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What are the Causes of Autism? Understanding the Factors

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Laura NG, MA BCBA
Clinical Operations Manager

Understanding Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) is a complex developmental condition that involves persistent challenges in social interaction, speech, nonverbal communication, and restricted/repetitive behaviors. The effects of ASD and the severity of symptoms are different in each person.


Definition of Autism

Autism is a spectrum disorder, meaning that there is a wide degree of variation in the way it affects people. Individuals with ASD may be highly skilled in some areas and struggle in others. Common characteristics include difficulties with social interactions and communication, and an inclination towards repetitive and stereotyped behaviors. Autism is not characterized by just one behavior but by a range of symptoms and levels of impairment, which is why it is considered a spectrum. In some cases, it can be associated with intellectual disability, difficulties in motor coordination or attention, and physical health issues such as sleep and gastrointestinal disturbances.



For a deeper understanding of what characterizes this disorder, you can read more about what is autism.


Prevalence of ASD

The prevalence of ASD has increased significantly over the past several decades. Data from the CDC in 2015 indicated that approximately 1 in 45 children in the United States are diagnosed with ASD, which exhibits a striking increase from the estimated 1 in 2,000 during the 1980s. Current reports in developed countries suggest that 1%-1.5% of children are affected by ASD.

Year Estimated Prevalence in the US
1980s 1 in 2,000
2015 1 in 45
2021 1 in 44

This increase can be attributed to better detection, broader diagnostic criteria, and increased awareness, among other factors. It's important for those who have loved ones affected by ASD to seek support and guidance. Resources such as autism symptoms in adults, signs of autism in children, and autism support groups can provide valuable information and assistance.


Understanding the prevalence and characteristics of ASD is crucial for early diagnosis and intervention, which can greatly improve outcomes for individuals with ASD.


Genetic Factors in Autism

The quest to comprehend the causes of autism has led researchers to explore the intricate interplay between genetics and environmental influences. Within this exploration, genetics has been identified as a significant contributor to the development of Autism Spectrum Disorder (ASD).


Contribution of Genetics

Genetic influence on ASD is substantial, with an estimated 40 to 80 percent of the risk attributed to genetic factors. Research indicates that changes in over 1,000 genes may be associated with ASD, underscoring the complexity of its genetic underpinnings. These genetic factors can be inherited or result from de novo mutations that occur spontaneously.


While the exact mechanisms through which genetics contribute to ASD are still being deciphered, it is clear that genetics play a crucial role in the disorder's onset. In some cases, rare gene mutations or chromosomal abnormalities are found in about 2 to 4 percent of individuals with ASD, suggesting a direct genetic cause.


The inheritance pattern of ASD often remains elusive, as it tends to run in families but does not follow a clear-cut pattern. This indicates that a combination of multiple genes, rather than a single gene, influences the likelihood of developing the condition.


Gene Variants and Risk Factors

The risk of developing ASD is not determined by genetics alone but involves a combination of gene variants and environmental factors. The table below illustrates some of the genetic and environmental factors associated with an increased risk of ASD:

Risk Factor Description
Parental Age Older parental age at the time of conception is linked to a higher risk of ASD in offspring.
Birth Complications Difficulties during birth, including low birth weight and hypoxia, have been associated with ASD.
Gene Variants Specific gene mutations and variants can increase the likelihood of ASD.
Chromosome Abnormalities Rare chromosomal conditions such as duplication or deletion syndromes may lead to ASD.

Many genes associated with ASD are involved in brain development, influencing neuron production, growth, organization, and synaptic function. Abnormalities in brain regions, particularly the frontal and temporal lobes, are believed to contribute to the social, communicative, and cognitive differences observed in individuals with ASD.


Understanding the genetic factors of autism helps to not only grasp the definition of autism but also to identify potential signs of autism in children and autism symptoms in adults. Additionally, it can guide families toward resources like autism support groups and inform future research and therapeutic approaches.


Although the genetic landscape of ASD is complex, ongoing research continues to shed light on the genetic intricacies that contribute to the condition, offering hope for better diagnosis, management, and support for individuals with ASD and their families.


Environmental Factors and Autism

While the exact causes of autism remain elusive, the interplay between genetic predispositions and environmental factors is increasingly recognized as a pivotal element in the development of Autism Spectrum Disorder (ASD). In this section, we delve into how environmental factors may influence the likelihood of ASD and discuss specific prenatal risk factors that have been associated with the disorder.


Impact of Environmental Factors

Research has illuminated the significant role that environmental factors play alongside genetics in the emergence of ASD. A comprehensive literature review has identified a variety of environmental agents that are associated with the development of ASD, such as pesticides, phthalates, polychlorinated biphenyls (PCBs), solvents, air pollutants, fragrances, glyphosate, and heavy metals, including aluminum used in vaccines as an adjuvant. These toxicants are common in everyday products like cosmetics, herbicides, household fragrances, food additives, and more, thus exposing individuals regularly.


Many of these substances are thought to impact early brain development or to disrupt normal hormone functions, which could potentially contribute to ASD. It is therefore crucial for expectant parents and those planning to conceive to be informed about such environmental risks and to seek guidance on minimizing exposure. For more information on how to navigate the challenges of ASD, including environmental considerations, visit autism support groups.


Prenatal Risk Factors

The prenatal environment is a critical window during which various factors may influence the risk of a child developing autism. Research has indicated that certain pregnancy-related factors are linked to an increased risk of ASD. These factors include:


  • Use of antiepileptic drugs, such as valproate

  • Use of antidepressants, particularly SSRIs

  • Older parental age

  • Preterm birth

  • Gestational diabetes
Prenatal Risk Factor Association with ASD
Antiepileptic drug use Increased risk
Antidepressant use (SSRIs) Slightly increased risk
Older parental age Slightly increased risk
Preterm birth Increased risk
Gestational diabetes Increased risk

Data source: Verywell Health


It's important to note that while these factors are associated with a higher risk of ASD, the overall increase in risk is relatively small. For example, about 7% of preterm children have ASD, as compared to 1-2% in the general population. Additionally, maternal factors such as iron deficiency, especially when coupled with advanced maternal age and metabolic conditions, have been linked to an elevated risk of autism.


Furthermore, the use of Tylenol (acetaminophen) during pregnancy, particularly in high doses, has been associated with a higher likelihood of neurodevelopmental disorders, including autism and ADHD.


Expectant mothers are encouraged to consult with healthcare providers for personalized advice on how to mitigate these risks during pregnancy. For insights into recognizing ASD, you can explore autism symptoms in adults and signs of autism in children.


Understanding the environmental factors and prenatal risk factors associated with autism can empower parents and families to make informed decisions and take proactive steps to support the wellbeing of their children. While not all risk factors are within one's control, being aware of them can help in managing potential exposures and optimizing prenatal care.


Vaccine Controversy and Autism

The subject of vaccination and its alleged ties to autism spectrum disorder (ASD) has been a contentious issue for many years. This section aims to address the concerns surrounding thimerosal in vaccines and debunk common myths about the causes of autism.


Thimerosal and Vaccines

Thimerosal, a mercury-based preservative, was once widely used in vaccines to prevent bacterial and fungal growth. Concerns arose about its potential link to autism, leading to extensive research on the topic. Since 2003, the Centers for Disease Control and Prevention (CDC) have funded or conducted nine studies, all of which have found no correlation between thimerosal-containing vaccines and ASD, as well as no link between the measles, mumps, and rubella (MMR) vaccine and ASD in children.

Year Study Findings
2003-2013 CDC-funded or conducted studies (9) No link between thimerosal-containing vaccines and ASD

In response to public concern, thimerosal was removed or reduced to trace amounts in all childhood vaccines between 1999 and 2001. Currently, it is only present in multi-dose vials of flu vaccines, but thimerosal-free alternatives are readily available.


Debunking Vaccine Myths

Despite the scientific evidence, myths about vaccines causing autism persist. It's important to note that besides thimerosal, no other vaccine ingredients have been linked to ASD. A study published in 1998 that suggested a connection between the MMR vaccine and autism has been thoroughly discredited. Subsequent research has consistently shown that there is no evidence to support this claim.


The perpetuation of these myths can be harmful as it may lead to vaccine hesitancy, which in turn can result in outbreaks of vaccine-preventable diseases. It is crucial for the health of the community to rely on scientific evidence and expert consensus when making decisions about vaccination.


To learn more about ASD, its symptoms in various age groups, and support resources, please visit our in-depth articles on what is autism, autism symptoms in adults, signs of autism in children, and autism support groups. By staying informed, individuals can make better health decisions for themselves and their loved ones, and support those on the autism spectrum with accurate knowledge and understanding.


Brain Anatomy and Autism

The anatomy of the brain plays a key role in Autism Spectrum Disorder (ASD), with various studies highlighting how brain development and structure can influence the causes of autism. Understanding these anatomical differences is essential for researchers, therapists, and families seeking to comprehend the complexities of ASD.


Brain Development in ASD

ASD is recognized as a neurodevelopmental condition that primarily involves central nervous system dysfunction. Research indicates that ASD can be described as a disorder of the association cortex, which is responsible for integrating information from different brain regions. The condition affects both neurons and their projections within this cortex, leading to challenges in intrahemispheric connectivity.


ASD impacts brain development in a way that affects cognitive and neurological functioning, particularly when the processing of information requires the integration and coordination of multiple neural systems. Interestingly, while certain abilities may be intact or even enhanced, these typically rely on simpler information-processing demands and more localized neural connections.


Cortical Abnormalities

The cortex of the brain, and specifically alterations in the frontal and temporal lobes, has been implicated in the social, communicative, and cognitive differences observed in individuals with ASD. Cortical abnormalities may manifest as:


  • Developmental Alterations in White Matter: These changes reflect a new understanding of white matter's role in childhood disorders and point towards altered intrahemispheric connectivity as a significant factor in ASD.

  • Abnormal Neuron Production and Growth: Many genes linked to ASD are involved in critical aspects of brain development, including neuron production, growth, and organization.

  • Impaired Synaptic Function: Synapses are crucial for neuron-to-neuron communication, and disruptions in synaptic function can contribute to the behavioral and cognitive symptoms of ASD.


Given the complexity of ASD and the brain, it is crucial for families and professionals to have access to support resources, such as autism support groups, to navigate the challenges associated with the disorder. Additionally, understanding the signs of autism in children and autism symptoms in adults can lead to earlier intervention and better outcomes.



In summary, ASD is a multifaceted condition with a broad impact on brain function and development. The disorder affects connectivity within the brain and is associated with both genetic and environmental factors. By continuing to explore the brain anatomy and developmental patterns in ASD, researchers and healthcare professionals can better understand the causes of autism and develop more effective interventions.


Behavioral Characteristics of Autism

Autism Spectrum Disorder (ASD) encompasses a range of neurodevelopmental conditions marked by distinctive behavioral patterns. These behaviors primarily include social impairments and restricted, repetitive patterns of behavior, which are core features of ASD.


Social Impairments

Individuals with autism often display significant challenges in social interactions. These impairments can manifest in various ways, including difficulty in understanding and responding to social cues, struggles with making and maintaining eye contact, and challenges in developing and sustaining relationships. This can extend to a lack of interest in sharing enjoyment with others or difficulty in engaging in back-and-forth conversation.


Social impairments may appear early in development and persist throughout an individual’s life, impacting their ability to navigate social settings effectively. The nuances of verbal and nonverbal communication, such as tone of voice, facial expressions, and body language, may be particularly challenging for those with ASD to interpret. Social nuances are often misread or not perceived at all, leading to misunderstandings and social isolation.


For a deeper understanding of the social challenges faced by individuals with autism, please refer to what is autism and signs of autism in children. For those seeking support, autism support groups can provide valuable resources and a sense of community.


Restricted and Repetitive Behaviors

Restricted and repetitive behaviors (RRBs) are another hallmark of autism, as outlined by the NCBI. These behaviors can include a wide range of actions, from simple movements such as hand-flapping or rocking to more complex routines and rituals. Individuals with ASD may also have intense fixations on certain topics or objects, and they may become distressed when expected routines are disrupted.


RRBs are believed to share a common focus on details and an inability to grasp broader concepts. This can manifest in an insistence on sameness and difficulty with transitions or changes in the environment. Additionally, sensory sensitivities, such as an aversion to certain textures or sounds, are frequently observed in individuals with ASD.


Understanding the complexity of these behaviors is critical for parents, educators, and therapists, as it informs the development of effective strategies for engagement and learning. For more information on the behavioral symptoms observed in adults with autism, the article on autism symptoms in adults provides further insight.


In summary, the behavioral characteristics of autism, including social impairments and restricted, repetitive behaviors, are key in identifying and understanding ASD. These features not only define the condition but also highlight the necessity for tailored support and interventions that accommodate the unique needs of individuals with autism.

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