Early-life trajectories of dyadic synchrony among infants developing autism or concerns for ADHD

Antonia M H Piergies1,2, Ana-Maria Iosif3, Gregory S Young2

  • 1Department of Psychology, University of California, Davis, Davis, CA, United States.

Child Development
|August 18, 2026
PubMed

Insights

Infants later diagnosed with autism showed lower caregiver-child synchrony from 6 to 36 months compared to typically developing peers. This early dyadic synchrony may be a key developmental indicator.

Area of Science:

  • Developmental Psychology
  • Neurodevelopmental Disorders
  • Child Psychiatry

Background:

  • Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD) are neurodevelopmental conditions impacting social interaction and behavior.
  • Early identification and understanding of developmental trajectories are crucial for timely intervention.
  • Dyadic synchrony, reflecting coordinated interaction between caregivers and infants, is a potential early marker.

Purpose of the Study:

  • To investigate developmental trajectories of dyadic synchrony in infants at elevated likelihood for autism or ADHD.
  • To compare dyadic synchrony patterns between infants who developed autism, ADHD concerns, or typical development by 36 months.
  • To examine specific behavioral modalities contributing to synchrony differences.

Main Methods:

  • Longitudinal study of 163 infants (elevated/average risk for autism/ADHD) from 6 to 36 months.
  • Caregiver-child dyads engaged in play sessions coded for gaze, positive affect, and vocalizations.
  • Mixed-effects models estimated developmental trajectories of dyadic synchrony.

Main Results:

  • Infants with autism outcomes exhibited significantly lower overall dyadic synchrony from 6 to 36 months compared to the comparison group.
  • Unique patterns of actor responsiveness were observed across behavioral modalities, with varied evidence for group differences.
  • No significant differences in synchrony were found between the ADHD concerns group and the comparison group.

Conclusions:

  • Lower early dyadic synchrony is associated with autism outcomes in high-risk infants.
  • Specific interactional patterns may differentiate developmental trajectories.
  • Further research is needed to link synchrony to developmental milestones and long-term outcomes.

Related Concept Videos

Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Oppositional Defiant Disorder01:30

Oppositional Defiant Disorder

A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
Socioemotional Development during Infancy01:30

Socioemotional Development during Infancy

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Stella Chess...