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Background: Social perception skills, such as understanding the mind and emotions of others, affect children's communication abilities in real-life situations. In addition to autism spectrum disorder (ASD), there is increasing knowledge that children with specific language impairment (SLI) also demonstrate difficulties in their social perception abilities. Aims: To compare the performance of children with SLI, ASD and typical development (TD) in social perception tasks measuring Theory of Mind (ToM) and emotion recognition. In addition, to evaluate the association between social perception tasks and language tests measuring word-finding abilities, knowledge of grammatical morphology and verbal working memory. Method & Procedures: Children with SLI (n = 18), ASD (n = 14) and TD (n = 25) completed two NEPSY-II subtests measuring social perception abilities: (1) Affect Recognition and (2) ToM (includes Verbal and non-verbal Contextual tasks). In addition, children's word-finding abilities were measured with the TWF-2, grammatical morphology by using the Grammatical Closure subtest of ITPA, and verbal working memory by using subtests of Sentence Repetition or Word List Interference (chosen according the child's age) of the NEPSY-II. Outcomes & Results: Children with ASD scored significantly lower than children with SLI or TD on the NEPSY-II Affect Recognition subtest. Both SLI and ASD groups scored significantly lower than TD children on Verbal tasks of the ToM subtest of NEPSY-II. However, there were no significant group differences on non-verbal Contextual tasks of the ToM subtest of the NEPSY-II. Verbal tasks of the ToM subtest were correlated with the Grammatical Closure subtest and TWF-2 in children with SLI. In children with ASD correlation between TWF-2 and ToM: Verbal tasks was moderate, almost achieving statistical significance, but no other correlations were found. Conclusions & Implications: Both SLI and ASD groups showed difficulties in tasks measuring verbal ToM but differences were not found in tasks measuring non-verbal Contextual ToM. The association between Verbal ToM tasks and language tests was stronger in children with SLI than in children with ASD. There is a need for further studies in order to understand interaction between different areas of language and cognitive development.

We evaluated social anxiety (SA) symptoms in parents of children with autism spectrum disorders (ASDs; N = 131) and community parents (N = 597) using the Social Phobia and Anxiety Inventory (SPAI). SA was significantly more common in ASD than control mothers (15.6 vs. 6.7 %) and more equal between the ASD and control fathers (3.3 vs. 4.8 %). The ASD mothers scored significantly higher than control mothers on all SPAI scales. ASD fathers scored significantly higher than control fathers on the somatic, cognitive, avoidance and agoraphobic symptoms of SA. It is of clinical import to support ASD parents' well-being as their psychiatric features may contribute greatly to their children's emotional development and the well-being of the whole family.

In this follow-up study, we evaluated children's communication development at the ages of 8 ("n" = 50), 18 ("n" = 46), 24 ("n" = 44) and 36 months ("n" = 36) using the Finnish version of the "MacArthur Communicative Developmental Inventories" (MCDI). A sample of children ("n" = 14) received family-based intervention 10 times in five months and mother-infant relationship was examined using the "Parent-Child Early Relational Assessment" (PC-ERA) before (at the age of 9-12 months) and after (at the age of 15-18 months) the intervention. The infants' communication skills developed from the use of few words and signs of understanding to that of longer sentences and better grammar during the study period. Specifically, girls scored higher than the boys on the 24-month MCDI. Eight-month-old infants with siblings in the family were more competent than those without siblings, measured using the PC-ERA "infant" variables. However, there were no significant differences in the MCDI or PC-ERA scores between children with and without intervention. (Contains 3 tables and 2 figures.)

We assessed the validity and determined cut-off scores for the Finnish Autism Spectrum Screening Questionnaire (ASSQ). A population sample of 8-year-old children (n = 4,408) was rated via the ASSQ by parents and/or teachers, and a subgroup of 104 children was examined via structured interview, semi-structured observation, IQ measurement, school observation, and medical records. Autism spectrum disorders (ASDs) were diagnosed following DSM-IV-TR criteria. A search for hospital-registered ASDs was performed. For Finnish higher-functioning primary school-aged, 7- to 12-year-olds, the optimal cut-off score was 30 in clinical settings and 28 in total population screening using summed ASSQ scores of parents' and teachers' ratings. Determining appropriate cut-off scores in ASD screening in different languages and in different cultures is of utmost importance.

Developmental needs should be assessed in early infancy and followed longitudinally to improve identification, prevention and intervention efforts.The objective was to examine the relationship between competencies and areas of need in toddlers' development, and to describe the properties and utility of the Brief Infant Toddler Social-Emotional Assessment (BITSEA) in a pilot study in Northern Finland. Parents (N = 50) evaluated toddler development at 18 and 36 months. Assessments included the BITSEA, the Child Behavior Checklist and the MacArthur Communicative Development Inventories. Lower communicative skills were associated with an increase in toddler behavioural problems. Social-emotional competence (S-EC) was associated with better communication development. Parents reporting enhanced communication skills and S-EC in their toddlers also reported fewer behavioural problems in their young children; however, further research employing the BITSEA in a larger and heterogeneous sample of Finnish children is needed to determine appropriate cut-off scores and reliability especially for the unique subscales of BITSEA. (Contains 2 tables and 2 figures.)

Children with Autism Spectrum Disorders (ASDs) have reported to have impairments in face, recognition and face memory, but intact object recognition and object memory. Potential abnormalities, in these fields at the family level of high-functioning children with ASD remains understudied despite, the ever-mounting evidence that ASDs are genetic and highly heritable disorders. Recent studies indicate also that face perception is heritability ability, thus impairments in facial memory may be, inherited from parents with or without ASD symptoms. We studied 45 high-functioning children with, ASD (M = 11.5 years) and 26 of their parents as well as 70 control community children (M = 12.4 years), and 73 of their parents. Three subtests of the Developmental Neuropsychological Evaluation (NEPSY), were administered. Results indicate that younger children with ASD (less than 11.9 years old) had poorer, facial memory than their control counterparts and that the facial memory improves with age in, children with ASD. Adolescents with ASD (greater than 11.9 years) performed better than their community, counterparts in visual object recognition. Parents of children with ASD share weakness in facial, memory ability and strength in visual object recognition with their children. Thus, families with, HFA/AS may benefit interventions of social cognition and attentional strategy. (Contains 3 tables and 2 figures.)

Background. Previous studies investigating neuropsychological functioning of children with autism spectrum disorder (ASD) have only analysed certain abilities, such as executive functions or language. While comprehensive assessment of the neuropsychological profile of children with ASD has been the focus of recent research, most of the published evidence originates from single centres. Though studies on differences in neuropsychological features of children with ASD across countries are essential for identifying different phenotypes of ASD, such studies have not been conducted. Objective. Our goal was to assess the neuropsychological abilities of children with ASD in northern Finland and Egypt and to examine the effect of age and intelligence quotient (IQ) on these abilities. Design. Selected verbal and non-verbal subtests of the neuropsychological assessment NEPSY were used to examine 88 children with ASD in northern Finland (n =54, age M =11.2, IQ M =117.1) and Egypt (n =34, age M =8.4, IQ M =96.6). Results. Finnish ASD children scored significantly higher than their Egyptian counterparts on the verbal NEPSY subtests Comprehension of Instructions (p B0.001), Comprehension of Sentence Structure (p B0.01), Narrative Memory (p B0.001) and Verbal Fluency (p B0.05) and on the non-verbal NEPSY subtest Design Fluency (p B0.01). Finnish and Egyptian ASD children did not differ on the subtests Memory for Faces, Object Recognition and Object Memory. In addition, we found that age and verbal IQ can have significant influence on neuropsychological performance. Conclusions. Our results suggest a possible cultural impact on verbal and visuomotor fluency. However, the ability to recognize and memorize objects and the disability to remember faces appear to be typical for ASD and culturally independent. [ABSTRACT FROM AUTHOR]

This study aimed to determine the relative contribution of anxiety, depression, and difficulties in emotional regulation (DER) on emotional sensitivity (ES) among mothers of autistic children. Methods: Ninety-one mothers (Mean age= 36.4 years, SD = 6.95) participated in this study. GAD-7, HDRS-17, and emotional sensitivity scales were applied in this study. DER was measured with difficulties of emotion regulation scale. Results: Findings indicated that mothers of autistic children exhibit high anxiety, depression, DER, and ES levels. These findings provide evidence of a unique association between ES and anxiety and depression. Findings highlighted that ES is directly related to anxiety and depression, while DER had no influence on ES among these mothers. Conclusions: The findings advance our understanding of how ES is influenced by the most prevalent emotional problems (anxiety and depression) among mothers of autistic children. The results were clear about the unique role of depression and anxiety in predicting the risk for ES. These findings highlight the importance of screening for anxiety and depression in autistic children's mothers to avoid elevated levels of ES and potentially to protect the mother's psychological well-being. [ABSTRACT FROM AUTHOR]

We aimed to investigate the characteristics of internet use in a clinical sample of 60 young subjects with Asperger Syndrome (AS) and its relationship with parental control and psychiatric comorbidity. Of the participants, 38.3% were classified as having problematic internet use (PIU). Subjects with normal internet use (NIU), compared to the subjects with PIU, had significantly higher scores on parental control scale. While there was no significant difference in terms of any comorbid diagnoses between subjects with NIU versus PIU, severity of depressive symptoms was found to predict higher scores on Young Internet Addiction Scale (YIAS). In conclusion, PIU may be common in AS and may be associated with internalizing problems, while parental control may protect against it. [ABSTRACT FROM AUTHOR]

Empirical investigations of trauma and post-traumatic stress disorder (PTSD) in individuals with autism spectrum disorder (ASD) are lacking despite indications of increased risk for exposure to potentially traumatic events in this population. Research on the treatment of traumatic stress psychopathology in ASD is even more limited and suggests a critical need for guidance in the area of ASD-specific treatment adaptations. The current paper provides preliminary recommendations for adapting current evidenced-based, trauma-specific interventions, specifically trauma-focused cognitive behavioral therapy (TF-CBT), for individuals with ASD based on well-established and evidence-based practices for working with this population. These adaptations highlight the need to incorporate treatment goals related to ASD core symptoms and associated characteristics during treatment targeting traumatic stress symptoms. Future directions are discussed, including the development of instruments measuring trauma reactions in ASD, empirical investigations of modified trauma interventions for children with ASD to evaluate effectiveness, and collaboration between professionals specializing in ASD and trauma/PTSD to advance research and facilitate effective care for this community. [ABSTRACT FROM AUTHOR]

An author index for the 2011 issue of the publication "European Child & Adolescent Psychiatry" is presented.