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Biol Psychol. 2019 Mar;142:13-18. doi: 10.1016/j.biopsycho.2019.01.003. Epub 2019 Jan 11.

Developmental trajectories of autonomic functioning in autism from birth to early childhood.

Author information

1
Brown Center for the Study of Children at Risk, Women and Infants Hospital and the Rhode Island Consortium for Autism Research and Treatment, Providence, RI, United States; Department of Psychiatry & Human Behavior and Department of Pediatrics, Warren Alpert Medical School of Brown University, United States. Electronic address: Stephen_Sheinkopf@brown.edu.
2
Brown Center for the Study of Children at Risk, Women and Infants Hospital and the Rhode Island Consortium for Autism Research and Treatment, Providence, RI, United States; Department of Psychiatry & Human Behavior and Department of Pediatrics, Warren Alpert Medical School of Brown University, United States.
3
Brown Center for the Study of Children at Risk, Women and Infants Hospital and the Rhode Island Consortium for Autism Research and Treatment, Providence, RI, United States; Department of Human Development and Family Studies, Purdue University, United States.
4
Department of Computer Science and Statistics, University of Rhode Island, United States.
5
Brown Center for the Study of Children at Risk, Women and Infants Hospital and the Rhode Island Consortium for Autism Research and Treatment, Providence, RI, United States; Department of Psychology, University of Utah, United States.
6
Brown Center for the Study of Children at Risk, Women and Infants Hospital and the Rhode Island Consortium for Autism Research and Treatment, Providence, RI, United States; Department of Pediatrics and Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University, United States.

Abstract

Deficits in social engagement emerge in autism during the infant and toddler period and may be related to emotion regulation and stress response systems. This study examined patterns of growth in autonomic functioning related to autism diagnosis and addresses the hypothesis that there are differences in autonomic functioning related to autism in infancy. Heart rate (HR) and respiratory sinus arrhythmia (RSA) were measured at 8 time points from 1 to 72 months of age in infants later diagnosed with autism (n = 12) and a non-autistic comparison group (n = 106). Multilevel models were used to describe the developmental course of HR and RSA and to test the effect of autism diagnosis on growth trajectories. Both groups showed an expected age-related decrease in HR and increase in RSA. Groups did not differ in the rate of decrease of HR over time. However, infants with autism demonstrated a smaller linear increase in RSA, indicating slower growth in RSA over time in comparison to controls. These results suggest that differences in physiological regulation may develop with age in autism. The slowed RSA growth in autism was most evident after 18 months of age, at a time when behavioral symptoms become prominent. This is consistent with the view that RSA is a marker of functional status in autism rather than a cause of social deficits in autism.

KEYWORDS:

Autism; Cardiac; Infancy; Longitudinal; Physiology

PMID:
30641105
PMCID:
PMC6401242
[Available on 2020-03-01]
DOI:
10.1016/j.biopsycho.2019.01.003
[Indexed for MEDLINE]

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