Development in infants with autism spectrum disorders: a prospective study
Abstract
Background: Autism is rarely diagnosed before three years of age despite evidence suggesting prenatal abnormalities in neurobiological processes. Little is known about when or how development becomes disrupted in the first two years of life in autism. Such information is needed to facilitate early detection and early intervention. Methods: This prospective study of autism spectrum disorders (ASD) examined development using the Mullen Scales of Early Learning (MSEL) in 87 infants tested at target ages 6, 14, and 24 months. Participants came from infants at high risk (siblings of children with autism) and low risk (no family history of autism) groups. Based on language test scores, Autism Diagnostic Observation Schedule, and clinical judgment at 24 months of age, participants were categorized as: unaffected, ASD, or language delayed (LD). Longitudinal linear regression and ANOVA models were applied to MSEL raw scores, and estimates were compared between the three diagnostic groups. Results: No statistically significant group differences were detected at 6 months. By 14 months of age, the ASD group performed significantly worse than the unaffected group on all scales except Visual Reception. By 24 months of age, the ASD group performed significantly worse than the unaffected group in all domains, and worse than the language delayed group in Gross Motor, Fine Motor, and Receptive Language. The developmental trajectory of the ASD group was slower than the other groups’, and showed a significant decrease in development between the first and second birthdays. Conclusions: Variations from typical and language delayed development are detectable in many children with ASD using a measure of general development by 24 months of age. Unusual slowing in performance occurred between 14 and 24 months of age in ASD.
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Numerous studies have indicated that some, although not all, children who are later diagnosed as having ASD have delays in motor development, social responsiveness, or language development in the early part of the second year of life, if not before.
“First, numerous studies have indicated that some, although not all, children who are later diagnosed as having ASD have delays in motor development, social responsiveness, or language development in the early part of the second year of life, if not before (Landa & Garrett-Mayer 2006, Messinger et al. 2013, Mitchell et al. 2006, Zwaigenbaum et al. 2005).”
From Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder (2015) · cites this paper as Landa & Garrett-Mayer 2006
Previous studies have used the strategy of contrasting ASD with no ASD outcome collapsed across risk group.
“Several previous studies have also used the strategy of contrasting ASD with no ASD outcome collapsed across risk group [11, 67–72].”
Standardized measures of general gross motor abilities do not differentiate Sib-A from other high-risk siblings earlier on, with differences appearing only after 14 months of age.
“standardized measures of general gross motor abilities do not differentiate Sib-A from the other high-risk siblings earlier on (Landa, Gross, Stuart, & Faherty, 2013; Leonard, Elsabbagh, Hill, & The BASIS Team, 2013), with differences appearing only after 14 months of age (Landa & Garrett-Mayer, 2006).”
From From early markers to neuro-developmental mechanisms of autism (2014) · cites this paper as Landa & Garrett-Mayer, 2006
Motor and visual reception differences were detected earlier than reported in previous longitudinal studies of high-risk infants that used standardized developmental measures.
“Indeed, motor and visual reception differences were detected earlier than reported in previous longitudinal studies of high-risk infants that used standardized developmental measures [21, 34].”
From Behavioral, cognitive, and adaptive development in infants with autism spectrum disorder in the first 2 years of life (2015) · cites this paper as [21]
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- Authors
- Landa, R., & Garrett‐Mayer, E.
- Affiliations
- Kennedy Krieger Institute (US)
- Corresponding author
- Landa, Rebecca
- ORCID
- Landa, Rebecca
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2006-04-26
- Volume
- 47
- Issue
- 6
- Pages
- 629-638
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2118780982
- Cited by
- 730
- References
- 53
- Citations by year
- 2026: 16 · 2025: 18 · 2024: 30 · 2023: 22 · 2022: 44 · 2021: 45 · 2020: 58 · 2019: 40 · 2018: 47 · 2017: 44 · 2016: 37 · 2015: 52 · 2014: 36 · 2013: 47 · 2012: 51
- FWCI
- 11.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (1-R01-MH59630-01A3, R01MH059630)
- 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, infant development, early detection, developmental delay, language delay, siblings of autistic children, developmental trajectories, motor development, receptive language, Mullen Scales of Early Learning
- MeSH terms
- Algorithms, Autistic Disorder, Developmental Disabilities, Child, Preschool, Communication Disorders, Cross-Sectional Studies, Female, Humans, Infant, Language Development Disorders, Male, Prospective Studies, Severity of Illness Index, Motor Skills Disorders
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