Atypical attention, while not a diagnostic feature, is common in individuals with autism spectrum disorders (ASD). The study of these atypicalities has recently gained in both quantity and quality, due in part to an increased focus on attentional atypicalities as one of the earliest signs of ASD in infancy. A range of attentional processes and components have been investigated, and the methods used are varied, from Posner-type paradigms, to the more recent use of eye-movement recording and change-detection techniques. This methodological complexity is one factor in the production of conflicting evidence on the topic of attention in ASD. This review uses a focus on methodology to clarify the literature to date and provide a resource for researchers wishing to study attention in ASD. Other factors that have contributed to the current discrepancies in findings are discussed, particularly the role of individual and group differences within the population of people with ASD. AbstractAtypical attention, while not a diagnostic feature, is common in individuals with autism spectrum disorders (ASD). The study of these atypicalities has recently gained in both quantity and quality, due in part to an increased focus on attentional atypicalities as one of the earliest signs of ASD in infancy. A range of attentional processes and components have been investigated, and the methods used are varied, from Posner-type paradigms, to the more recent use of eye-movement recording and change-detection techniques. This methodological complexity is one factor in the production of conflicting evidence on the topic of attention in ASD. This review uses a focus on methodology to clarify the literature to date and provide a resource for researchers wishing to study attention in ASD. Other factors that have contributed to the current discrepancies in findings are discussed, particularly the role of individual and group differences within the population of people with ASD.

Reports of co-morbid symptoms of ADHD in children with ASD have increased. This research sought to identify ADHD-related behaviours in a sample of children with ASD, and their relationship with the ASD triad of impairments and related cognitive impairments. Children with ASD (n = 55) completed a comprehensive cognitive assessment whilst a semi-structured parental interview (3Di) provided information on ASD and ADHD symptoms. Co-morbid presentation of ADHD traits in these participants was associated with reports of more ASD related behaviours. Inhibitory control performance was directly related only to the ADHD symptom of impulsive behaviour. In contrast, while there was a relationship between social difficulties associated with ASD and theory of mind ability, there was no such relationship with behaviours relating to ADHD.

These findings support previous reports of heightened anxiety in children with ASDs, at least on parent-reported measures. Unaffected co-twins of children with ASDs also showed increased anxiety, generating questions about the potential etiological overlap between ASDs and anxiety. Progress in this area now depends on more refined anxiety measurement in ASDs and continued investigation of interrater differences.

Background: The behavioural symptoms of autism spectrum disorder (ASD) are thought to reflect underlying cognitive deficits/differences. The findings in the literature are somewhat mixed regarding the cognitive features of ASD. This study attempted to address this issue by investigating a range of cognitive deficits and the prevalence of multiple cognitive atypicalities in a large population-based sample comprising children with ASD, their unaffected co-twins, and typically developing comparison children. Methods: Participants included families from the Twins Early Development Study (TEDS) where one or both children met diagnostic criteria for ASD. Overall, 181 adolescents with a diagnosis of ASD and 73 unaffected co-twins were included, plus an additional 160 comparison control participants. An extensive cognitive battery was administered to measure IQ, central coherence, executive function, and theory of mind ability. Results: Differences between groups (ASD, co-twin, control) are reported on tasks assessing theory of mind, executive function, and central coherence. The ASD group performed atypically in significantly more cognitive tasks than the unaffected co-twin and control groups. Nearly a third of the ASD group presented with multiple cognitive atypicalities. Conclusions: Multiple cognitive atypicalities appear to be a characteristic, but not universal feature, of ASD. Further work is needed to investigate whether specific cognitive atypicalities, either alone or together, are related to specific behaviours characteristic of ASD.

Background: Mindfulness-Based Cognitive Therapy (MBCT) has been shown to be effective in preventing relapse of depression in adults, but has not previously been applied to adolescents who have residual symptoms of depression following treatment. Method: An 8-week MBCT group was adapted for adolescents, and evaluated using qualitative and quantitative measures. Results: Participants report high levels of satisfaction with the group intervention. Qualitative analysis of semi-structured interviews provides areas for future development of this intervention. Pilot data indicate reductions in depressive symptoms, alongside positive change in mindfulness skills, quality of life and rumination. Conclusions: Preliminary evidence for the use of MBCT with this group of adolescents is provided. Key Practitioner Message• It is known that the course of depression from childhood is characterized by relapse and continuity into adulthood.• There is a need to develop interventions that ameliorate the course of this disorder. • Mindfulness-based approaches have good evidence in adults in reducing symptoms of depression and in relapse reduction. They have also been seen to be acceptable to children and adolescents, though not yet with a clinically referred group of adolescents with symptoms of depression.• A group programme of MBCT for adolescents with symptoms of low mood is presented here. • This research demonstrates the feasibility of this approach.