Neonatal behavior and social behavior and sensory issues in 18-month toddlers

Akiko Tokunaga1, Tomitaro Akiyama2, Tsunetake Miyamura3

  • 1Department of Psychiatric Rehabilitation Science, Unit Rehabilitation Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Insights

Neonatal behavioral assessments, including orientation and motor skills, may predict later social and sensory issues in toddlers. Early detection of autism spectrum disorder (ASD) is crucial for timely intervention.

Area of Science:

  • Neonatal development
  • Developmental pediatrics
  • Autism spectrum disorder research

Background:

  • Early detection and intervention are critical for children with autism spectrum disorder (ASD).
  • Identifying early behavioral markers can facilitate timely support.
  • This study investigates neonatal behavioral predictors of later social and sensory development.

Purpose of the Study:

  • To prospectively examine the relationship between neonatal behavioral features and social behavior/sensory issues at 18 months.
  • To identify specific neonatal behavioral clusters associated with later developmental outcomes.
  • To explore potential early indicators for autism spectrum disorder risk.

Main Methods:

  • 105 healthy, full-term infants were assessed using the Neonatal Behavioral Assessment Scale (NBAS) within the first week of life.
  • At 18 months, infants were evaluated using the Japanese version of the Modified Checklist for Autism in Toddlers (M-CHAT-JV) and the Infant/Toddler Sensory Profile (ITSP).
  • Statistical analyses included comparisons between M-CHAT-JV positive/negative groups and correlation/regression analyses.

Main Results:

  • 15.2% of infants were M-CHAT-JV positive at 18 months.
  • Significant differences in NBAS orientation and motor clusters were found between M-CHAT-JV positive and negative groups.
  • NBAS orientation and motor clusters correlated with specific sensory processing patterns (e.g., low registration, auditory processing, sensation avoiding, tactile processing).
  • NBAS orientation and ITSP low registration were significant predictors of M-CHAT-JV status at 18 months.

Conclusions:

  • Neonatal behavioral features, particularly orientation, are associated with social behavior and sensory profiles at 18 months.
  • These findings suggest the potential utility of NBAS in identifying infants at risk for developmental differences, including those related to ASD.
  • Early identification through neonatal assessments may pave the way for earlier interventions.
Abstract

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