Behaviour profiles in a population of infants later diagnosed as having autistic disorder
Joëlle Malvy1, Catherine Barthélémy, Delphine Damie
1Service Universitaire de Pédopsychiatrie, C. H. U Bretonneau, 2 Boulevard Tonnellé, 37044 Tours Cedex, France. j.malvy@chu-tours.fr
Insights
This study identified four distinct behavioral profiles in infants diagnosed with autism, using the Infant Behavioural Summarised Evaluation (IBSE) scale. These early autism markers reveal heterogeneity and aid in precise clinical subtyping for future research.
Area of Science:
- Developmental Psychology
- Neuroscience
- Pediatrics
Background:
- Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition.
- Early identification and understanding of heterogeneity in autism are crucial for effective intervention.
- Previous research has focused on older children, necessitating studies on early markers.
Purpose of the Study:
- To identify objective early clinical markers of autism heterogeneity in infants.
- To describe distinct behavioral profiles in infants later diagnosed with autistic disorder.
- To contribute to a better understanding of the onset of autistic disorder.
Main Methods:
- Studied a cohort of 74 infants (6-35 months) diagnosed with autistic disorder.
- Utilized the Infant Behavioural Summarised Evaluation (IBSE) scale, focusing on 13 selected items.
- Applied correspondence analysis followed by cluster analysis to identify behavioral profiles.
Main Results:
- Identified four distinct behavioral profiles in infants with autism.
- These profiles were differentiated by five key behaviors: activity, auditory perception, sensorimotility, eye contact, and object use.
- The identified early profiles align with those observed in older children with autism.
Conclusions:
- This study provides an objective description of early clinical markers for autism heterogeneity.
- The findings support precise clinical subtyping of early autism.
- These early identified subtypes are valuable for future bioclinical studies in autism.
Abstract:
In order to complement findings in the field of early autism and in the context of our studies on the quantitative neurobiological evaluation of patients with autism, we studied a large population of infants later diagnosed as having autistic disorder, using multivariate descriptive statistical methods. The population included 74 infants between six and 35 months, evaluated with the Infant Behavioural Summarised Evaluation (IBSE) scale. Thirteen of the 33 items of the IBSE scale were selected according to previous studies on older patients with autistic disorder. Correspondence analysis was applied to these 13 items, followed by a classical cluster analysis. This procedure permitted the identification of four different profiles which were distinguished on the basis of five main behaviours: activity, auditory perception, sensorimotility, eye contact and use of objects. These profiles are similar to those identified in older children with autism. This study provides an objective description of early clinical markers of the heterogeneity in autism and thus contributes to the description of the onset of autistic disorder. It identified more precise clinical subtyping which will be valuable for future bioclinical studies.
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