From Infant Temperament to Anxiety: Infant Neural Responsivity to Unexpected Stimuli Shapes Outcomes

Jiayin Xing1, Dana Kanel2, Sydney Takemoto1

  • 1Department of Child and Adolescent Psychiatry, New York University, New York, New York.

Biological Psychiatry
|January 17, 2026
PubMed

Insights

Infant temperamental traits like negative reactivity and behavioral inhibition are linked to anxiety risk. Neural sensitivity to unexpected stimuli in infancy can moderate this risk, predicting adolescent anxiety.

Area of Science:

  • Developmental psychology
  • Neuroscience
  • Child psychiatry

Background:

  • Negative reactivity (NR) and behavioral inhibition (BI) are infant temperamental traits linked to anxiety.
  • However, not all infants with these traits develop anxiety, indicating missing pathways.
  • This study investigates neural sensitivity as a moderator of anxiety risk from infant temperament.

Purpose of the Study:

  • To test if neural sensitivity to unexpected stimuli in infancy moderates the relationship between temperamental risk factors and adolescent anxiety.
  • To examine the role of mismatch response (MMR) and novelty P3 in predicting anxiety development.
  • To understand the pathways from early temperament to later anxiety disorders.

Main Methods:

  • Utilized data from the Temperament Over Time Study (N=291).
  • Assessed NR at 4 months and BI at 2-3 years using lab and parent reports.
  • Collected electroencephalography (EEG) at 9 and 36 months during an auditory oddball task to measure MMR and novelty P3.
  • Measured adolescent anxiety via parent/self-reports and clinical interviews at 13 and 15 years.
  • Employed structural equation modeling to analyze moderation and mediation effects.

Main Results:

  • The MMR at 9 months moderated the link between NR, BI, and adolescent anxiety.
  • The MMR at 36 months moderated the association between BI and 13-year anxiety.
  • A more negative MMR indicated elevated anxiety risk, specifically for anxiety, not attention or externalizing problems.
  • Novelty P3 mediated the pathway from NR to social anxiety.

Conclusions:

  • Infant neural responses to unexpected stimuli are associated with temperamental anxiety risk.
  • Neural sensitivity, particularly MMR, plays a crucial role in the developmental pathway from infant temperament to adolescent anxiety.
  • These findings highlight the importance of early neural processing in understanding anxiety development.
Abstract

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