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Medicine Science

Autism Should Not Be Seen As Single Condition With One Cause, Say Scientists 150

Bruce66423 shares a report from The Guardian: Those diagnosed as small children typically have distinct genetic profile from those diagnosed later, [finds an international study based on genetic data from more than 45,000 autistic people in Europe and the U.S]. So, there's more than one condition out there that's being diagnosed as "autism." This, of course, messes with the debate about causes; one version of autism may be caused by something for which the evidence is very weak overall. "The term 'autism' likely describes multiple conditions," said Dr Varun Warrier, from Cambridge's department of psychiatry, senior author of the research. "For the first time, we have found that earlier and later diagnosed autism have different underlying biological and developmental profiles."

"It is a gradient," added Warrier. "There are also many other factors that contribute to age of diagnosis, so the moment you go from averages to anything that is applicable to an individual, it's false equivalency."

The analysis has been published in the journal Nature.
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Autism Should Not Be Seen As Single Condition With One Cause, Say Scientists

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  • by rsilvergun ( 571051 ) on Thursday October 02, 2025 @10:07PM (#65699878)
    It could be Tylenol or it could be vaccines or it could even be the dreaded ghey or maybe those dastardly drag queens!

    Jokes aside we really are still at the leeches stage when it comes to mental health. Assuming our civilization doesn't collapse and that is assuming a lot in 200 years they're going to look back and wince when they see how we handle mental health care.
    • Re:I mean sure (Score:5, Insightful)

      by ndsurvivor ( 891239 ) on Thursday October 02, 2025 @10:23PM (#65699902) Journal
      My take on reading the summary is that doctors should try to separate more classifications of "autism". Try to quantify different symptoms into different groups and classify it as different things. Then try to find causes, if any other than random DNA mutations. However, I feel very strongly that we should fund the greatest minds who go through Medical School, and trust their conclusions, and not a Politician who pulls shit out of his ass.
      • by Kokuyo ( 549451 )

        I wonder how they screened the data for people who developed autism later and that's why they were only diagnosed now and those who always had it and just nobody ever thought to check.

        I was born in 81 and got diagnosed only a few years ago but quite a few of the symptoms that made me want to get checked out reach back to childhood.

        In many cases, I am still finding examples from childhood which I now have a possible explanation for. So just because someone gets diagnosed does not mean he or she immediately c

        • I wonder how they screened the data for people who developed autism later and that's why they were only diagnosed now and those who always had it and just nobody ever thought to check.
          I was born in 81 and got diagnosed only a few years ago but quite a few of the symptoms that made me want to get checked out reach back to childhood.

          I think the problem here is "developed autism later".

          You are born with autism. It is not always obvious, and the symptoms may only become more apparent later in life, but you don't "get autism" later in life. This is an interesting problem especially for women, become women are often TAUGHT social cues, and thus mask/hide a lot of the signs that male autistic kids show earlier.

          I'm not autistic, but I am ADHD. Diagnosed at 38. It was 100% always there, but the doctors i went to didn't know the clues

      • My take on reading the summary is that doctors should try to separate more classifications of "autism".

        I feel there are a lot of diseases like that, such as Alzheimer's. Why do we assume two people with the same symptoms have the same disease? They could be totally different diseases that present the same way.

    • It could be Tylenol or it could be vaccines or it could even be the dreaded ghey or maybe those dastardly drag queens!

      I'm gonna channel my inner Citizen Kane and say "Epppsteeeein."

    • It could be Tylenol or it could be vaccines or it could even be the dreaded ghey or maybe those dastardly drag queens! Jokes aside we really are still at the leeches stage when it comes to mental health. Assuming our civilization doesn't collapse and that is assuming a lot in 200 years they're going to look back and wince when they see how we handle mental health care.

      The leeches stage of mental health? No. The leeches stage of medicine was at least the on the cusp of, "Let's do some shit and see if it helps." Right now the vast majority of mental health advice is, "Buck up, fucko. It can't be that bad." We're basically at the point where tribes would leave someone out to die if they broke a leg because they didn't want the debilitated person to slow the tribe down in its migration when it comes to mental health. In some specific cases we're sorta trying things, but it's

    • by gweihir ( 88907 )

      That nicely sums it up. I mean, we even have people that think mental health issues are not real. I know somebody like that. Until he got problems himself so strong as to be completely unable to work.

  • by Alain Williams ( 2972 ) <addw@phcomp.co.uk> on Thursday October 02, 2025 @11:01PM (#65699966) Homepage

    Just asking for a friend.

  • by PPH ( 736903 ) on Thursday October 02, 2025 @11:07PM (#65699974)

    So, is Asperger's Syndrome back in?

    • I think people with Asperger's syndrome are funny, and think they should be accepted and welcomed into the workforce. They seem to be very great at a small set of skills, and that should be harnessed and rewarded.
    • by sg_oneill ( 159032 ) on Thursday October 02, 2025 @11:51PM (#65700012)

      Aspergers was never really considered a separate condition in the biological sense, rather it was just a classification intended to separate profound and non profound cases (Ie people with significant disability vs the "awkward and likes trains" people). But no thats not whats being suggested here, rather that there might be whole separate conditions with the same or similar symptoms but different underlying biology.

      I strongly suspect theres something similar going on with ADHD, and its almost certain its the case with schizophrenia.

      • Just observations here from knowing several ADHDs and several schizophrenics. Knowing the people well over many years and their families ... It appears to me that schizophrenia is heritable. I.e. probably a recessive gene... definitely seems to run through the family tree... it seems to express in teenage years but the children don't have obvious signs.

        I wonder about ADHD. Fwict, the condition expresses in childhood, it's usually pretty obvious .. but I can't make any further observations about hertabilty.
    • by keltor ( 99721 ) *
      This isn't about high functioning vs low functioning (which is really all Asperger's was. We realized that there were people who were able to mostly go about normal lives sometimes had the SAME executive function disorder as these people who in some cases are near catatonic - that's all Asperger's Syndrome was, HF autism.

      Separate but equally, there actually seems to be different types of autism entirely - even among high functioning ASD people, you can see wildly different effects (some of which is coping
  • Scientists on the spectrum

    It is more accurate to claim Autism causes Vaccines [smbc-comics.com]

    • by gweihir ( 88907 )

      You joke, but there is indications that Autism causes taking of Tylenol (in the mother while pregnant). And THAT is why anybody that does not understand the difference between correlation and causation should never make scientific statements.

  • by rufey ( 683902 ) on Friday October 03, 2025 @02:16AM (#65700174)

    Maybe that is why with the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-5), Autism was re-labeled as Autism Spectrum Disorder. Emphasis on Spectrum. It isn't just one thing. Not sure why this is news today. Its been this way since at least 2013 when DSM-5 came out.

    It encompasses what used to be Aspergers and Pervasive Development Disorder Not Otherwise Specified.

    I have higher functioning ASD and have two sons who have ASD - one mild and the other one more severe. While all three of us have some behaviors in common, we are also very different. I also have a sister who has Aspergers (now part of the ASD umbrella).

    There are also several people in my neighborhood who have ASD, and they are all different from each other. There isn't a single definition of ASD that would describe all of us in our neighborhood. And it is very unlikely there is a single cause for the entire spectrum. Its a whole spectrum of things that are similar enough that they were put under an umbrella called Autism Spectrum Disorder.

    Kinda like coming up with something like "broken bone spectrum disorder" where it encompasses all broken bones (arms, femurs, etc...) where although they are all similar in that all things in the spectrum requires a bone to be broken, how they got broken, where the bone is located, and how its treated can vary widely.

    • by rufey ( 683902 )

      The DSM-5 manual specifically states the following, which is where the rollup of Aspergers and PDD NOS into Autisim Spectrum Disorder comes from. Again this is from 2013, so its been this way for 12 years.

      "Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Individuals who have marked deficits in social communication, but whose sympto

    • by Hentes ( 2461350 )

      Once the definition have been stretched to the point that it could be used for completely disjoint sets of symptoms it became useless. "Autistic" is just the new "quirky".

    • What moral rights did you have to infect your children with your bad genes? Severely limiting their lives? You should pay damages and compensation to them.

  • ...autism is just autism. It's just that so many people try to get onto the bandwagon of autism and being included in the neurodivergent population these days that their unrelated conditions got associated with autism for popular rather than factual reasons.

    • by jd ( 1658 )

      Autism is definitely a complex phenomenon. The number of people diagnosed today in the US is about the same as was being diagnosed in Europe 25 years ago, so no, I don't think anyone is jumping onto bandwagons, it's just Americans are being less stupid.

  • There are 1500 genes associated with autism and nobody has them all. This gives us 2^1500 different forms of the condition. So, yeah, more than one.

  • It's like cancer, or common cold, in a sense that we talk about possibly hundreds or thousands of different conditions as if it was one.

  • I have (a diagnosis of) autism (aka Aspergers) and a diagnosis of Bipolar.

    I often say it is better to say "Alice has an autism" and "Alice has a Bipolar Disorder", with the indefinite article. If "Alice has autism" and "Bob has autism", then it does not follow that "Alice and Bob have the same autism". Same with every psychiatric diagnostic label. If "Alice has a manic episode in 2005" and "Alice has a manic episode in 2006", then it isn't the that "Alice had two of the same thing". That is, Alice's second

  • Stacking on more and more variations of autism. Little apparent idea on origins. Not apparently too much idea as to what is happening in the body. Not a whole lot ideas on what to do about it... except maybe some drugs.

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