The temperament features associated with autism spectrum disorder in childhood: A systematic review

Mallise, Carly A.; Lane, Alison E.; Woolard, Alix; Whalen, Olivia M.; Murphy, Vanessa E.; Karayanidis, Frini; Campbell, Linda E.

doi:10.1016/j.ridd.2020.103711

Cited by 20 publications

(12 citation statements)

References 49 publications

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“…Group differences on temperament subscales did not emerge until 12 months of age, in accordance with recent reviews of the temperament literature in children with ASD ( Mallise et al, 2020 ; Chetcuti et al, 2021 ). Similar to del Rosario et al (2014) and Paterson et al (2019) , we did not find group differences at 6 months.…”

Section: Discussionsupporting

confidence: 89%

“…Differences in temperament and social-emotional behaviors are apparent in children with ASD at a very early age (see reviews by Mallise et al, 2020 ; Chetcuti et al, 2021 ) and can contribute to impairments in adaptive/functional skills ( Chiang and Gau, 2016 ), long-term prognosis and treatment response ( Horner et al, 1992 ; Vivanti et al, 2014 ), as well as increase vulnerability to mental health problems ( Gadow et al, 2004 ; Eisenhower et al, 2005 ; Kagan and Fox, 2006 ; Leyfer et al, 2006 ; Nigg, 2006 ; Rothbart and Bates, 2006 ; Hartley et al, 2008 ; Joshi et al, 2010 ). Although specific temperament profiles have been associated with specific diagnoses (e.g., ADHD, Miller et al, 2019 ; or social anxiety disorder, Chronis-Tuscano et al, 2009 ), a profile for children who are or will be diagnosed with ASD has yet to be identified.…”

Section: Discussionmentioning

confidence: 99%

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Temperament in Infancy Predicts Internalizing and Externalizing Problem Behavior at Age 5 in Children With an Increased Likelihood of Autism Spectrum Disorder

et al. 2022

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Differences in temperament have been linked to later mental health. Children with autism spectrum disorder (ASD) have an increased likelihood of experiencing such problems, including anxiety, depression, attention deficit/hyperactivity disorder, and oppositional defiant disorder; yet, relations between early temperament and later mental health are not well understood. In this paper, we assess the relationship between temperament in infancy and internalizing and externalizing behavior at age 5, in 178 children at an increased likelihood of being diagnosed with ASD (i.e., younger siblings of children with ASD). Temperament was assessed using the parent-reported Infant Behavior Questionnaire (IBQ) at 6 and 12 months of age and the Toddler Behavior Assessment Questionnaire-Revised (TBAQ-R) at 24 months of age. Mental health problems were assessed using the parent-reported Child Behavior Checklist (CBCL) at age 5. The data were analyzed using hierarchical multiple regressions, with individual temperament subscale scores as single predictor variables (Subscale Score) or temperament profiles using confirmatory factor analyses (Person-Centered Profile) in the first block, Autism Diagnostic Observation Schedule total severity scores at age 3 in the second block, and expressive and receptive language scores (from Mullen Scales of Early Learning) at age 3 in the third block for each model. Three main findings were: (1) 4 of 6 IBQ subscales at both 6 and 12 months significantly predicted internalizing and externalizing problems at age 5; (2) 9 and 8 of 13 TBAQ-R subscales at 24 months significantly predicted internalizing and externalizing problems, respectively, at age 5; and (3) a “sticky attention” temperament profile significantly predicted internalizing problems, whereas a “low-focused” profile significantly predicted externalizing problems, both at age 5. The results of this study support the supposition that temperament is a trans-diagnostic risk factor for later mental health conditions. Exploring temperament profiles and trajectories may illuminate early avenues for prevention in siblings of children with ASD who are at an increased likelihood of experiencing mental health problems, regardless of ASD diagnostic status.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Temperament in Infancy Predicts Internalizing and Externalizing Problem Behavior at Age 5 in Children With an Increased Likelihood of Autism Spectrum Disorder

et al. 2022

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“…Both temperament and sensory processing can be assessed reliably in infancy, offering an opportunity to explore early bidirectional links between early developmental vulnerabilities and immune function (Engel-Yeger et al, 2014;O'Connor et al, 2017). Infants born to mothers with asthma have been reported to be at-risk for poorer behavioural outcomes (for review, see Whalen et al, 2019), which may be associated with temperament and sensory differences (Ben-Sasson et al, 2013;Mallise et al, 2020). Exploring differences in temperament and sensory processing of infants born to mothers with asthma during the first year of life may allow for the early identification of those at high-risk of poorer developmental and behavioural outcomes in later childhood.…”

Section: Introductionmentioning

confidence: 99%

Early Sensory and Temperament Features in Infants Born to Mothers With Asthma: A Cross-Sectional Study

et al. 2021

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Maternal asthma in pregnancy is associated with an increased risk of adverse perinatal outcomes. Adverse perinatal outcomes may result in poorer infant developmental outcomes, such as temperament and sensory difficulties. This study aimed to (1) assess differences in temperament and sensory features between infants born to mothers with and without asthma and (2) investigate differences in these infant behaviours as a function of maternal asthma severity and asthma control. Mothers completed the Carey Temperament Scales and the Sensory Profile 2 at either 6 weeks, 6 months, or 12 months postpartum. Overall, we observed no significant differences between infants born to mothers with and without asthma in their temperament or sensory features; scores in both domains fell within the normative range. More infants in the asthma group, however, were reported to be highly distractible. When compared with normative data, infants in both groups were reported to have poor predictability of biological functions and fewer infants engaged in low levels of sensory behaviours. Some infants were observed to experience difficulties with hyper-reactivity within several domains. Maternal asthma severity and control during pregnancy were not linked to significant differences between infant temperament and sensory features. The present findings indicate that infants born to mothers with asthma are not at an increased risk overall for temperament or sensory difficulties, compared to control infants. However, a subset of infants across both groups may be at risk for attention or sensory hyper-reactivity difficulties. Further research into the developmental outcomes of infants born to mothers with asthma is warranted.

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“…Therefore, it would be important to track these sensory features over time, along with their associations and/or cascading consequences for socialcommunication and other later-emerging cognitive deficits in ASD beyond the toddler and preschool years. The importance of confirming the self-regulation factor within this community sample study was underscored by previous evidence from infant sibling studies, whereby those siblings who went on to get a later diagnosis of ASD tended to show more challenging temperamental features (e.g., atypical sleep-wake patterns, poor soothability) across daily routines within the first year (Mallise et al, 2020;Pijl et al, 2019). A recent study demonstrated the specific associations between negative reactions to sensory stimuli at 18 months and ASD, but not ADHD, symptoms at 3 years of age (Konke et al, 2022), indicating the specificity of early sensory-related features in differentiating later ASD and other conditions.…”

Section: Discussionmentioning

confidence: 80%

Early measurement of autism risk constructs in the general population: A new factor structure of the First Years Inventory (FYIv3.1) for ages 6–16 months

et al. 2022

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Early detection of autism risk in the community is critical to increasing families' access to early intervention, yet few measures have been developed and tested for the general population of infants <16 months to tap a broader range of autism risk constructs. This study aimed to (a) examine the factor structure of the First Years Inventory, version 3.1 (FYIv3.1), with a sample of 6454 infants 6-16 months, and (b) determine the ability of the resulting factors to discriminate clinical outcome groups at 3 years of age. The FYIv3.1 is a parent-report tool designed to detect early behavioral risk signs that may be associated with a later diagnosis of ASD and related neurodevelopmental conditions. Factor analytic models were used to determine the number of constructs and inter-factor correlations. Findings supported a seven-factor structure: communication, imitation and play (CIP); social attention and affective engagement (SAE); sensory hyperresponsiveness (HYPER); sensory hyporesponsiveness (HYPO); self-regulation in daily routines (SREG); sensory interests, repetitions, and seeking behaviors (SIRS); motor coordination and milestones (MCM). Mean comparisons on these factors demonstrated significant discrimination of the three outcome groups at age 3 years including those classified as having an ASD diagnosis and/or high autism symptoms, those classified as having other developmental disorders/conditions/concerns, and those classified with no known conditions/concerns. These findings support the validity and multidimensionality of early ASD risk constructs, as well as the potential use of the FYIv3.1 for phenotypic subtyping in the general population, and early detection in a broader age range of 6-16 months in future clinical studies. Lay SummaryThe FYIv3.1 is a 69-item parent-report questionnaire about infant behaviors that may indicate an elevated likelihood for later neurodevelopmental conditions such as autism. Analyses of responses from 6454 parents of infants 6-16 months indicated that items could be grouped reliably into seven categories. Compared to children with or without other developmental conditions, children in the outcome group with autism spectrum disorder and/or high autism symptoms at age three showed more behavioral risk signs in social-communication, sensory, and motor domains during infancy.

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The temperament features associated with autism spectrum disorder in childhood: A systematic review

Cited by 20 publications

References 49 publications

Temperament in Infancy Predicts Internalizing and Externalizing Problem Behavior at Age 5 in Children With an Increased Likelihood of Autism Spectrum Disorder

Temperament in Infancy Predicts Internalizing and Externalizing Problem Behavior at Age 5 in Children With an Increased Likelihood of Autism Spectrum Disorder

Early Sensory and Temperament Features in Infants Born to Mothers With Asthma: A Cross-Sectional Study

Early measurement of autism risk constructs in the general population: A new factor structure of the First Years Inventory (FYIv3.1) for ages 6–16 months

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