Autism Spectrum Disorder Symptoms in Infants with Fragile X Syndrome: A Prospective Case Series
Abigail L Hogan1, Kelly E Caravella2, Jordan Ezell2
1Department of Psychology, University of South Carolina, 1512 Pendleton Street, Barnwell College, Suite 220, Columbia, SC, 29208, USA. hogan@sc.edu.
Insights
Early social-communicative deficits in infants with fragile X syndrome (FXS) may predict autism spectrum disorder (ASD) risk. These early signs in FXS infants resemble those in siblings of children with ASD.
Area of Science:
- Developmental neuroscience
- Genetics
- Clinical psychology
Background:
- Infants with fragile X syndrome (FXS) have an elevated risk for autism spectrum disorder (ASD).
- Prospective studies on early ASD markers in infants with FXS are lacking.
Observation:
- This study tracked the developmental trajectories of eight infants with FXS from 9 to 24 months.
- Four infants met ASD diagnostic criteria at 24 months; four did not.
Findings:
- Early social-communicative deficits distinguished infants with and without later ASD diagnoses.
- These deficits mirrored early signs observed in siblings of children with ASD.
- Repetitive behaviors and cognitive/adaptive impairments were common in all infants with FXS, indicating a general FXS phenotype.
Implications:
- Early identification of social-communicative differences in infants with FXS can aid in predicting ASD risk.
- Findings suggest that core ASD symptoms in FXS may be part of the broader FXS neurodevelopmental profile.
- Further research can refine early detection and intervention strategies for infants with FXS.
Abstract:
No studies to date have prospectively examined early autism spectrum disorder (ASD) markers in infants with fragile X syndrome (FXS), who are at elevated risk for ASD. This paper describes the developmental profiles of eight infants with FXS from 9 to 24 months of age. Four meet diagnostic criteria for ASD at 24 months of age, and four do not. Trends in these case studies suggest that early social-communicative deficits differentiate infants with and without later ASD diagnoses in ways that are similar to later-born siblings of children with ASD. Repetitive behaviors and cognitive and adaptive impairments are present in all FXS infants throughout development, suggesting that these deficits reflect the general FXS phenotype and not ASD in FXS specifically.
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