Plenary 2 - Clinical Perspective
Towards Aberrant Behaviour among Children with Autism
Spectrum Disorder
Aberrant behavior in Children with Autism Spectrum Disorder: Common or Uncommon?
Tjhin Wiguna
Indonesia
Aberrant behavior in Children with Autism Spectrum Disorder: Common or Uncommon?
Tjhin Wiguna
Indonesia
Autism
spectrum disorder (ASD) is a neurodevelopmental disorder that shows social interaction
difficulties, communication troubles both verbal and non-verbally, and an
inclination to appoint in repetitive and stereotypic behaviors. Meanwhile,
aberrant behavior is defined as a single or multiple act of unplanned or
thought-less illicit behavior; several behaviors such as irritability,
agitation, excessive crying, laziness, social withdrawal, stereotypic behavior,
hyperactivity, non compliance and inappropriate speech are categorized as
aberrant behavior in the aberrant behavior checklist. An animal (mice) model of
ASD by Karayannis et al. (2014) showed a dysfunction of the mesolimbic dopamine
system following a gene mutation that is deleting of the contact in associated
protein-like 4 (Cntnap4 or also known as Caspr4); Cntnap4 is a
trans membrane protein that belongs to the neurexin superfamily of cell
adhesion molecules, which interact with presynaptic proteins involved in
neurotransmitter release. This gene mutation causes excessive release of
dopamine in the nucleus accumbens but substantiality decreases the GABA in the
cortical interneuron. Consequently, the mice in this animal model study showed
a sign of aberrant behaviors that is alike with aberrant behavior in children
with ASD. This study also revealed that aberrant behavior symptoms were reduced
after treating with the dopamine D2 receptor antagonist. Another study showed
an indication of excessive levels of the glutamic acid (excitatory
neurotransmitter) among individuals with autism spectrum disorder that is
caused by the disrupted metabolic pathway. The excessive levels of glutamic
acid cause neurons firing excessively and triggered the autism and cognitive
symptoms and also aberrant behaviors. To be concluded, aberrant behaviors are
usually congregated in children with autism spectrum disorder.
Keywords: ASD, aberrant behavior, autism,
dopamine, glutamic acid
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