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April 4, 2022

Naming Autism in the Right Context

Author Affiliations
  • 1Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California
  • 2Precision Psychiatry and Social Physiology laboratory, CHU Ste-Justine Research Center, Department of Psychiatry, Université de Montréal, Montreal, Québec, Canada
  • 3Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
JAMA Pediatr. 2022;176(7):633-634. doi:10.1001/jamapediatrics.2021.6036

What terms should we use when talking about autism? Autism is a group of neurodevelopmental conditions characterized by persistent challenges in social communication and interaction, and restricted, repetitive patterns of behavior, interests, or activities, and sensory sensitivities across multiple contexts.1 Currently, the reported prevalence of autism is 1.5% to 2% of the population, with a male to female ratio of 4 to 5 to 1, depending on the stringency of diagnostic criteria.1 Since the 1940s, when the condition was first named, the terms used to describe autism have focused on a deficits-based discussion based on clinical findings and phenomenology, instead of an inclusive framing of the experience of autism.

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Vitamin D deficiency in Autism
Jose Mansur, MD | Center of Endocrinology and Osteoporosis, La Plata, Argentina
Dear colleagues: autism is undoubtedly a syndrome with many causes, within which the genetic plays an important role. But for a few years intrauterine Vitamin D deficiency has emerged as an important risk factor. We have now published in Nutrients a review titled "Vitamin D: Before, during and after Pregnancy: Effect on Neonates and Children" where we present their story (boys from the Ugandan community in Sweden had almost 4 times more autism than Swedes, so being in an inappropriate latitude for the synthesis of Vitamin D), and the possible mechanisms that would explain this association. (https://www.mdpi.com/2072-6643/14/9/1900/htm). Dr Jose Luis Mansur
CONFLICT OF INTEREST: None Reported
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