Autism - answer autism spectrum disorder (ASD) and autism are both general terms for
a group of complex disorders of brain development
-includes autistic disorder, Asperger's disorder, childhood disintegrative disorder,
pervasive developmental disorder-not otherwise specified (PDD-NOS)
-DOES NOT include Rett syndrome, as previously thought
Characteristics of ASD - answer-difficulties in social interaction, verbal and nonverbal
communication and repetitive behaviors
-can be associated with ID, difficulties in motor coordination and attention, physical
health issues such as sleep and gastrointestinal disturbances
-some excel in visual skills, music, math and art
Risks and Causes of Autism - answer-rare gene changes, or mutations, associated with
autism (a small number of these are sufficient to cause autism by themselves)
-most cases caused by a combination of autism risk genes and environmental factors
influencing early brain development
-in the presence of a genetic predisposition to autism, a number of environmental
stresses are linked with increased risk
Risk factors before and during birth: - answer-advanced parental age at time of
conception
-maternal illness (fever) during pregnancy
-maternal antibodies in blood that interfere with prenatal brain development (helps
explain sex disparity; male mice showed structural changes with antibody)
-ASD is more prevalent in boys
-difficulties during birth, particularly those involving periods of oxygen deprivation to the
baby's brain
-prematurity (>10 wks prematurity linked to weakness in brain connections that are
important for attention, communication, and processing emotions)
-in combination with genetic risk factors, environmental factors appear to increase risk
Research to support woman can reduce risk by taking prenatal vitamins containing folic
acid during the months before and after conception - answer-folic acid plays a roll in
spina bifida (or neural tube defects) as well
What lead to the disassociation between vaccines and ASD? - answer-hundreds of
thousands of data showing NO LINK (as compared to Wakefield small amount of
fabricated data)
-thimerosal removed from vaccines in 1999
-incidence still rising despite lower vaccination rates and removal of thimerosal
, What are some of the reasons why millennials consider not vaccinating themselves &
their families? - answer-this generation has not seen vaccine preventable devastation
-distrust of the medical field
There is more mercury in a few servings of fish than the flu shot (approximately) -
answerTrue
Non-vaxxer activists are typically not members of the medical community, but often
have the loudest voice - answerTrue
Prevalence of autism has doubled since 2000 - answerTrue
The biggest risk involved with a child being born with autism is already having a child
with autism. There is a 2-18% chance of having a second child with autism -
answerTrue. If this is true, then there is a risk that your next child will also have autism,
especially if they are a boy
Prevalence of autism - answer1/68 children as of 2014
Prevalence of autism in boys - answer1/42 boys
Prevalence of autism in girls - answer1/189 girls
Insurance has finally started covering therapies for autism. What are some examples of
this? - answerTrue; ABA Therapy
-this does not mean that ABA is totally accessible. Insurance may still only cover part of
it
Which is the best kind of therapy for children with autism? - answerEarly intensive
therapy. These cost more early on ($40-60K/yr) but, for many, this is now an insurance
benefit. They also cost less as the children grow up
AAP recommends screening for autism at 18 and 24 months - answerTrue
The Spectrum Disorder allows... - answerchildren to have individual symptoms, a
spectrum, if you will
Problems with DSM IV Dx - answer-separate dx were not consistently applied across
clinics and treatment centers
-services were recommended based on a classification of one of those 4 disorders, with
some (autism disorder) receiving more services than others (Asperger's)
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