Investigators ACE Current Studies Infants At Risk & Newly Diagnosed Toddlers Categorization in Children & Adults With Autism Emotion Processing Language/fMRI Associated Current Studies Diffusion Tensor Tracking Language Processing Visual Processing Cognitive Enhancement Therapy Facial Recognition Intervention

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ASSOCIATED CURRENT STUDIES

Diffusion Tensor Tracking of Connectivity Abnormalities in Autism


Nancy J. Minshew, MD; Thomas Conturo, PhD/MD;
Diane L. Williams, PhD; Susan Levy, MD

Nancy Lurie Marks Foundation

The neural basis of the cognitive and behavioral abnormalities is only beginning to be understood. Recent functional imaging studies (fMRI) in autism have revealed a reduction in functional connectivity across cortical brain regions involved in language, problem solving and social cognition; simple tasks showed normal connectivity. Structural brain studies have shown an increase in brain volume attributable largely to an increase in the outer white matter zone. This white matter connects immediately adjacent areas of cortex and makes longer distant connections between cortical regions within the same hemisphere. The corpus callosum, the major white matter pathway connecting the two hemispheres, is smaller in autism. Hence, connectivity has emerged as a key issue in the neurobiology of autism.


This research study will investigate white matter connections using a new method called diffusion tensor fiber tracking to map white matter pathways related to each of the major symptom areas of autism. The size, shape, and density of these pathways in high functioning autistic teens and adults will be compared to matched controls and behavioral indices. This research study will advance the understanding of connectivity in autism, pave the way for comparisons with functional connectivity, guide developmental neurobiologic studies, and provide an index for future cognitive rehabilitation strategies designed to enhance connectivity.
 

Neurocognitive Basis of Language Processing in Autism

 

Dr. Diane Williams, PhD, Duquesne University
Mentored Patient-Oriented Research Career Award (K23)


This research study will explore the neurobiologic basis of language processing in autism.  The objectives are to clarify the neurobiologic and neurodevelopmental mechanisms underlying language processing problems in developmental disabilities, particularly autism; to characterize the functional and anatomical brain systems underlying processing of complex linguistic concepts in high-functioning individuals with autism; and to illustrate the functional and anatomical brain systems underlying processing in this population.

The first research studies will examine the comprehension of ironic and metaphoric language and theory of mind in 30 older adolescents and adults with high-functioning autism. The data from the behavioral studies will be integrated with data from fMRI studies conducted under the direction of Dr. Just.  The hope is that clearer understanding of the underlying neural mechanisms will guide the development of more efficient and effective therapeutic intervention, affecting positive change in the linguistic processing and adaptive functioning of individuals with autism. 

 

The Development of Visual Processing in Autism

 

Dr. Kirsten O’Hearn, PhD, University of Pittsburgh

Mentored Research Scientist Development Award (K01)

 

Object recognition is an essential function of the human visual system.  People with autism may display atypical object recognition, especially with certain objects (e.g., animates, faces).  The studies define the developmental trajectory of object recognition, and explore how development is atypical in autism.  Recent evidence indicates that the structure and the function of occipitotemproal areas continues to mature through adolescence, suggesting that object recognition skills supported by these brain regions show prolonged maturation.  However, it is not yet clear what aspects of object recognition are maturing during this time.  

 

The present application proposes to:

1.       Identify components of object recognition that develop late

2.       Characterize changes in brain function related to this behavioral development

3.       Describe atypical object recognition skills in autism

 

Initial behavioral studies will test possible correlates of this late maturation on brain function, including improved recognition of individuals and a shift from relying on features to configural or holistic information.  A neuroimaging study will then examine the hypothesis that increased skill using configural information underlies late age-related changes in functional activation.  In addition to characterizing typical development, we will examine the deficits in object recognition in people with autism.

 

 

Piloting Cognitive Enhancement Therapy for Adults with Autism Spectrum Disorders


Dr. Shaun Eack, PhD, University of Pittsburgh

Pennsylvania Department of Health

 

In this research we propose to pilot Cognitive Enhancement Therapy (CET), a psychosocial educational and cognitive rehabilitation approach, for improving cognition in 20 adults with autism spectrum disorders (ASD). All 20 adults will receive CET,  and cognitive and behavioral measures will be employed to provide preliminary measures of the efficacy of this educational and cognitive training program.

 

Cognitive Enhancement Therapy for Young Adults with Autism Spectrum Disorders


Dr. Shaun Eack, PhD, University of Pittsburgh

National Institutes of Health


In this research we propose to examine the relative efficacy of Cognitive Enhancement Therapy (CET), a psychosocial cognitive rehabilitation approach, for improving cognition and brain function in 67 patients with autism-spectrum disorders (ASD). An initial pilot will be conducted with 12 patients to adapt the approach to individuals with ASD, and then a clinical trial with 55 patients will be conducted by randomizing individuals to receive CET or treatment as usual. Cognitive, behavioral, and neurobiological measures will be employed to measure relative efficacy of CET compared to treatment as usual on these domains.

Facial Recognition Intervention Study with Adolescents

Dr. Suzy Scherf, PhD, Carnegie Mellon University

Children with autism often have difficulty remembering people by their face as well as feel uncomfortable and anxious when looking at people's faces.  The goal of this project is to help adolescents with autism, between the ages of 10 and 15, improve their ability to remember and recognize faces without making them uncomfortable or anxious.

 

 
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