:10-1:40pm | Group A |
1:40-2:10pm | Group B |
2:10-2:20pm | Break |
2:20-3:20pm | Oral Session #2 |
3:20-3:25pm | Closing Remarks |
3:25-4:00pm | Ice Cream Social |
Berkeley News
UC Berkeley Chancellor Christ retires next year.
Can't help but remember that had handed me my University Medal finalist award on stage at convocation along with a lovely message. I think she became chancellor around the time I joined Cal.
NASEM: Cultivating Accessible Educational Pathways and Spaces
"This virtual session is a critical element of Disrupting Ableism and Advancing STEM: Cultivating Accessible Educational Pathways and Spaces, the fourth event in the five-part Disrupting Ableism and Advancing STEM conversation series. Overall, this event in the series will focus on the important role of education in preparing students with disabilities as they enter the STEM ecosystem. Discussions will focus on the need to challenge assumptions about who can learn and succeed in STEM and the need to make direct changes to policies and practices to facilitate positive educational experiences for students. Examples will include asset based approaches to learning in classrooms, laboratories, online, and in the field.
Got a nice feedback email today.
"My name is ____ and I work at a medical university in a northern town in ___Ontario Canada. I saw your presentation today on cultivating accessible educational pathways and spaces. I was completely blown away by your presentation. What you have accomplished is incredibly impressive. I not only applaud you but the professors who went out of their way to make labs accessible for you. I think as a medical school, we are behind the ball so to speak with regards to accommodating the needs of those with different abilities....... This entire series has been fascinating to me. Thank you for sharing."This event was very well received, and your panel’s discussion was truly fantastic. Thank you for your leadership and for taking time to share your insight and expertise.
It feels like a historic and meaningful inflection point for people with disabilities in STEM, and we are grateful for your role in driving that change.
On behalf of the planning committee for the Disrupting Ableism and Advancing STEM conversation series and the National Academies staff, I wanted to express my sincere gratitude to each of you for an informative and engaging panel session. We are proud to have brought together such an amazing group of individuals to speak about Lived Experiences: Listening, Learning, and Acting. I am certain that your discussion was greatly appreciated by the over 320 who attended on June 15th to learn about issues related to Cultivating Accessible Educational Pathways and Spaces.
Your expertise and insights were invaluable, and we are so grateful for the time and effort that you put into preparing and delivering your remarks.
Review v Meta Analysis
A meta-analysis is a specific type of research synthesis that involves combining and analyzing quantitative data from multiple studies to generate more robust conclusions. Researchers identify relevant studies, extract relevant data from each study, and statistically analyze the combined data to derive overall effect sizes or estimates of the relationship between variables. Meta-analyses often include a systematic review of the literature as a first step to identify relevant studies for inclusion.
Ed Levels and dx age
I came across an intriguing fact today.
Individuals who get an ADHD diagnosis in childhood tend to attain lower levels of education than individuals who get an ADHD in adulthood (Wymbs & Dawson-2015).
I wonder if there is a parallel in autism too. Do autistics who get dx in childhood have lower ed levels than autistics who get dx in adulthood. (though I could not see much research on this)I would think so - cuz despite the claim that you get better access to childhood autism therapy (most of which does not work by the way), you also end up facing a lot of gatekeeping from an educational system that fundamentally starts off with a view of lower exceptions of anyone with a disability dx, which means you are often kept out of mainstream education, gatekeeped out of opportunities than those without a dx would have access to if they chose to pursue it. We are not even given that option of opportunities as everything and everyone around you indicates over and over that you are incapable of more than just surviving and being pushed up and out of the school system (parallels to the school-prison pipeline in minority communities).
Proprioceptive feedback
Proprioception is mediated by specialized receptors known as proprioceptors, which are found in muscles, tendons, ligaments, and joints. These proprioceptors detect changes in muscle length, muscle tension, joint angles, and joint pressure. They provide constant input to the central nervous system, particularly the brain and spinal cord, enabling us to have a continuous sense of our body's position and movement.
Examples of proprioceptors
- the muscle spindle located within skeletal muscles, responds to changes in muscle length. When a muscle is stretched or contracted, the muscle spindle sends signals to the CNS, providing information about the degree and speed of muscle stretch. This information helps the brain monitor and control muscle activity, contributing to coordinated movement.
- Golgi tendon organ, located at the junction between muscles and tendons, responds to changes in muscle tension or force exerted on the tendon. When muscle tension increases, the Golgi tendon organ detects this change and sends signals to the central nervous system, allowing for adjustments in muscle force and preventing excessive muscle contraction.
- Joint receptors found in the capsules and ligaments surrounding joints, detect changes in joint position and movement. There are different types of joint receptors, including Ruffini corpuscles, Pacinian corpuscles, and free nerve endings, each specialized for different aspects of joint movement. These receptors provide information about joint angles, joint velocity, and joint pressure, allowing for precise control of limb movements.
Research has shown that proprioception plays a vital role in motor control, coordination, and balance. Impairments in proprioceptive feedback can lead to difficulties in performing precise movements, maintaining balance, and coordinating multiple body parts. For example, individuals with certain neurological conditions or injuries affecting proprioceptive pathways may experience problems with coordination and a reduced awareness of their body's position, potentially leading to increased risk of falls or accidents.
Citations around Proprioceptive Feedback
Proske U, Gandevia SC. The Proprioceptive Senses: Their Roles in Signaling Body Shape, Body Position and Movement, and Muscle Force. Physiol Rev. 2012;92(4):1651-1697. doi:10.1152/physrev.00048.2011
Gandevia SC, McCloskey DI. Joint Sense, Muscle Sense, and Their Combination as Position Sense, Measured at the Elbow. J Physiol. 1976;260(2):387-407. doi:10.1113/jphysiol.1976.sp011306
Roll JP, Vedel JP. Kinaesthetic Role of Muscle Afferents in Man, Studied by Tendon Vibration and Microneurography. Exp Brain Res. 1982;47(2):177-190. doi:10.1007/BF00239352
Gandevia SC. Kinesthesia: Roles for afferent signals and motor commands. In: Comprehensive Physiology. John Wiley & Sons, Inc.; 2011. doi:10.1002/cphy.c100058
Marco, E. J., Hinkley, L. B., Hill, S. S., & Nagarajan, S. S. (2011). Sensory processing in autism: a review of neurophysiologic findings. Pediatric Research, 69(5 Pt 2), 48R-54R. doi: 10.1203/PDR.0b013e3182130c54
Torres, E. B., & Donnellan, A. M. (2013). Autism: the micro-movement perspective. Frontiers in Integrative Neuroscience, 7, 32. doi: 10.3389/fnint.2013.00032
Haswell, C. C., Izawa, J., Dowell, L. R., Mostofsky, S. H., & Shadmehr, R. (2009). Representation of internal models of action in the autistic brain. Nature Neuroscience, 12(8), 970-972. doi: 10.1038/nn.2356
Glazebrook, C. M., Gonzalez, D. A., Hansen, S., Elliott, D., & Lyons, J. (2009). Impaired visuo-motor processing contributes to altered personal space in autism. Neuropsychologia, 47(13), 2811-2817. doi: 10.1016/j.neuropsychologia.2009.06.021
Cascio, C. J., Foss-Feig, J. H., Heacock, J., & Newsom, C. R. (2012). Tactile perception in adults with autism: a multidimensional psychophysical study. Journal of Autism and Developmental Disorders, 42(11), 2270-2282. doi: 10.1007/s10803-012-1486-2
Hilton, C. L., Zhang, Y., Whilte, M. R., Klohr, C. L., & Constantino, J. N. (2012). Motor impairment in sibling pairs concordant and discordant for autism spectrum disorders. Autism, 16(4), 430-441. doi: 10.1177/1362361311435155
Glazebrook, C. M., & Elliott, D. (2010). Vision-action coupling for perceptual control of posture in children with and without autism spectrum disorders. Developmental Science, 13(5), 742-753. doi: 10.1111/j.1467-7687.2009.00941.x
Comparing the ABC and CATI Autism Measures
Autism Assessments & Measures
The Aberrant Behavior Checklist (ABC) and the Comprehensive Autistic Trait Inventory (CATI) are both tools used to assess behaviors and traits associated with autism, but they differ in their specific focus, structure, and use cases. Here’s a comparison to highlight the differences between the two:
[Posts on other Assessment Tools and Diagnostic Measures]
Aberrant Behavior Checklist (ABC)
Purpose: Designed to assess the presence and severity of problem behaviors in individuals with developmental disabilities, including autism.
Structure: Consists of 58 items divided into five subscales:
- Irritability
- Lethargy/Social Withdrawal
- Stereotypic Behavior
- Hyperactivity/Noncompliance
- Inappropriate Speech
Administration:
- Completed by caregivers, teachers, or clinicians who are familiar with the individual's behavior.
- Uses a Likert scale (0-3) to rate the severity of each behavior.
Focus:
- Measures the severity and frequency of specific problem behaviors.
- Used to track changes over time and assess treatment effectiveness.
Advantages:
- Provides detailed information about specific behavioral issues.
- Useful for treatment planning and monitoring progress.
Limitations:
- Subjective responses from raters.
- Does not provide a comprehensive assessment of autism traits.
Comprehensive Autistic Trait Inventory (CATI)
Purpose: Designed to provide a detailed assessment of the range of autistic traits across various domains, specifically for research and clinical purposes.
Structure: The exact structure may vary, but typically includes multiple domains that cover:
- Social Interaction
- Communication
- Restricted and Repetitive Behaviors
- Sensory Sensitivities
- Cognitive Traits
- Emotional Regulation
Administration:
- Can be completed by individuals with autism (self-report), parents, or clinicians, depending on the version.
- Uses a comprehensive rating scale to assess the frequency and intensity of various autistic traits.
Focus:
- Provides a broad and detailed overview of autistic traits across multiple domains.
- Aims to capture the full spectrum of autism-related characteristics for both diagnostic and research purposes.
Advantages:
- Offers a comprehensive assessment of a wide range of autistic traits.
- Useful for identifying strengths and areas of need in individuals with autism.
Limitations:
- Can be more time-consuming due to its comprehensive nature.
- May require detailed knowledge of the individual’s behaviors and traits.
Key Differences
Focus:
- ABC: Focuses on assessing and quantifying specific problem behaviors.
- CATI: Focuses on providing a comprehensive assessment of a wide range of autistic traits across multiple domains.
Structure:
- ABC: 58 items across five subscales related to problem behaviors.
- CATI: Multiple domains covering social interaction, communication, repetitive behaviors, sensory sensitivities, cognitive traits, and emotional regulation.
Administration:
- ABC: Typically completed by caregivers or teachers.
- CATI: Can be completed by individuals with autism, parents, or clinicians, depending on the version.
Purpose:
- ABC: Used for identifying problem behaviors, planning treatment, and monitoring changes over time.
- CATI: Used for a detailed assessment of autistic traits for both diagnostic and research purposes.
Rating Scale:
- ABC: Uses a Likert scale (0-3) to rate the severity of each behavior.
- CATI: Uses a comprehensive rating scale to assess the frequency and intensity of various autistic traits.
In Essence, while the ABC is focused on problem behaviors and is useful for clinical treatment planning, the CATI provides a broad and detailed assessment of the full range of autistic traits, making it valuable for both clinical and research applications.
For Related Posts on other Measures in Autism
Posts on Aberrant Behavior Checklist (ABC)
Posts on Comprehensive Autistic Trait Inventory (CATI)