空白重叠范式对自闭症儿童的早期预测

摘 要 空白重叠范式是研究视觉注意特征常用的实验范式。自闭症儿童普遍存在注意解离缺陷,空白重叠范式揭示出该群体注意解离存在异常。国外开始重视将该范式用于自闭症的预测,而我国在这方面的研究很少。本文对空白重叠范式的操作程序、基本原理和数据分析等内容进行了系统地介绍,并就空白重叠范式在自闭症婴幼儿预测中的作用、使用时需注意的方法论等问题进行了展望,以期促进空白重叠范式在我国自闭症早期预测中的运用。     

Development of infant sustained attention and its relation to EEG oscillations: an EEG and cortical source analysis study

The current study examined the relation between infant sustained attention and infant EEG oscillations. Fifty‐nine infants were tested at 6 (N = 15), 8 (N = 17), 10 (N = 14), and 12 (N = 13) months. Three attention phases, stimulus orienting, sustained attention, and attention termination, were defined based on infants' heart rate changes. Frequency analysis using simultaneously recorded EEG focused on infant theta (2–6 Hz), alpha (6–9 Hz), and beta (9–14 Hz) rhythms. Cortical source analysis of EEG oscillations was conducted with realistic infant MRI models. Theta synchronization was found over fontal pole, temporal, and parietal electrodes during infant sustained attention for 10 and 12 months. Alpha desynchronization was found over frontal, central and parietal electrodes during sustained attention. This alpha effect started to emerge at 10 months and became well established by 12 months. No difference was found for the beta rhythm between different attention phases. The theta synchronization effect was localized to the orbital frontal, temporal pole, and ventral temporal areas. The alpha desynchronization effect was localized to the brain regions composing the default mode network including the posterior cingulate cortex and precuneus, medial prefrontal cortex, and inferior parietal gyrus. The alpha desynchronization effect was also localized to the pre‐ and post‐central gyri. The present study demonstrates a connection between infant sustained attention and EEG oscillatory activities.     

Freeze-Frame: a new infant inhibition task and its relation to frontal cortex tasks during infancy and early childhood

The current study investigated a new, easily administered, visual inhibition task for infants termed the Freeze-Frame task. In the new task, 9-month-olds were encouraged to inhibit looks to peripheral distractors. This was done by briefly freezing a central animated stimulus when infants looked to the distractors. Half of the trials presented an engaging central stimulus, and the other half presented a repetitive central stimulus. Three measures of inhibitory function were derived from the task and compared with performance on a set of frontal cortex tasks administered at 9 and 24 months of age. As expected, infants' ability to learn to selectively inhibit looks to the distractors at 9 months predicted performance at 24 months. However, performance differences in the two Freeze-Frame trial types early in the experiment also turned out to be an important predictor. The results are discussed in terms of the validity of the Freeze-Frame task as an early measure of different components of inhibitory function.     

Attention affects the recognition of briefly presented visual stimuli in infants: an ERP study

This study examined the effect of attention in infants on the ERP changes occurring during the recognition of briefly presented visual stimuli. Infants at ages 4.5, 6 and 7.5 months were presented with a Sesame Street movie that elicited periods of attention and inattention, and computer-generated stimuli were presented overlaid on the movie for 500 ms. One stimulus was familiar to the infants and was presented frequently, a second stimulus was familiar but presented infrequently, and a set of 14 novel stimuli were presented infrequently. An ERP component labeled the 'Nc' (Negative Central, about 450-550 ms after stimulus onset) was larger during attention than inattention and increased in magnitude over the three testing ages during attention. Late slow waves in the ERP (from 1000 to 2000 ms post-stimulus onset) consisted of a positive slow wave in response to the infrequent familiar stimulus at all three testing ages. The late slow wave in response to the infrequent novel stimulus during attention was a positive slow wave for the 4.5-month-old infants, to a positive-negative slow wave for the 6-month-old infants and a negative slow wave for the 7.5-month-old infants. These results show attention facilitates the brain response during infant recognition memory and show that developmental changes in recognition memory are closely related to changes in attention.     

Experimental manipulation of infant temperament affects amygdala functional connectivity

In this functional magnetic resonance imaging (fMRI) study we examined neural processing of infant faces associated with a happy or a sad temperament in nulliparous women. We experimentally manipulated adult perception of infant temperament in a probabilistic learning task. In this task, participants learned about an infant's temperament through repeated pairing of the infant face with positive or negative facial expressions and vocalizations. At the end of the task, participants were able to differentiate between “mostly sad” infants who cried often and “mostly happy” infants who laughed often. Afterwards, brain responses to neutral faces of infants with a happy or a sad temperament were measured with fMRI and compared to brain responses to neutral infants with no temperament association. Our findings show that a brief experimental manipulation of temperament can change brain responses to infant signals. We found increased amygdala connectivity with frontal regions and the visual cortex, including the occipital fusiform gyrus, during the perception of infants with a happy temperament. In addition, amygdala connectivity was positively related to the post-manipulation ratings of infant temperament, indicating that amygdala connectivity is involved in the encoding of the rewarding value of an infant with a happy temperament.     

Intermodal perception at birth: Intersensory redundancy guides newborn infants’ learning of arbitrary auditory−visual pairings

In this study the ability of newborn infants to learn arbitrary auditory–visual associations in the absence versus presence of amodal (redundant) and contingent information was investigated. In the auditory-noncontingent condition 2-day-old infants were familiarized to two alternating visual stimuli (differing in colour and orientation), each accompanied by its ‘own’ sound: when the visual stimulus was presented the sound was continuously presented, independently of whether the infant looked at the visual stimulus. In the auditory-contingent condition the auditory stimulus was presented only when the infant looked at the visual stimulus: thus, presentation of the sound was contingent upon infant looking. On the post-familiarization test trials attention recovered strongly to a novel auditory–visual combination in the auditory-contingent condition, but remained low, and indistinguishable from attention to the familiar combination, in the auditory-noncontingent condition. These findings are a clear demonstration that newborn infants’ learning of arbitrary auditory–visual associations is constrained and guided by the presence of redundant (amodal) contingent information. The findings give strong support to Bahrick’s theory of early intermodal perception.     

Preliminary evidence for selective cortical responses to music in one-month-old infants

Prior studies have observed selective neural responses in the adult human auditory cortex to music and speech that cannot be explained by the differing lower-level acoustic properties of these stimuli. Does infant cortex exhibit similarly selective responses to music and speech shortly after birth? To answer this question, we attempted to collect functional magnetic resonance imaging (fMRI) data from 45 sleeping infants (2.0- to 11.9-weeks-old) while they listened to monophonic instrumental lullabies and infant-directed speech produced by a mother. To match acoustic variation between music and speech sounds we (1) recorded music from instruments that had a similar spectral range as female infant-directed speech, (2) used a novel excitation-matching algorithm to match the cochleagrams of music and speech stimuli, and (3) synthesized “model-matched” stimuli that were matched in spectrotemporal modulation statistics to (yet perceptually distinct from) music or speech. Of the 36 infants we collected usable data from, 19 had significant activations to sounds overall compared to scanner noise. From these infants, we observed a set of voxels in non-primary auditory cortex (NPAC) but not in Heschl's Gyrus that responded significantly more to music than to each of the other three stimulus types (but not significantly more strongly than to the background scanner noise). In contrast, our planned analyses did not reveal voxels in NPAC that responded more to speech than to model-matched speech, although other unplanned analyses did. These preliminary findings suggest that music selectivity arises within the first month of life. A video abstract of this article can be viewed at https://youtu.be/c8IGFvzxudk .

Research Highlights

• Responses to music, speech, and control sounds matched for the spectrotemporal modulation-statistics of each sound were measured from 2- to 11-week-old sleeping infants using fMRI.
• Auditory cortex was significantly activated by these stimuli in 19 out of 36 sleeping infants.
• Selective responses to music compared to the three other stimulus classes were found in non-primary auditory cortex but not in nearby Heschl's Gyrus.
• Selective responses to speech were not observed in planned analyses but were observed in unplanned, exploratory analyses.

     

The associations between autistic and communication traits in parents and developmental outcomes in children at familial risk of autism at 6 and 24 months of age

BackgroundSeveral studies have explored relationships between parent broader autism phenotype and offspring communication, and have reported that autistic-like traits in parents are related to offspring communication difficulties and autism severity. However, past research has focused on studying such associations in childhood and we know very little about them in infancy. With accumulating evidence that interventions administered during infancy may be most effective in reducing ASD symptoms, it is imperative to examine whether relationships between parent autistic-like traits and child communication appear even earlier during this critical period of life.MethodThis longitudinal study collected data from infant siblings of autistic children (N = 32) and infants with no family history of autism (N = 45) to explore how autistic-like traits in parents related to child developmental outcomes during infancy.ResultsParental communication difficulties and autistic-like traits were found to be associated with a range of child behaviours in the first two years of life, including social-emotional difficulties at 6 and 24 months, lower communication and emerging cognition at 24 months, and increased autistic behaviours at 24 months.ConclusionsBased on the results, it appears that some of the difficulties seen in parents are relayed to children genetically. These findings contribute to ASD research concerning early communication development in children and heritability of ASD traits and may have important implications in monitoring child development. Furthermore, since the current study found a significant association between autistic traits in parents and child social-emotional behaviour as early as 6 months of age, it provides evidence of the value of assessing interventions that target infancy.     

Perception of internal elements of compound figures by one-month-old infants

Previous research has shown that infants younger than 2 months frequently concentrate their attention on peripheral or external features of visual stimuli and that they do not appear to process the internal elements of a compound visual stimulus composed of a simple geometric figure enclosed in a larger figure. A visual habituation-dishabituation paradigm was used to determine whether 1-month-old infants would process internal information if the internal elements of the stimulus were patterns often found to be preferred by young infants. Four groups of eight infants each were habituated to a compound stimulus consisting of a square or triangle surrounding a checkerboard or bull's-eye. Following habituation each group was presented with one of four types of stimulus: the identical stimulus (control group), a stimulus differing only in the internal component, a stimulus differing only in the external component, or a stimulus differing in both components. The results of the present study suggest that when the internal element of a compound stimulus is a highly preferred or salient stimulus, the young infant will process information about its characteristics.     

Separate brain potential characteristics in children with reading disability and attention deficit disorder: color and letter relevance effects

This experiment was on event-related potential (ERP) indicants of the selective neural processing of black vs. white and letter vs. nonletter stimuli in boys (8-12 years of age) with and without a reading disability (RD) and/or attentional deficit disorder (ADD). Selective neural processing was measured by the increase or difference in ERP amplitude in response to stimuli that were relevant as compared to irrelevant to the color or letter attention task. The 52 children that participated in the study constituted four groups: 25 normal reading children (17 without ADD and 8 with ADD), and 27 RD children (11 without ADD and 16 with ADD). ERPs were recorded over the left and right occipital, central, and frontal regions. Selective neural processing due to stimulus relevance was reduced in boys with RD as compared to normal readers. This reduced selectivity was indicated by a predominantly symmetrical reduction in the magnitude of a positive difference potential over the central regions, between 300 and 360 msec, and then by a left greater than right hemisphere reduction in the magnitude of a positive difference potential over the occipital regions, at about 400 msec. Task relevance increased the within-subject and condition variability of this occipital positive component and this effect was greater for boys without than with RD, particularly over the left hemisphere. Selective neural processing due to stimulus relevance was greater in boys with ADD as compared to those without ADD. This was indicated by an increase in the magnitude of a positive difference potential between 320 and 400 msec over the central and frontal regions and a slow, late, negative difference potential between 600 and 800 msec over the central and occipital regions. These ADD effects tended to be greater over the right than left hemisphere. The unique polarity, scalp distribution, and time course of the effects of RD as compared to ADD on ERPs to relevant stimuli clearly indicated these two disorders, in part, involve different underlying brain deficits.     

Familiarization, attention, and recognition memory in infancy: an event-related potential and cortical source localization study

This study investigated the effects of familiarization and attention on event-related potential (ERP) correlates of recognition memory in infants. Infants 4.5, 6, or 7.5 months of age were either familiarized with 2 stimuli that were used during later testing or presented 2 stimuli that were not used later. Then, infants were presented with a recording of Sesame Street to elicit attention or inattention and presented with familiar and novel stimuli. A negative ERP component over the frontal and central electrodes (Nc) was larger in the preexposure familiarization group for novel- than for familiar-stimulus presentations, whereas the Nc did not differ for the group not receiving a familiarization exposure. Spatial independent components analysis of the electroencephelogram and "equivalent current dipole" analysis were used to examine putative cortical sources of the ERP components. The cortical source of Nc was located in areas of prefrontal cortex and anterior cingulate cortex.     

Adding odor: Less distress and enhanced attention for 6-month-olds

The effect of odor on cognitive and emotional processes has been studied in adults and children, but less so in infants. In this study twenty-seven six-month-olds were presented with a video while in either an odor (pine or baby-powder) or a no odor control condition. The video was a 92-s audiovisual presentation of a woman expressing happiness and sadness, with the order of emotion counterbalanced. Infant attention (looking time) and emotional expression (smiling, crying, mouthing) were coded. Infants looked longer in the presence of odor and expressed less crying and mouthing but more smiling behavior. Presence of odor markedly reduced infant emotional distress and increased attention, suggesting that the olfactory sensory system provides cues to infants that support mood regulation and maintain attention. These results have implications for optimizing infant environments for emotional health and cognitive development.     

Neural correlates of action observation and execution in 14-month-old infants: an event-related EEG desynchronization study

There is increasing interest in neurobiological methods for investigating the shared representation of action perception and production in early development. We explored the extent and regional specificity of EEG desynchronization in the infant alpha frequency range (6-9 Hz) during action observation and execution in 14-month-old infants. Desynchronization during execution was restricted to central electrode sites, while action observation was associated with a broader desynchronization across frontal, central, and parietal regions. The finding of regional specificity in the overlap between EEG responses to action execution and observation suggests that the rhythm seen in the 6-9 Hz range over central sites in infancy shares certain properties with the adult mu rhythm. The magnitude of EEG desynchronization to action perception and production appears to be smaller for infants than for adults and older children, suggesting developmental change in this measure.     

Tracing trajectories of audio‐visual learning in the infant brain

Although infants begin learning about their environment before they are born, little is known about how the infant brain changes during learning. Here, we take the initial steps in documenting how the neural responses in the brain change as infants learn to associate audio and visual stimuli. Using functional near‐infrared spectroscopy (fNRIS) to record hemodynamic responses in the infant cortex (temporal, occipital, and frontal cortex), we find that across the infant brain, learning is characterized by an increase in activation followed by a decrease. We take this U‐shaped response as evidence of repetition enhancement during early stages of learning and repetition suppression during later stages, a result that mirrors the Hunter and Ames model of infant visual preference. Furthermore, we find that the neural response to violations of the learned associations can be predicted by the shape of the learning curve in temporal and occipital cortex. These data provide the first look at the shape of the neural response during audio‐visual associative learning in infancy establishing that diverse regions of the infant brain exhibit systematic changes across the time‐course of learning.     

Featural selective attention,exemplar representation,and the inverse base-rate effect

Selective attention plays a central role in theories of category learning and representation. In exemplar theory, selective attention has typically been formalized as operating uniformly across entire stimulus dimensions. Selective featural attention operating within dimensions has been recognized as a conceptual possibility, but relatively little research has focused on evaluating it. In the present research, we explored the usefulness of selective featural attention in the context of exemplar representation. We report the results of embedding the feature-to-category relations typically associated with the inverse base-rate effect—a classic and paradoxical category-learning result— perceptual category-learning task using a category structure with three multivalued feature dimensions. An exemplar model incorporating featural selective attention accurately accounted for the inverse base-rate effect that occurred but failed to do so with only dimensional attention.     

Parent Prediction of Autism Spectrum Disorder in Infants at Risk: A Follow-up Study

Later-born siblings of children with autism spectrum disorder are considered at biological risk for autism spectrum disorder and the broader phenotype. Early screening may detect first signs of autism spectrum disorder and expedite diagnosis and early intervention. In this follow-up study, we re-examine a validated second-degree autism spectrum disorder screener for children at biological risk of autism spectrum disorder, the parent observation of early markers scale. Using available follow-up information up to age 13 years, 110 children (the original 108 infants plus 2 infants recruited after the completion of the original study) were divided into three groups: diagnosed group (n?=?13), lost diagnosis group (n?=?5), and undiagnosed group (n?=?92). The parent observation of early markers scale continued to show acceptable predictive validity. The parent observation of early markers scale total scores and mean number of elevated items were significantly higher in the diagnosed group than the undiagnosed group. The lost-diagnosis group did not differ from the undiagnosed group on parent observation of early markers scale total scores and elevated items at any age, but the lost-diagnosis group had significantly lower total scores, and number of elevated items than the diagnosed group starting at 18 months. Both autism spectrum disorder core and subsidiary behaviors differentiated the diagnosed and undiagnosed groups from 9 to 36 months of age. We hereby provide further evidence that the parent observation of early markers scale may serve as a low-cost early screener for autism spectrum disorder in at-risk children and pinpoint specific developmental ,and behavioral problems that may be amenable to very early intervention.     

Maternal sensitivity and infant response to frustration: The moderating role of EEG asymmetry

Two hundred and thirty-three 5-month-old infants and their mothers participated in a study designed to examine the influence of maternal sensitivity and infant neurophysiology, as well as interactions between these, on infants’ regulatory behavior and reactivity to emotional challenge. Maternal sensitivity was measured during two mother–child free-play episodes prior to the challenge task. Infant neurophysiology was derived from a measure of resting EEG asymmetry collected during a baseline episode. Infant regulatory behaviors (mother orienting and distraction) and reactivity to challenge (negative affect) were assessed during an arm restraint procedure. Maternal sensitivity predicted mother-orienting behavior for all infants, regardless of baseline EEG asymmetry. Maternal sensitivity also predicted more distraction behaviors for infants with left frontal EEG asymmetry at baseline. In contrast, maternal sensitivity predicted more negative affect for infants with right frontal EEG asymmetry at baseline. These findings lend support for the hypothesis that maternal sensitivity and infant neurophysiological functioning interact to predict regulatory behavior and reactivity and are discussed in terms of the significance for understanding infant regulatory development in the first year of life.     

Attention to repeated events in human infants (Homo sapiens): effects of joint visual attention versus stimulus change

The goal of this study was to examine the effect of joint visual attention on infants' behavior during subsequent events. Thirty-seven mother-infant (aged from 9 to 13 months) pairs were twice shown a pair of line drawing stimuli on a computer screen. For the control group, the mother never paid attention to the stimuli. For experimental group 1, the mother pointed to one stimulus in the first presentation but did not point to it in the second presentation. The infants gazed longer at the stimulus pointed to by their mothers in the first presentation. In the second presentation, during which mothers did not attend to the stimuli, infants gazed longer at the stimulus which had been pointed to by the mothers in the first presentation. In experimental group 2, one of two stimuli blinked during the first presentation but not the second presentation. Infants gazed for longer at the blinking stimulus in the first presentation, but there was no difference in looking time toward the two stimuli in the second presentation. These results suggest that joint visual attention affects infants' looking behavior during subsequent events, and that simple stimulus change does not. Accepted after revision: 2 May 2001 Electronic Publication     

Infant brain responses to felt and observed touch of hands and feet: an MEG study

There is growing interest concerning the ways in which the human body, both one's own and that of others, is represented in the developing human brain. In two experiments with 7‐month‐old infants, we employed advances in infant magnetoencephalography (MEG) brain imaging to address novel questions concerning body representations in early development. Experiment 1 evaluated the spatiotemporal organization of infants’ brain responses to being touched. A punctate touch to infants’ hands and feet produced significant activation in the hand and foot areas of contralateral primary somatosensory cortex as well as in other parietal and frontal areas. Experiment 2 explored infant brain responses to visually perceiving another person's hand or foot being touched. Results showed significant activation in early visual regions and also in regions thought to be involved in multisensory body and self–other processing. Furthermore, observed touch of the hand and foot activated the infant's own primary somatosensory cortex, although less consistently than felt touch. These findings shed light on aspects of early social cognition, including action imitation, which may build, at least in part, on infant neural representations that map equivalences between the bodies of self and other.     

Associations between attentional biases to fearful faces and social-emotional development in infants with and without an older sibling with autism

During the first year of life, infants become increasingly attuned to facial emotion, with heightened sensitivity to faces conveying threat observed by age seven months as illustrated through attentional biases (e.g., slower shifting away from fearful faces). Individual differences in these cognitive attentional biases have been discussed in relation to broader social-emotional functioning, and the current study examines these associations in infants with an older sibling with autism spectrum disorder (ASD), a group with an elevated likelihood of a subsequent ASD diagnosis (ELA; n = 33), and a group of infants with no family history of ASD who are at low likelihood of ASD (LLA; n = 24). All infants completed a task measuring disengagement of attention from faces at 12 months (fearful, happy, neutral), and caregivers completed the Infant-Toddler Social and Emotional Assessment at 12, 18, and/or 24 months. For the full sample, greater fear bias in attention disengagement at 12 months related to more internalizing behaviors at 18 months, and this was driven by the LLA infants. When examining groups separately, findings revealed that LLA with a greater fear bias had more difficult behaviors at 12, 18, and 24 months; in contrast, ELA showed the opposite pattern, and this was most pronounced for ELA who later received an ASD diagnosis. These preliminary group-level findings suggest that heightened sensitivity to fearful faces might serve an adaptive function in children who later receive an ASD diagnosis, but in infants with no family history of ASD, increased biases might reflect a marker of social-emotional difficulties.