Getting answers from babies about autism
Mayada Elsabbagh1, Mark H Johnson
1Centre for Brain and Cognitive Development, Birkbeck, University of London, Henry Wellcome Building, London, WC1E 7HX, UK. m.elsabbagh@bbk.ac.uk
Insights
Autism
Area of Science:
- Neurodevelopmental disorders
- Pediatric neurology
- Genetics and autism
Background:
- Autism Spectrum Disorder (ASD) is rarely diagnosed before age two.
- Early symptoms and causes of autism remain largely unknown.
- Focus is shifting to infants with a genetic predisposition for autism.
Purpose of the Study:
- To identify the earliest signs of autism.
- To investigate early brain function differences in at-risk infants.
- To understand gene-environment interactions in autism development.
Main Methods:
- Studying infants at genetic risk for autism.
- Utilizing laboratory measures of brain function.
- Comparing at-risk infants with low-risk control groups.
Main Results:
- Overt behavioral symptoms of autism typically appear around the end of the first year of life.
- Brain function differences are detectable in at-risk infants within their first year.
- Some infants with early brain function differences do not develop autism.
Conclusions:
- Infants at genetic risk provide a valuable model for studying early autism development.
- Early brain function markers may not always predict an autism diagnosis.
- Gene-environment interactions likely contribute to diverse developmental trajectories in autism.
Abstract:
Because autism is rarely diagnosed before two years of age, little is known about its early symptoms and causes. In order to determine the earliest manifestations of the condition, recent interest has focused on infants at genetic risk for autism. Current evidence indicates that overt behavioural symptoms emerge around the end of the first year. However, studies using laboratory brain function measures have reported differences in groups of infants at-risk compared with low-risk controls during their first year. Some infants displaying such early differences, however, do not subsequently receive a diagnosis. As the search for early markers continues, infants at-risk present a persuasive model for gene by environment interactions leading to variable developmental pathways.
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