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.
Abstract:
The present study prospectively investigated early temperamental profiles and their associations with autistic symptoms in high-risk infants (N = 138) with an older sibling with autistic spectrum disorder (ASD) and low-risk infants (N = 73) with no family history of ASD. Children who were diagnosed with ASD at 36 months were distinguished from non-ASD sibs and controls by a temperament profile marked by lower positive affect, higher negative affect and difficulty controlling attention and behavior, which we labeled Effortful Emotion Regulation. This profile also distinguished the non-ASD sib group from the control group. Children with ASD were distinguished from both of the other two groups by a temperament profile of low Behavioral Approach (lower sensitivity to "social" reward cues). Low levels of Behavioral Approach were associated with a higher number of ASD symptoms, even after taking into account IQ, sex and group membership. Finally, a cluster analysis revealed two ASD subgroups distinguished by number of ASD symptoms, IQ, age of diagnosis and scores on the Behavioral Approach profile. These findings suggest that temperament may be a useful framework for understanding the emergence of ASD early in life.
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