Cited by 43Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesGenetics and Neurodevelopmental Disorders

Emerging cognitive profiles in high-risk infants with and without autism spectrum disorder

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Brian, A. Jessica, Roncadin, C., Duku, E., Bryson, S.E., Smith, I.M., Roberts, W., Szatmari, P., Drmic, I. +1 more·2014·Research in Autism Spectrum Disorders

Abstract

This paper examined early developmental trajectories in a large, longitudinal sample at high-risk for ASD (‘HR’) and low-risk (‘LR’) controls, and the association of trajectories with 3-year diagnosis. Developmental assessments were conducted at 6, 12, 24 months, and 3 years, with blinded “clinical best-estimate” expert diagnosis at age 3. HR infants were enrolled based only on familial risk. LR infants, from community sources, had no first- or second-degree ASD relatives. All infants were born at 36–42 weeks, weighing ≥2500 g, with no identifiable neurological, genetic, or severe sensory/motor disorders. Analytic phase I: semi-parametric group-based modeling to identify distinct developmental trajectories (n = 680; 487 HR; 193 LR); phase II: Trajectory membership in relation to 3-year diagnosis (n = 424; 310 HR; 114 LR). Three distinct trajectories emerged (1) inclining; (2) stable-average; (3) declining; trajectory membership predicted diagnosis (χ2 = 99.40; p < .001). Most ASD cases were in stable-average (50.6%) or declining trajectories (33.8%); most non-ASD-HR infants were in inclining (51.9%) or stable-average (40.3%) trajectories. The majority of LR controls were in the inclining trajectory (78.9%). Within the declining trajectory, over half had ASD (57.8%), but 40% were non-ASD-HR infants. Declining/plateauing raw scores were associated with, but not exclusive to, ASD. Findings underscore the importance of monitoring the emergence of ASD symptoms and overall development in high-risk children. Evidence of developmental slowing or decline may be associated not only with ASD, but with other suboptimal outcomes, warranting careful clinical follow-up.

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Crossref · 10.1016/j.rasd.2014.07.021

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  • For many children with ASD, regression may take the form of a subtle plateauing, loss of engagement, or failure to acquire more sophisticated social-communication skills as expected rather than an identifiable loss of actual skills.

    “For example, recent studies suggest that for many children with ASD, regression may take the form of a subtle plateauing, loss of engagement, or failure to acquire more sophisticated social-communication skills as expected rather than an identifiable loss of actual skills (e.g., Brian et al. 2014, Ozonoff et al. 2010).”

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Authors
Brian, A. J., Roncadin, C., Duku, E., Bryson, S. E., Smith, I. M., Roberts, W., Szatmari, P., Drmic, I., & Zwaigenbaum, L.
Affiliations
  • University of Toronto (CA)
  • McMaster University (CA)
  • Dalhousie University (CA)
  • Hospital for Sick Children (CA)
  • University of Alberta (CA)
Corresponding author
Brian, A. Jessica
Venue
Research in Autism Spectrum Disorders
Publisher
Elsevier BV
Published
2014-11
Volume
8
Issue
11
Pages
1557-1566
ISSN
  • 1878-0237 (ISSN-L)
  • 1750-9467
OpenAlex
W1975893854
Cited by
43
References
12
Citations by year
2026: 1 · 2025: 3 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 3 · 2016: 2 · 2015: 3
FWCI
1.48
Type
journal article
Language
en
Open access
Locations
Research in Autism (publishedVersion, cc-by-nc-nd)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
Keywords
autism spectrum disorder, familial risk, developmental trajectories, cognitive development, high-risk infants, early diagnosis, developmental decline, child development monitoring, group-based trajectory modeling

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