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Developmental Sequelae and Neurophysiologic Substrates of Sensory Seeking in Infant Siblings of Children with Autism Spectrum Disorder

机译:自闭症谱系障碍患儿的兄弟姐妹感觉寻求的发育后遗症和神经生理学基质

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摘要

It has been proposed that early differences in sensory responsiveness arise from atypical neural function and produce cascading effects on development across domains. This longitudinal study prospectively followed infants at heightened risk for autism spectrum disorder (ASD) based on their status as younger siblings of children diagnosed with ASD (Sibs-ASD) and infants at relatively lower risk for ASD (siblings of typically developing children; Sibs-TD) to examine the developmental sequelae and possible neurophysiological substrates of a specific sensory response pattern: unusually intense interest in nonsocial sensory stimuli or “sensory seeking.” At 18 months, sensory seeking and social orienting were measured with the Sensory Processing Assessment, and a potential neural signature for sensory seeking (i.e., frontal alpha asymmetry) was measured via resting state electroencephalography. At 36 months, infants’ social symptomatology was assessed in a comprehensive diagnostic evaluation. Sibs-ASD showed elevated sensory seeking relative to Sibs-TD, and increased sensory seeking was concurrently associated with reduced social orienting across groups and resting frontal asymmetry in Sibs-ASD. Sensory seeking also predicted later social symptomatology. Findings suggest that sensory seeking may produce cascading effects on social development in infants at risk for ASD and that atypical frontal asymmetry may underlie this atypical pattern of sensory responsiveness.
机译:有人提出,非典型的神经功能会引起早期的感觉反应差异,并在跨域发展中产生级联效应。这项纵向研究前瞻性地追踪了自闭症谱系障碍(ASD)风险较高的婴儿,根据其被诊断为ASD的儿童的较年轻兄弟姐妹(Sibs-ASD)的状况以及相对较低的ASD风险的婴儿(通常为发育中儿童的兄弟姐妹; Sibs- TD),以检查发育后遗症和特定感觉反应模式的可能神经生理学底物:对非社会感觉刺激或“感觉寻求”的异常强烈兴趣。在18个月时,通过“感官加工评估”对感官寻求和社交取向进行了测量,并通过静息状态脑电图测量了潜在的感官寻求神经特征(即额叶α不对称性)。在36个月时,通过全面的诊断评估对婴儿的社会症状进行了评估。相对于Sibs-TD,Sibs-ASD表现出更高的感觉寻求,并且Sibs-ASD中感官寻找的增加与群体间社会取向的减少和额叶不对称的静止相关。感官寻求也预示了以后的社会症状。研究结果表明,寻求感觉可能会对具有ASD风险的婴儿的社会发展产生连锁反应,并且非典型的额叶不对称可能是这种非典型的感觉反应模式的基础。

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