Abstract

BackgroundAlterations in brain development during infancy may precede the behavioral manifestation of developmental disorders. Infants at increased risk for autism are also at increased risk for other developmental disorders, including, quite commonly, language disorders. Here we assess the extent to which electroencephalographic (EEG) differences in infants at high versus low familial risk for autism are present by 3 months of age, and elucidate the functional significance of EEG power at 3 months in predicting later development.MethodsEEG data were acquired at 3 months in infant siblings of children with autism (high risk; n = 29) and infant siblings of typically developing children (low risk; n = 19) as part of a prospective, longitudinal investigation. Development across multiple domains was assessed at 6, 9, 12, 18, 24, and 36 months. Diagnosis of autism was determined at 18–36 months. We assessed relationships between 3-month-olds’ frontal EEG power and autism risk, autism outcome, language development, and development in other domains.ResultsInfants at high familial risk for autism had reduced frontal power at 3 months compared to infants at low familial risk for autism, across several frequency bands. Reduced frontal high-alpha power at 3 months was robustly associated with poorer expressive language at 12 months.ConclusionsReduced frontal power at 3 months may indicate increased risk for reduced expressive language skills at 12 months. This finding aligns with prior studies suggesting reduced power is a marker for atypical brain function, and infants at familial risk for autism are also at increased risk for altered developmental functioning in non-autism-specific domains.

Highlights

  • Alterations in brain development during infancy may precede the behavioral manifestation of developmental disorders

  • Infants were classified as high risk for autism (HRA) if they had at least one older sibling with a community diagnosis of Autism spectrum disorder (ASD)

  • We primarily focused on the association between 3-month frontal EEG power and developmental functioning on the Mullen Scales of Early Learning (MSEL) and Autism Observation Scale for Infants (AOSI) over the first year of life

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Summary

Introduction

Alterations in brain development during infancy may precede the behavioral manifestation of developmental disorders. Infant siblings of children with ASD have a nearly 20% chance of developing ASD [2], a figure substantially higher than the estimated 1–2% prevalence in the general population [3]. This increased risk is specific to ASD, . Converging findings from prospective, longitudinal studies of high-risk infant siblings suggest that the first, overt behavioral signs of social communication delays associated with ASD do not manifest until late in the first year of life [9]. There is accumulating evidence from electroencephalographic (EEG) studies suggesting that infants at high risk for ASD, regardless of whether they

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