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TMS: Using the Theta-Burst Protocol to Explore Mechanism of Plasticity in Individuals with Fragile X Syndrome and Autism
Published on: December 28, 2010
Differential cognitive and behavioral development from 6 to 24 months in autism and fragile X syndrome
Lindsay J Mullin1, Joshua Rutsohn2, Julia L Gross3
1Carolina Institute for Developmental Disabilities, the University of North Carolina at Chapel Hill, Chapel Hill, USA. lindsay_mullin@med.unc.edu.
Insights
Infants with fragile X syndrome (FXS) show earlier global cognitive delays than those with familial autism spectrum disorder (ASD). Developmental differences between FXS and FH-ASD infants are detectable by 6 months, with distinct skill trajectories throughout infancy.
Area of Science:
- Neurodevelopmental disorders
- Developmental psychology
- Pediatric neurology
Background:
- Early identification of neurodevelopmental disorders is crucial for timely intervention.
- Fragile X syndrome (FXS) and autism spectrum disorder (ASD) have distinct etiologies but share some developmental challenges.
- Previous research indicates differences in brain development and behavior between infants with FXS and those with a familial history of ASD (FH-ASD).
Purpose of the Study:
- To longitudinally investigate and compare the developmental skill profiles of infants with FXS and FH-ASD.
- To identify early developmental differences between FXS and FH-ASD infants.
- To compare these groups with familial controls who do not develop ASD (FH-nonASD) and typically developing controls.
Main Methods:
- Longitudinal study contrasting verbal (expressive/receptive language) and nonverbal (gross/fine motor, visual reception) skills.
- Comparison of developmental trajectories in four groups: FXS, FH-ASD, FH-nonASD, and typically developing controls.
- Assessment of skills at multiple time points throughout infancy.
Main Results:
- Infants with FXS exhibited nonverbal delays by 6 months of age compared to FH-ASD, FH-nonASD, and control infants.
- An ordinal pattern of skill acquisition emerged by 12 months (Controls > FH-nonASD > FH-ASD > FXS) and persisted through 24 months.
- Cognitive level influenced developmental trajectories differently for FXS and FH-ASD infants.
Conclusions:
- Group differences in developmental trajectories between FXS and FH-ASD are detectable as early as 6 months.
- FXS is associated with earlier global cognitive delays, while FH-ASD shows more gradually emerging delays.
- Divergent developmental pathways in infancy highlight key distinctions between FXS and FH-ASD, informing our understanding of their phenotypes.
Background:
Specifying early developmental differences among neurodevelopmental disorders with distinct etiologies is critical to improving early identification and tailored intervention during the first years of life. Recent studies have uncovered important differences between infants with fragile X syndrome (FXS) and infants with familial history of autism spectrum disorder who go on to develop autism themselves (FH-ASD), including differences in brain development and behavior. Thus far, there have been no studies longitudinally investigating differential developmental skill profiles in FXS and FH-ASD infants.
Methods:
The current study contrasted longitudinal trajectories of verbal (expressive and receptive language) and nonverbal (gross and fine motor, visual reception) skills in FXS and FH-ASD infants, compared to FH infants who did not develop ASD (FH-nonASD) and typically developing controls.
Results:
Infants with FXS showed delays on a nonverbal composite compared to FH-ASD (as well as FH-nonASD and control) infants as early as 6 months of age. By 12 months an ordinal pattern of scores was established between groups on all domains tested, such that controls > FH-nonASD > FH-ASD > FXS. This pattern persisted through 24 months. Cognitive level differentially influenced developmental trajectories for FXS and FH-ASD.
Conclusions:
Our results demonstrate detectable group differences by 6 months between FXS and FH-ASD as well as differential trajectories on each domain throughout infancy. This work further highlights an earlier onset of global cognitive delays in FXS and, conversely, a protracted period of more slowly emerging delays in FH-ASD. Divergent neural and cognitive development in infancy between FXS and FH-ASD contributes to our understanding of important distinctions in the development and behavioral phenotype of these two groups.
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