Autism & Developmental

White matter and development in children with an autism spectrum disorder.

Mak-Fan et al. (2013) · Autism : the international journal of research and practice 2013
★ The Verdict

White-matter cables in autism stop maturing on schedule, so plan for long-term, explicit teaching.

✓ Read this if BCBAs working with school-age clients on social or academic goals.
✗ Skip if Clinicians who only serve adults or focus on motor skills.

01Research in Context

01

What this study did

The team compared white-matter scans of children with autism to scans of typically developing peers.

They used diffusion imaging to see how water moves through brain cables.

All kids were between 8 and 14 years old.

02

What they found

Typical children showed the expected drop in water movement as their brain cables matured.

Children with autism did not show this drop.

Their white-matter growth looked frozen in time.

03

How this fits with other research

Chien et al. (2026) followed the same idea for five years and saw the gap widen over time.

Fitzgerald et al. (2019) found the same stalled pattern and linked it to stronger social and repetitive symptoms.

Roine et al. (2013) seems to disagree: adults with Asperger syndrome had higher cable organization, not lower.

The clash fades when you note age and subgroup: the adults were older and had Asperger diagnoses, not broader autism.

04

Why it matters

White-matter cables stay immature in autism. Expect learning and social skills to grow on a slower track. Do not wait for the brain to catch up on its own. Use short, repeated teaching loops and clear visual cues to bridge the connectivity gap.

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Break your lesson into two-minute chunks with visual prompts to offset weak neural cables.

02At a glance

Intervention
not applicable
Design
case control
Population
autism spectrum disorder
Finding
negative

03Original abstract

Recent research suggests that brain development follows an abnormal trajectory in children with autism spectrum disorders (ASD). The current study examined changes in diffusivity with age within defined white matter tracts in a group of typically developing children and a group of children with an ASD, aged 6 to 14 years. Age by group interactions were observed for frontal, long distant, interhemispheric and posterior tracts, for longitudinal, radial and mean diffusivity, but not for fractional anisotropy. In all cases, these measures of diffusivity decreased with age in the typically developing group, but showed little or no change in the ASD group. This supports the hypothesis of an abnormal developmental trajectory of white matter in this population, which could have profound effects on the development of neural connectivity and contribute to atypical cognitive development in children with ASD.

Autism : the international journal of research and practice, 2013 · doi:10.1177/1362361312442596