Can family affectedness inform infant sibling outcomes of autism spectrum disorders?
Open accessAbstract
Background: Difficulties in communication and reciprocal social behavior are core features of autism spectrum disorders (ASD) and are often present, to varying degrees, in other family members. This prospective longitudinal infant sibling study examines whether social‐communicative features of family members may inform which infants are at increased risk for ASD and other developmental concerns. Method: Two hundred and seventeen families participated in this study. Infant siblings were recruited from families with at least one older child diagnosed with an ASD ( n = 135) or at least one typically developing older child ( n = 82). Families completed the Social Responsiveness Scale to assess social and communication features of the broader autism phenotype (BAP), sometimes called quantitative autistic traits (QAT). Family affectedness was assessed in two ways: categorically, based on number of affected older siblings (i.e., typical, simplex, multiplex risk groups) and dimensionally, by assessing varying degrees of QAT in all family members. Infant siblings were assessed at 36 months of age and completed the Autism Diagnostic Observation Schedule and the Mullen Scales of Early Learning. Results: In structural equation models, comparisons between multiplex, simplex and typical groups revealed the highest rates of QAT in the multiplex group followed by the simplex and typical groups. Infant sibling outcomes were predicted by gender, family risk group, proband QAT, and additional sibling QAT. Conclusions: Replicating previous cross‐sectional and family history findings, the present study found elevated social and communication features of the BAP in siblings and fathers of ASD families, but not in mothers. While social and communication features of the BAP in mothers, fathers, and undiagnosed siblings did not predict infant sibling outcomes, having more than one affected older sibling did. Infant siblings from multiplex families were at significantly higher risk for ASD than infant siblings from simplex families in this sample.
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High-risk siblings from multiplex families exhibit higher levels of autism spectrum disorder-related characteristics than high-risk siblings who have a single older sibling with an autism spectrum disorder.
“Likewise, there is accumulating evidence that HR siblings from multiplex families exhibit higher levels of ASD-related characteristics17,19,20 than do HR siblings who have a single older sibling with an ASD.”
From Beyond Autism: A Baby Siblings Research Consortium Study of High-Risk Children at Three Years of Age (2013) · cites this paper as [17]
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Amygdala and hippocampal contributions to broad autism phenotype: Project Ice Storm
Li, X., Qureshi, M. N. I., Laplante, D. P., Elgbeili, G., Jones, S. L., King, S., & Rosa‐Neto, P. (2026) · Translational Psychiatry · doi:10.1038/s41398-026-03918-6 · Cited by 1 · see citing works
M-CHAT-R/F Performance in a High-Risk Infant Sibling Population
Bradbury, K. R. (2018) · OpenCommons - UConn (University of Connecticut) · Cited by 1 · see citing works
A Comparison Between High-Risk and Low-Risk Children with Autism Spectrum Disorder
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Social Communication and Infants At-Risk for Autism Spectrum Disorder
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The Broad Autism Phenotype, Empathy, and Intimate Relationships
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- Authors
- Schwichtenberg, A. J., Young, G. S., Sigman, M., Hutman, T., & Ozonoff, S.
- Affiliations
- University of California, Davis (US)
- University of California, Los Angeles (US)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2010-08-12
- Volume
- 51
- Issue
- 9
- Pages
- 1021-1030
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC2922056
- OpenAlex
- W1545886282
- Cited by
- 67
- References
- 37
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 10 · 2013: 7 · 2012: 8
- FWCI
- 3.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH068398, MH068172, MH068398, T32MH073124, U54MH068172)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, infant siblings, broader autism phenotype, multiplex families, simplex families, social communication, fathers, mothers, gender differences
- MeSH terms
- Analysis of Variance, Child Development Disorders, Pervasive, Child, Preschool, Communication, Family, Fathers, Female, Humans, Infant, Longitudinal Studies, Male, Mothers, Prospective Studies, Risk Factors, Social Behavior, Sex Distribution, Infant Behavior, Siblings
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