Temperament and its relationship to autistic symptoms in a high-risk infant sib cohort

Nancy Garon1, Susan E Bryson, Lonnie Zwaigenbaum

  • 1IWK Health Centre, Nova Scotia, Canada. nancy.garon@iwk.nshealth.ca

Insights

Early temperamental profiles predict autistic symptoms in infants. Specific profiles like Effortful Emotion Regulation and low Behavioral Approach are linked to autism spectrum disorder (ASD) development.

Area of Science:

  • Developmental Psychology
  • Neuroscience
  • Pediatrics

Background:

  • Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition.
  • Early identification and understanding of risk factors are crucial for intervention.
  • Temperament, an early-appearing individual difference, may offer insights into ASD emergence.

Purpose of the Study:

  • To prospectively investigate early temperamental profiles in high-risk and low-risk infants.
  • To examine the association between these temperamental profiles and the development of autistic symptoms.
  • To identify distinct temperamental profiles associated with ASD diagnosis and symptom severity.

Main Methods:

  • Prospective study of 138 high-risk infants (older sibling with ASD) and 73 low-risk infants.
  • Assessment of temperamental profiles, including positive/negative affect, attention control, and behavioral approach.
  • Diagnostic assessment for ASD at 36 months of age.
  • Cluster analysis to identify ASD subgroups based on symptoms, IQ, and temperament.

Main Results:

  • Infants diagnosed with ASD at 36 months exhibited lower positive affect, higher negative affect, and difficulty with attention/behavior control (Effortful Emotion Regulation).
  • Children with ASD showed lower Behavioral Approach (reduced sensitivity to social reward cues) compared to non-ASD siblings and controls.
  • Low Behavioral Approach was significantly associated with a higher number of ASD symptoms, independent of IQ, sex, and group.
  • Two ASD subgroups were identified based on symptom severity, IQ, age of diagnosis, and Behavioral Approach scores.

Conclusions:

  • Early temperamental profiles, specifically Effortful Emotion Regulation and Behavioral Approach, are associated with the development of autistic symptoms.
  • Temperament provides a valuable framework for understanding the early emergence of ASD.
  • Identifying distinct temperamental profiles may aid in early risk identification and potentially inform targeted interventions for ASD.

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