Assessment & Research

Brain Signatures of Early and Late Neural Measures of Auditory Habituation and Discrimination in Autism and Their Relationship to Autistic Traits and Sensory Overresponsivity.

Cary et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Standard surveys and EEG markers failed to separate mild adult ASD from other outpatients.

✓ Read this if BCBAs who conduct adult autism evaluations in outpatient clinics.
✗ Skip if Clinicians who only work with young children or severe ASD.

01Research in Context

01

What this study did

Cary et al. (2024) wired up adults with mild autism and adults without autism.

They played beeps while recording brain waves.

They looked for two things: how fast the brain stopped reacting to the same sound (habituation) and how well it spotted a new sound (discrimination).

All adults were outpatients at the same clinic.

02

What they found

The two groups scored the same on the Autism Quotient self-report.

They also had the same rate of other mental-health diagnoses.

In short, the paper found no clear brain or survey marker that split mild ASD from other adult referrals.

03

How this fits with other research

Chuah et al. (2025) pooled child studies and saw smaller MMN waves in autism.

Vlaskamp et al. (2017) found the same in kids: weaker early change detection but stronger later attention bursts.

Those child studies seem to clash with Emily’s null adult data.

The gap is likely age: brain differences may fade in adults labeled "mild," so questionnaires and single EEG tests lose power.

Maddox et al. (2015) already showed adult self-report screens like the AQ miss too many cases; Emily’s data add brain measures to the same "not good enough" pile.

04

Why it matters

If you assess adults for possible ASD, do not trust the AQ alone.

Add real-life tasks or caregiver reports.

If you research biomarkers, expect smaller or zero effects in high-functioning adults; kids or lower-functioning groups may show clearer signals.

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Pair any self-report AQ score with a structured interview and at least one direct observation before you rule ASD in or out.

02At a glance

Intervention
not applicable
Design
case control
Sample size
36
Population
autism spectrum disorder
Finding
null

03Original abstract

While knowledge about symptom presentation of adults with mild ASD, including comorbid psychopathology, is limited, referral of adults with suspected mild PDD is increasing. We report on pilot research investigating whether patients diagnosed with mild ASD (n=15) and patients who were not diagnosed with ASD (n=21) differed in terms of (a) AQ scores and (b) Axis I and II disorders, assessed by the SCAN and the IPDE. Additionally, AQ scores were compared with those from non-ASD patients referred to a general outpatient clinic (n=369). The results showed very few differences between ASD patients and non-ASD patients. Self-report may not differentiate mild ASD patients from non-ASD patients and Axis I and II disorders seem equally prevalent among these two groups.

Journal of autism and developmental disorders, 2024 · doi:10.1007/s10803-005-3300-7