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Updated: Jun 23, 2025

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Published on: July 12, 2024
The association between early regulatory problems and adult peer relationship quality is mediated by the brain's
Saša Zorjan1, Dieter Wolke2,3, Nicole Baumann2,4,5
1Department of Psychology, Faculty of Arts, University of Maribor, Maribor, Slovenia.
Insights
Infant regulatory problems (RPs) are linked to adult difficulties in peer relationships. These issues are mediated by functional changes in the brain's allostatic-interoceptive system (AIS), highlighting the need for early intervention.
Area of Science:
- Neuroscience
- Developmental Psychology
- Social Psychiatry
Background:
- Early regulatory problems (RPs) in infancy, including issues with crying, sleeping, and feeding, are associated with increased risk for avoidant personality traits and social withdrawal in adulthood.
- RPs are also linked to functional alterations in adult brain networks, specifically the default mode and salience networks, which comprise the allostatic-interoceptive system (AIS) and are crucial for social interactions.
Purpose of the Study:
- To investigate the association between regulatory problems (RPs) assessed in infancy and difficulties in adult peer relationships.
- To determine if functional alterations in the allostatic-interoceptive system (AIS) mediate the relationship between early RPs and adult social functioning.
Main Methods:
- A prospective case-controlled study involving 42 adults with a history of RPs and 70 matched controls.
- Functional magnetic resonance imaging (fMRI) was used to analyze intrinsic functional connectivity (iFC) of key AIS nodes during rest.
- Peer relationship quality was assessed using the Life Course Interview and YASR scale, with RPs assessed at multiple infant time points (5, 20, and 56 months).
Main Results:
- Infancy RPs were significantly associated with lower-quality peer relationships in adulthood.
- Enhanced functional connectivity of AIS nodes was observed in adults with a history of RPs, with a stronger effect for multiple and persistent RPs.
- Intrinsic functional connectivity changes in the dorsal mid insula, a key interoceptive region, mediated the link between early RPs and adult peer relationship quality.
Conclusions:
- Early regulatory problems (RPs) lead to enduring social and neural changes.
- The allostatic-interoceptive system (AIS) plays a critical role in both interoceptive and social processes.
- Findings underscore the importance of early screening for regulatory problems to mitigate long-term social and neural consequences.
Background:
Early regulatory problems (RPs), i.e., problems with crying, sleeping, and/or feeding during the first years, increase the risk for avoidant personality traits in adulthood, associated with social withdrawal and anxiety. Even more, RPs are linked with functional alterations in the adult default mode and salience networks, comprising the brain's allostatic-interoceptive system (AIS) and playing a role in social interactions. We investigated whether RPs assessed in infancy are associated with difficulties in adult peer relationships mediated by functional alterations of the AIS.
Methods:
As part of a large case-controlled prospective study, 42 adults with previous RPs and 70 matched controls (mean age = 28.48, SD = 2.65, 51% male) underwent fMRI during rest. The analysis focused on the intrinsic functional connectivity (iFC) of key nodes of the AIS. Peer relationship quality was assessed via a semi-structured Life Course Interview and the YASR scale. In these same individuals, RPs were assessed at ages 5, 20 and 56 months.
Results:
RPs in infancy were associated with lower-quality peer relationships and enhanced functional connectivity of the AIS nodes in adulthood, with a stronger effect for multiple and persistent RPs compared with transient-multiple or single-persistent RPs. Importantly, iFC changes of the dorsal mid insula, a primary interoceptive cortex with frontal and temporal regions, mediated the relationship between early RPs and adult peer relationship quality.
Conclusions:
Results indicate long-lasting social and neural changes associated with early RPs. Our findings further implicate the AIS in both interoceptive and social processes, while indicating the need for early screening of early RPs.
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