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.
Abstract

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