与自闭症谱系障碍婴幼儿的社会沟通能力相关的自发性神经活动模式。

Patterns of spontaneous neural activity associated with social communication abilities among infants and toddlers showing signs of autism.

机构信息

Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, California, USA.

Division of Neurology, Children's Hospital Los Angeles, Los Angeles, California, USA.

出版信息

Eur J Neurosci. 2024 Jul;60(1):3597-3613. doi: 10.1111/ejn.16358. Epub 2024 May 4.

Abstract

Early disruptions to social communication development, including delays in joint attention and language, are among the earliest markers of autism spectrum disorder (autism, henceforth). Although social communication differences are a core feature of autism, there is marked heterogeneity in social communication-related development among infants and toddlers exhibiting autism symptoms. Neural markers of individual differences in joint attention and language abilities may provide important insight into heterogeneity in autism symptom expression during infancy and toddlerhood. This study examined patterns of spontaneous electroencephalography (EEG) activity associated with joint attention and language skills in 70 community-referred 12- to 23-month-olds with autism symptoms and elevated scores on an autism diagnostic instrument. Data-driven cluster-based permutation analyses revealed significant positive associations between relative alpha power (6-9 Hz) and concurrent response to joint attention skills, receptive language, and expressive language abilities. Exploratory analyses also revealed significant negative associations between relative alpha power and measures of core autism features (i.e., social communication difficulties and restricted/repetitive behaviors). These findings shed light on the neural mechanisms underlying typical and atypical social communication development in emerging autism and provide a foundation for future work examining neural predictors of social communication growth and markers of intervention response.

摘要

早期社交沟通发展的中断,包括共同注意力和语言的延迟,是自闭症谱系障碍(自闭症,此后简称)的最早标志之一。尽管社交沟通差异是自闭症的核心特征,但在表现出自闭症症状的婴儿和幼儿中,与社交沟通相关的发展存在明显的异质性。共同注意力和语言能力个体差异的神经标志物可能为自闭症症状在婴儿期和幼儿期表达的异质性提供重要的见解。本研究在 70 名有自闭症症状和自闭症诊断工具得分较高的社区转介的 12 至 23 个月大的婴儿中,检查了与共同注意力和语言技能相关的自发脑电图 (EEG) 活动模式。基于数据的聚类排列分析显示,相对阿尔法功率(6-9 Hz)与共同注意力技能、接受性语言和表达性语言能力的同步反应之间存在显著的正相关。探索性分析还显示,相对阿尔法功率与核心自闭症特征(即社交沟通困难和受限/重复行为)的测量值之间存在显著的负相关。这些发现揭示了新兴自闭症中典型和非典型社交沟通发展的神经机制,并为未来研究社交沟通发展和干预反应标志物的神经预测因子提供了基础。

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