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Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Early detection of core deficits in autism
Marian Sigman1, Angeline Dijamco, Maya Gratier
1University of California at Los Angeles, Psychiatry/Biobehavioral Sci/Psych-Dev, Box 95175759, 68-237 NPI, Los Angeles, CA 90095, USA. msigman@ucla.edu
Insights
This review explores early autism detection methods in infants, aiming for diagnoses before 18 months. Investigating early social development in typically developing infants informs strategies for identifying core autism deficits.
Area of Science:
- Developmental Psychology
- Pediatric Neurology
- Autism Spectrum Disorder Research
Background:
- Current autism diagnoses occur between 24-30 months.
- Early detection in infancy is crucial for timely intervention.
- Identifying core deficits requires understanding typical infant social development.
Purpose of the Study:
- To review research on early autism detection strategies in infancy.
- To summarize criteria for core autism deficits.
- To guide future research by examining early social development.
Main Methods:
- Literature review of research strategies for early autism detection.
- Analysis of early social development in typically developing infants under 18 months.
- Examination of social domains: dyadic interaction, imitation, emotion discrimination, and attachment.
Main Results:
- Early detection before 18 months is feasible.
- Understanding typical infant social development is key to identifying early autism signs.
- Specific social domains show promise for early detection.
Conclusions:
- Early detection of autism in infancy is a critical goal.
- Investigating dyadic interaction, imitation, emotion discrimination, and attachment is essential.
- Infant siblings of children with autism are a high-risk group for further study.
Abstract:
The goal of this review of the research literature is to discuss approaches to the early detection of autism in infancy. Early detection would enable diagnoses to be made before 18 months of age rather than at 24-30 months, the age where diagnoses start to be made now. After summarizing the criteria for a deficit to be considered "core" to the disorder, the literature on research strategies used in early detection is examined. In order to guide the design of future studies, the review then turns to an overview of what is known about the processes of early social development in typically developing children that underlie the domains in which core deficits are manifested in young children with autism. The social domains covered in the review are those that show development in typically developing infants below 18 months of age: dyadic interaction and imitation; emotion discrimination; and attachment. The review concludes that all of these areas are worthy of investigation in young children, particularly those at higher risk of showing some of the core deficits of autism such as the infant siblings of children with autism.
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