Emerging cognitive profiles in high-risk infants with and without autism spectrum disorder
Open accessAbstract
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.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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).”
From Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder (2015) · cites this paper as Brian et al. 2014
Cites
Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., Donaldson, A., & Varley, J. (2010) · Pediatrics · doi:10.1542/peds.2009-0958 · Cited by 2,621 · see citing works
Analyzing developmental trajectories: A semiparametric, group-based approach.
Nagin, D. S. (1999) · Psychological Methods · doi:10.1037/1082-989x.4.2.139 · Cited by 2,346 · see citing works
Adult outcome for children with autism
Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00215.x · Cited by 1,813 · see citing works
Autism From 2 to 9 Years of Age
Lord, C., Risi, S., DiLavore, P. S., Shulman, C., Thurm, A., & Pickles, A. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.6.694 · Cited by 973 · see citing works
Landa, R. J., Holman, K. C., & Garrett-Mayer, E. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.7.853 · Cited by 590 · see citing works
Combining Information From Multiple Sources in the Diagnosis of Autism Spectrum Disorders
RISI, S., LORD, C., GOTHAM, K., CORSELLO, C., CHRYSLER, C., SZATMARI, P., COOK, E. H., LEVENTHAL, B. L., & PICKLES, A. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000227880.42780.0e · Cited by 581 · see citing works
Developmental Trajectories in Children With and Without Autism Spectrum Disorders: The First 3 Years
Landa, R. J., Gross, A. L., Stuart, E. A., & Faherty, A. (2013) · Child Development · doi:10.1111/j.1467-8624.2012.01870.x · Cited by 316 · see citing works
Beyond Autism: A Baby Siblings Research Consortium Study of High-Risk Children at Three Years of Age
Messinger, D., Young, G. S., Ozonoff, S., Dobkins, K., Carter, A., Zwaigenbaum, L., Landa, R. J., Charman, T., Stone, W. L., Constantino, J. N., et al. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.12.011 · Cited by 290 · see citing works
Self-citationZwaigenbaum, L., Bryson, S. E., Szatmari, P., Brian, J., Smith, I. M., Roberts, W., Vaillancourt, T., & Roncadin, C. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1515-y · Cited by 178 · see citing works
Self-citationLoss of language in early development of autism and specific language impairment
Pickles, A., Simonoff, E., Conti‐Ramsden, G., Falcaro, M., Simkin, Z., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2008.02032.x · Cited by 154 · see citing works
Georgiades, S., Szatmari, P., Zwaigenbaum, L., Bryson, S., Brian, J., Roberts, W., Smith, I., Vaillancourt, T., Roncadin, C., & Garon, N. (2013) · JAMA Psychiatry · doi:10.1001/2013.jamapsychiatry.1 · Cited by 130 · see citing works
Self-citationCriteria, categories, and continua: autism and related disorders in DSM-5
Happé, F. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.03.015 · Cited by 100 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder
Lord, C., & Bishop, S. L. (2015) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032814-112745 · Cited by 224 · see citing works
Pearson, N., Charman, T., Happé, F., Bolton, P. F., & McEwen, F. S. (2018) · Autism Research · doi:10.1002/aur.2035 · Cited by 75 · see citing works
- 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
- hybrid
- doi.org
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review