Atypical neural responses to dynamically changing facial expressions correlate with behavioral risk in toddlers born

Johanna Bick1, Xinge Li1, Haley Laughlin1

  • 1University of Houston, USA.

Neuroimage. Reports
|June 22, 2026
PubMed

Insights

Premature birth impacts brain development, affecting social cognition and emotional regulation. Earlier gestational age correlated with altered neural responses to facial emotions in toddlers, indicating a less mature social brain development.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatrics

Background:

  • Premature birth is linked to lifelong emotional dysregulation and mental health issues.
  • Understanding neural pathway alterations in social cognitive development can predict behavioral risks.

Purpose of the Study:

  • To examine the association between premature birth and neural responses (event-related potentials) to facial emotions in toddlers.
  • To identify early neural markers of social brain development in preterm infants.

Main Methods:

  • Utilized electroencephalography (EEG) in 45 toddlers (15-30 months corrected age) born prematurely (23-36 gestational weeks).
  • Analyzed event-related potentials (ERPs; N290, P400, NC) elicited by viewing facial emotion expressions.
  • Employed linear-mixed effects models and source localization to assess ERPs and their neural generators.

Main Results:

  • Earlier gestational age was associated with altered P400 and frontal NC amplitudes and ERP latencies/hemispheric organization.
  • Toddlers born earlier showed reduced rightward specialization in N290 latency and less mature P400/NC latencies.
  • Source localization identified frontal and temporal regions as key neural generators, vulnerable to prematurity.

Conclusions:

  • Prematurity is associated with a less mature profile of social brain development, evidenced by altered ERPs to facial emotions.
  • These neural markers show potential for predicting early childhood psychopathology risk.
  • EEG-based neural markers can inform targeted prevention and intervention strategies for preterm infants.