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Grant establishes Autism Center of Excellence

A diagnosis of childhood autism devastates families. The genetics are complex. There is no cure. There are legal issues, and autism is expensive to treat. Insurance coverage is spotty, and families frequently find themselves in financial trouble.

Then, there are the emotional issues. Children with autism are often withdrawn and have communication problems and difficulty forming relationships. About one-third of them are afflicted with a compulsion for repetitive behavior and insistence on sameness that, when interrupted, can ignite tantrums, aggression and physical injury.

In August, UIC received a five-year $9.6 million grant from the National Institutes of Health to establish an Autism Center of Excellence, one of five nationally and the only one in the Midwest. Dr. Edwin Cook, professor of psychiatry and director of the Laboratory of Developmental Science at UIC's Institute for Juvenile Research, is leading the interdisciplinary effort. It encompasses genetics, biochemistry, neurophysicology, neuroimaging and behavior observation.

"Problems related to repetitive behaviors, such as anxiety and aggression, are among the most troublesome and debilitating for individuals with autism and their families," Cook said. A class of medication called selective serotonin reuptake inhibitors, also known as SSRI drugs, has shown promising results with some patients with repetitive behavior disorders.

"It's wonderful when we have patients who respond to medication and do well," Cook said. "But we have many patients who either do not respond, or only partially respond, and end up with strong compulsions involving aggression."

Cook and his team hope to understand how the SSRI works from genetic, cognitive neuroscience and pharmacological approaches. They've started a study whose goal is to test and develop a combination of individualized drug and behavioral interventions to treat autism patients with repetitive disorder.

The bigger goal for children and their families is much simpler: hope.


Reporting: Sherri McGinnis Gonzalez, UIC News Bureau

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