Harnessing ABA Therapy for Developing Children's Social Skills
Understanding Emotional Regulation in Autism
Emotional regulation (ER) is vital for children's overall development but poses unique challenges for individuals with Autism Spectrum Disorder (ASD). These challenges often result in emotional outbursts or self-injury, impacting social and learning experiences. Applied Behavior Analysis (ABA) therapy offers structured strategies to aid emotional regulation in children with autism, addressing these hurdles through tailored interventions aimed at developing adaptive coping mechanisms and enhancing emotional understanding.
The Significance of Emotional Regulation
Why is emotional regulation important for children with autism?
Emotional regulation (ER) is crucial for children with autism because it directly influences their behavior and social development. Difficulties in managing intense emotional responses can lead to behaviors such as tantrums, aggression, and even self-injury. These behaviors often stem from neurobiological differences inherent in ASD, such as atypical connections between the amygdala—the brain’s emotion center—and the prefrontal cortex, which is responsible for decision-making and self-control.
Children with ASD frequently face challenges related to emotional awareness and communication. They may struggle to recognize their own feelings or articulate them effectively, making it harder to cope with emotional stress. Characteristics like language impairments and deficits in theory of mind further complicate their ability to understand and regulate emotions.
Supporting ER is vital because it helps reduce behavioral problems and supports better social interactions. Interventions like visual supports, social stories, and calming strategies assist children in identifying their feelings and adopting appropriate responses. For example, visual aids such as feelings charts or color-coded systems (green, yellow, red) help children recognize and label their emotions more accurately.
Developing robust ER skills fosters independence, improves peer relationships, and enhances mental health. Children who can manage their emotions are more likely to succeed in school, build positive social experiences, and navigate daily challenges effectively.
In sum, emotional regulation isn’t just about managing feelings—it's a foundational skill that impacts all areas of life for children with autism. Focused support can make a meaningful difference in their behavioral outcomes and overall well-being.
How ABA Therapy Facilitates Emotional Understanding
How does ABA therapy support emotional regulation in children with autism?
Applied Behavior Analysis (ABA) therapy plays a significant role in helping children with autism develop better emotional regulation skills. Its structured approach utilizes evidence-based strategies tailored specifically to each child's needs.
A core element of ABA involves teaching children to recognize and understand their emotions through visual aids, labels, and simplified language. Visual systems like feelings charts or color-coded scales (such as green for calm, yellow for alert, and red for upset) make abstract emotional states more tangible and comprehensible. Labeling feelings enhances emotional awareness and vocabulary, allowing children to better identify what they are experiencing.
In addition to recognition, ABA emphasizes developing practical coping mechanisms. Techniques such as deep breathing, counting, or sensory-based calming strategies help children manage overwhelming emotions. These tools are often practiced through role-playing and modeling, enabling children to rehearse appropriate responses in various scenarios.
Positive reinforcement is a cornerstone of ABA, encouraging children to use their emotional regulation skills consistently. By rewarding calm behavior and successful regulation attempts, children are motivated to apply what they learn. Over time, this practice promotes greater independence in managing emotions.
Furthermore, ABA therapy integrates proactive strategies to prevent triggers and reduce the likelihood of emotional outbursts. Collecting data on emotional responses allows therapists and caregivers to tailor interventions effectively, ensuring continual progress.
In summary, ABA supports emotional regulation by combining visual aids and labeling techniques with behavioral strategies and reinforcement. These integrated methods help children with autism recognize, understand, and manage their emotions better, fostering improved social interactions and overall well-being.
Tailored Interventions in ABA Therapy
What are the key strategies in ABA therapy that promote emotional regulation?
Applied Behavior Analysis (ABA) therapy is a structured approach that helps children with autism develop better emotional regulation skills. One of the cornerstones of this method is using individualized strategies tailored to each child's unique needs.
A primary technique involves teaching children to recognize and identify their emotions using visual supports. These tools include emotion charts and color-coded zones—green for calm, yellow for alert, and red for upset—that help children visually connect with their feelings. This visual labeling enhances emotional awareness and vocabulary, making it easier for children to understand their emotional states.
Modeling calm and appropriate behaviors is another important strategy. Therapists demonstrate how to respond to strong emotions in a controlled manner, providing a clear example for children to imitate. Role-playing scenarios are used to practice these responses in a safe environment, allowing children to rehearse coping mechanisms like deep breathing, counting, or seeking help when needed.
Behavioral skills training, which combines instruction, rehearsal, and feedback, supports the learning process. Children are guided step-by-step through new skills, with positive reinforcement used to encourage their use. Praise, tokens, or other rewards motivate children to apply regulation strategies, reinforcing their sense of achievement.
Another critical element is careful data collection. Therapists perform baseline assessments and continuously monitor progress to evaluate the effectiveness of interventions. This data guides the customization of strategies, ensuring they are appropriate for each child's developmental level and specific challenges.
Most importantly, generalization is emphasized. Strategies are practiced across different environments and with various people so that children can apply their emotional regulation skills broadly, not just within therapy sessions.
In summary, ABA therapy employs a combination of visual aids, modeling, structured practice, positive reinforcement, and data-driven customization to promote emotional regulation. These tailored interventions support children in understanding, managing, and responding to their emotions more effectively, leading to improved social interactions and overall well-being.
ABA's Practical Techniques for Emotional Regulation
What practical techniques in ABA can enhance emotional regulation in autistic children?
Applied Behavior Analysis (ABA) offers a variety of strategies to help children with autism improve their emotional regulation skills. Central to these approaches are visual supports, which simplify understanding and identifying emotions. Visual aids such as social stories, emotion charts, and color-coded systems (green for calm, yellow for alert, red for distress) make abstract feelings more concrete, enabling children to recognize and label their emotions accurately.
In addition to visual supports, teaching coping strategies is fundamental. Techniques like deep breathing exercises, requesting a break, or engaging in calming activities are introduced through task analysis, where each step is broken down into manageable parts. Reinforcement, whether through praise or tokens, encourages children to practice these strategies, gradually building independence in managing feelings.
Role-playing scenarios form another effective method. These involve practicing emotional responses in simulated situations, helping children learn appropriate behaviors in a safe, controlled environment. Modeling calm responses and using social stories to visualize successful emotion regulation further reinforce learning.
Behavior skills training involves explicitly teaching children how to respond when they experience emotional triggers. Reinforcing positive, adaptive responses encourages continued effort and resilience. To ensure these techniques are meaningful across different contexts—such as home and school—ABA emphasizes the importance of naturalistic teaching and caregiver involvement.
Finally, functional assessments play a crucial role. By identifying specific triggers and maintaining detailed data collection, practitioners can tailor interventions to each child's needs, optimizing teaching strategies for long-term emotional growth.
Technique | Description | Benefit |
---|---|---|
Visual supports | Use of social stories, charts, color codes | Recognizes and labels feelings easily |
Coping strategies | Deep breathing, requesting breaks, calming activities | Builds self-regulation skills |
Role-playing and modeling | Practicing scenarios, demonstrating responses | Reinforces appropriate reactions |
Function-based assessments | Identifies triggers, guides customized interventions | Ensures targeted and effective support |
Data collection and reinforcement | Tracks progress, encourages positive behavior | Supports continual improvement |
Overall, ABA provides a structured, evidence-informed framework that can significantly improve emotional regulation among children with autism. Combining visual aids, teaching coping mechanisms, and ongoing assessment fosters better emotional understanding and resilience, leading to improved social interactions and adaptive behaviors.
Addressing Sensory Sensitivities Through ABA
How does ABA therapy address emotional challenges and sensory sensitivities in autistic children?
Applied Behavior Analysis (ABA) is a well-established approach for supporting children with autism spectrum disorder (ASD), especially in managing emotional and sensory-related difficulties. ABA therapy develops personalized behavior strategies that target both emotional regulation and sensory sensitivities.
One of the core components involves integrating sensory techniques to help children process input more effectively. This can include sensory diets, which are customized activities designed to provide the right amount of sensory stimulation to help children stay calm and focused. Desensitization sessions gradually expose children to sensory experiences that trigger discomfort, helping them build tolerance over time.
Sensory breaks are incorporated into daily routines. During these breaks, children engage in activities or use sensory tools—such as weighted blankets, fidget toys, or noise-canceling headphones—to decrease overwhelm and improve emotional stability.
Visual supports play a crucial role. Visual schedules and social stories outline routines and expected responses, reducing anxiety associated with unpredictability. These tools, combined with positive reinforcement, encourage children to use coping strategies when faced with sensory overload or emotional stress.
ABA also emphasizes collaboration with occupational therapists and family members to ensure consistency across environments. Data collection and progress monitoring allow therapists to adjust approaches based on individual responses.
Through these targeted techniques, ABA helps children develop essential skills for emotional regulation, better manage sensory challenges, and ultimately improve their ability to navigate social situations and daily life with increased resilience.
Scientific Foundations of ABA's Efficacy
Applied Behavior Analysis (ABA) is widely recognized as an evidence-based intervention for children with Autism Spectrum Disorder (ASD), especially in improving emotional regulation (ER). Scientific studies consistently show that ABA employs proven principles of behavior analysis, such as reinforcement, prompting, and task analysis, to teach and strengthen adaptive emotional responses.
One of the strengths of ABA is its systematic approach to identifying emotional triggers and developing tailored interventions. This precision allows practitioners to address specific ER challenges, such as tantrums or aggression, by teaching children new coping skills and self-management techniques.
Research indicates that ABA is effective in fostering skill generalization, meaning children can apply learned emotional regulation strategies across various settings and situations. Therapists often incorporate reinforcement to encourage consistent use of these skills, supporting lasting behavioral change.
Moreover, ABA programs emphasize positive reinforcement, which helps motivate children to practice and internalize appropriate emotional responses. This focus on reinforcement and skill-building results in more stable improvements in ER that extend beyond therapy sessions.
Many studies have validated ABA's efficacy specifically for emotional regulation in children with ASD, making it a foundational element in intervention plans. Its adaptability and evidence-based framework have contributed to its popularity and success in supporting children to develop better coping mechanisms.
In summary, scientific research provides strong support for ABA, showing it not only improves ER directly but also enhances broader social and communication skills crucial for development.
For further exploration, searching with the term "scientific insights on ABA effectiveness" can yield detailed studies and reviews confirming these findings.
Understanding Emotional Dysregulation in ASD
What causes emotional dysregulation in children with autism?
Children with autism spectrum disorder (ASD) often experience significant challenges in emotional regulation, which can manifest as tantrums, aggression, self-injury, and uncontrollable outbursts. This emotional dysregulation stems from a complex interplay of neurobiological, cognitive, and genetic factors.
Neurobiologically, differences in brain circuitry are central to these difficulties. Variations in neural networks involving regions like the amygdala, which processes emotions, and the prefrontal cortex, responsible for executive functioning and self-control, impair the child's ability to effectively monitor, understand, and respond to emotional stimuli. These neural differences result in atypical emotional responses and reduced capacity to manage emotional arousal.
Cognitively, autism-related characteristics further interfere with emotion regulation. Difficulties in theory of mind—the ability to understand others' mental states—can hinder recognizing social cues and emotional signals. Many children with ASD also experience alexithymia, a condition characterized by trouble identifying and describing their own feelings, and language impairments that limit their ability to communicate emotions.
Genetically, traits associated with autism suggest an inherited predisposition toward emotional regulation problems. High rates of mood and anxiety disorders are observed not only in individuals with ASD but also among their family members. This broader autism phenotype indicates a genetic contribution to the challenges in managing emotions.
In summary, emotional dysregulation in children with ASD is primarily driven by neurobiological differences affecting brain circuits involved in emotion processing, compounded by cognitive deficits related to social understanding and communication, with a significant genetic component influencing these traits.
The Role of Visual Cues in ABA Therapy
Use of visual aids
Visual cues are essential tools in ABA therapy for children with autism. They include utilize materials such as feelings charts, color-coded systems (like green, yellow, and red zones), and visuals that depict different emotions. These aids serve as concrete references that help children visually recognize and connect with their emotional states. This approach makes abstract feelings more tangible and understandable, facilitating smoother emotional regulation.
Feelings charts and color codes act as prompts to allow children to identify their current mood or emotional response quickly. For example, a child might use a red zone to indicate anger or frustration, which then triggers a specific calming strategy taught during therapy sessions.
Enhanced emotional vocabulary
Visual cues also contribute to building emotional vocabulary. By pairing visual images with emotion labels, children learn to name and describe their feelings more accurately. This labeling process boosts their emotional awareness and helps them articulate what they are experiencing.
Teaching these labels in combination with visual aids promotes better self-understanding and encourages the development of strategies to manage emotions effectively. As children grow more comfortable recognizing and naming their feelings, they become better equipped to respond appropriately in various social situations.
How do visual cues aid in emotional regulation for children with autism?
Visual cues play a pivotal role in aiding emotional regulation for children with autism. These include emotion charts, color-coded systems, and feelings charts which help children identify and recognize their emotional states visually. Such methods enhance emotional awareness and vocabulary which contributes to self-regulation. They help children better understand their feelings and the appropriate responses, ensuring clarity in emotional identification and management.
By providing a clear and consistent visual language for emotions, children can develop independent strategies for managing their feelings. Visual cues foster a supportive environment where kids learn to pause, recognize their emotional triggers, and choose suitable coping mechanisms, leading to improved behavior and social interactions.
Integrating visual aids into therapy and daily routines enables children with autism to navigate their emotional worlds more confidently. Over time, these tools help internalize regulation skills, promoting greater independence in managing feelings across different contexts.
Modeling and Reinforcement Techniques in ABA
Why is modeling important in ABA therapy for emotional regulation?
Modeling plays a crucial role in Applied Behavior Analysis (ABA) therapy, especially when working to improve emotional regulation skills in children with autism spectrum disorder (ASD). It provides a visual and experiential learning opportunity where children observe specific behaviors and responses demonstrated by therapists or peers in a controlled setting.
Through modeling, children witness appropriate ways to recognize and manage their emotions, such as calming techniques or seeking help. This visual exposure helps them understand what adaptive emotional responses look like, bridging gaps caused by challenges like language impairments or deficits in theory of mind.
Once the child observes the modeled behavior, the next step involves behavioral rehearsal, often through role-playing scenarios. This step allows the child to practice their new skills in a safe environment, reinforcing their learning. Positive reinforcement—praise or rewards—encourages children to repeat these appropriate responses, gradually building their confidence and independence in managing emotions.
How do role-playing scenarios facilitate emotional regulation?
Role-playing offers a structured way for children to apply what they've learned during modeling. For example, a therapist might simulate a situation that could provoke frustration or anxiety, guiding the child to use techniques like deep breathing or asking for a break. Repeated practice through role-play helps transfer these skills from the therapy setting to real-world contexts.
This method also helps children anticipate emotional triggers and practice responses, reducing anxiety about unfamiliar situations. Furthermore, it provides opportunities for feedback and refinement of strategies, making interventions more effective.
Techniques used in ABA for emotional regulation
Technique | Description | Purpose |
---|---|---|
Modeling | Demonstrating calm behaviors and coping strategies | To expose children to appropriate emotional responses |
Role-playing | Acting out scenarios to practice regulation skills | To reinforce learned behaviors and prepare for real-life situations |
Positive reinforcement | Providing praise or rewards for successful regulation | To motivate children and encourage skill retention |
Data collection | Recording behaviors during practice | To assess progress and adapt interventions |
Additional considerations
Gradually increasing the complexity of scenarios helps generalize emotional regulation skills across different settings. Collecting ongoing data on children’s responses allows therapists to tailor strategies specific to each child's needs.
Overall, incorporating modeling and behavioral rehearsal within ABA therapy provides a structured, supportive pathway for children with ASD to develop essential emotional regulation skills, fostering greater independence and improved social interactions.
Challenges in Assessing Emotional Regulation
What are the challenges in assessing emotional regulation in children with autism?
Assessing emotional regulation (ER) in children with autism spectrum disorder (ASD) is a complex task that involves multiple hurdles. One of the primary difficulties is the limitations associated with traditional self-report measures.
Many children with ASD have expressive language impairments, which can hinder their ability to accurately describe or report their emotional experiences. As a result, self-report questionnaires such as the Difficulties in Emotion Regulation Scale (DERS), Emotion Regulation Questionnaire (ERQ), or Responses to Stress Questionnaire (RSQ) might not fully capture the child's emotional state or dysregulation episodes.
To overcome these limitations, clinicians and researchers advocate for observational approaches. These involve closely monitoring and coding behaviors during naturalistic or structured settings to identify signs of emotional dysregulation. Such methods provide richer, real-time insights into how children manage their emotions.
In addition, tailored tools specifically designed for children with autism have proven valuable. The Incredible Five Point Scale, a visual system that uses color coding and facial expressions, helps children and caregivers identify and communicate emotions effectively.
More recently, the development of measures like the Emotion Dysregulation Inventory (EDI) has marked a significant advance. Validated in ASD populations, the EDI provides reliable and sensitive assessments of ER difficulties across different age groups, supporting both clinical and research needs.
Overall, combining observational methods with tailored, visual assessment tools offers a more accurate picture of emotional regulation challenges in children with autism, guiding more effective intervention planning.
Building Emotional Awareness and Vocabulary
How does teaching the labeling of feelings contribute to emotional regulation?
Teaching children with autism to label feelings plays a vital role in developing their emotional regulation abilities. When children learn to identify and articulate their emotional states, they gain a clearer understanding of their internal experiences. This process of labeling feelings expands their emotional vocabulary, making it easier for them to communicate their needs and frustrations accurately.
By explicitly naming emotions like anger, sadness, or anxiety, children become more aware of what they are experiencing. This increased awareness is the first step in managing emotions effectively. It allows children to recognize early signs of distress and use appropriate strategies, such as deep breathing or seeking help, to calm themselves.
The practice of labeling feelings also helps in reducing emotional overwhelm. When children can pinpoint specific emotions, it diminishes confusion and provides a foundation for learning coping skills tailored to different feelings. This encourages a sense of control and confidence in managing their emotional responses.
Beyond individual benefits, developing emotional vocabulary enhances social interactions. Children who understand and express their feelings are better equipped to share their experiences with others, leading to improved relationships and social competence.
Overall, teaching the labeling of feelings nurtures emotional awareness, supports self-regulation, and fosters independence in managing emotions—crucial steps for children with autism to navigate their social and personal worlds effectively.
The Role of Neuroscience in Emotional Regulation
How does neurobiology influence emotional regulation in autism?
Neurobiology plays a central role in shaping emotional regulation (ER) in individuals with autism spectrum disorder (ASD). Differences in brain connectivity and function, especially within critical regions like the amygdala and prefrontal cortex, impact how emotions are processed and controlled.
In neurotypical individuals, the prefrontal cortex helps regulate emotional responses generated by the amygdala, maintaining emotional balance. However, in autism, atypical neural circuitry often leads to impaired communication between these regions. For example, hyperactivity or hypoactivity in the amygdala may cause heightened emotional reactions or difficulty calming down after arousal.
Moreover, neural differences can affect processes such as recognizing emotions in oneself and others, which are often impaired in ASD. This neural divergence results in challenges like frequent tantrums, aggression, and social withdrawal, especially in stressful situations.
Understanding neurobiological influences aids clinicians and researchers in designing targeted interventions. For instance, therapies that focus on improving neural connectivity or function, such as mindfulness practices or neurofeedback, are being explored to enhance ER skills.
In summary, the neurobiological underpinnings of ASD significantly influence emotional regulation, with atypical brain connectivity contributing to difficulties in managing emotions effectively. Recognizing these neural factors helps in developing personalized strategies that address the specific cognitive and biological challenges faced by children with autism.
Intervention Models Beyond ABA Therapy
What alternative interventions exist for emotional regulation in autism besides ABA?
While Applied Behavior Analysis (ABA) remains one of the most established therapies for children with autism, several other approaches aim to improve emotional regulation (ER). These alternatives are often used in conjunction with ABA or as standalone strategies tailored to individual needs.
Cognitive-Behavioral Therapy (CBT) is frequently adapted for children and adolescents with autism to target ER deficits. It helps develop skills like emotional awareness, cognitive reframing, and coping strategies. Mindfulness training and acceptance-based interventions are gaining recognition, focusing on increasing present-moment awareness and acceptance of emotional experiences. These therapies encourage self-regulation by fostering calm and focused responses to emotional triggers.
Models such as the SCERTS (Social Communication, Emotional Regulation, and Transactional Support) framework and JASPER (Joint Attention, Symbolic Play, Engagement, and Regulation) are designed to support emotional regulation through social communication and functional emotional development. Although primarily supported by preliminary research, these approaches emphasize fostering emotional awareness and adaptive responses.
Emerging treatment strategies for adolescents and adults include mindfulness-based therapies, which cultivate non-judgmental awareness of emotions, and Dialectical Behavior Therapy (DBT), an adaptation of CBT focusing on emotion regulation, distress tolerance, and interpersonal effectiveness. Programs like EASE (Emotional Awareness and Social Engagement) are also in development, emphasizing self-awareness and emotional management.
Though promising, many of these approaches require further rigorous studies to validate their effectiveness. They are often tailored to the individual's developmental level and specific emotional challenges, and can serve as valuable tools alongside or instead of traditional behavioral interventions.
Intervention Approach | Target Population | Main Focus | Evidence Base |
---|---|---|---|
CBT and Acceptance-Based | Children, adolescents | Emotional regulation, coping strategies | Preliminary supportive studies |
SCERTS Model | Children with ASD | Social communication, emotional regulation | Early evidence, ongoing research |
JASPER | Children with ASD | Social engagement, emotional regulation | Limited, promising results |
Mindfulness-Based Therapies | Adolescents and adults | Emotional awareness, stress reduction | Growing body of evidence |
Dialectical Behavior Therapy | Teens and adults | ER, distress tolerance | Emerging research |
In summary, while ABA remains foundational, alternative interventions—particularly CBT, mindfulness, and emotion-focused frameworks—offer additional avenues to support emotional regulation in individuals with autism. These methods show potential but require further evidence to fully establish their efficacy.
The Future of ABA and Emotional Regulation Research
What is the future of research on ABA and emotional regulation in autism?
The trajectory of research on Applied Behavior Analysis (ABA) and emotional regulation (ER) in autism holds considerable promise. Current evidence suggests that ABA therapy can be an effective method to teach children with autism how to recognize and manage their emotions, but the scientific community emphasizes the need for more rigorous studies.
Ongoing efforts aim to develop controlled clinical trials that can accurately measure the long-term impacts of ABA on emotional regulation. These studies will help determine which specific strategies are most beneficial over extended periods and how interventions can be tailored to individual needs. The refinement of assessment tools rooted in the latest understanding of neurodevelopment and behavior will be instrumental in driving future advances.
As research progresses, we can expect to see a more nuanced understanding of how ABA can best support emotional regulation across different age groups, including adolescents and adults. Emerging measures, such as the Emotion Dysregulation Inventory (EDI), are paving the way for more sensitive and valid evaluation methods, ensuring interventions are both effective and adaptable.
What about long-term outcomes?
The investigation into the sustainability of benefits gained through ABA is a crucial aspect of future research. While initial studies indicate positive effects on emotional awareness, coping skills, and social functioning, the durability of these improvements remains an area needing further exploration.
Researchers are now focusing on longitudinal studies that track individuals over years to assess the lasting impact of early interventions. These findings will be vital in understanding whether early ABA programs can lead to enduring enhancements in emotional regulation and overall quality of life.
Additionally, integrating emerging therapies such as mindfulness-based approaches and dialectical behavior therapy (DBT) variants with ABA could offer a holistic pathway to better emotional health in autism. Confirming the long-term safety, efficacy, and cost-effectiveness of these combined interventions remains a priority.
In conclusion, while ABA continues to be a cornerstone of autism treatment, its full potential in improving emotional regulation depends on ongoing, rigorous research efforts. Such studies will ultimately help refine interventions, tailor them to individual profiles, and ensure lasting benefits for those with autism.
ABA's Comprehensive Approach to Emotional Regulation
ABA therapy offers a multifaceted approach to enhancing emotional regulation in children with autism, emphasizing individualized strategies, visual aids, and proactive behavioral interventions. While challenges remain in assessment and the need for further research, ABA stands as a crucial component in fostering emotional awareness, independence, and improved social interactions. As scientific insights grow and interventions evolve, ABA continues to provide foundational support for children with autism to navigate their emotional worlds successfully.
References
- Emotion Regulation: Concepts & Practice in Autism Spectrum Disorder
- What is Emotional Regulation? Breaking Down the Basics for ABA ...
- Understanding Autism and Emotions and 5 Strategies for Support
- Assessment and Treatment of Emotion Regulation Impairment in ...
- Expert Q&A: Understanding autism emotional regulation
- Emotional Regulation: 25 Ways to Help Your Autistic Child
- Autism Emotional Regulation: Expert Tips - Jade ABA Therapy
- How to Improve Emotional Self-Regulation Among Children with ...
- The Role of Emotion Regulation in Autism Spectrum Disorder RH