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Feldman JI, Garla V, Dunham K, Markfeld JE, Bowman SM, Golden AJ, Daly C, Kaiser S, Mailapur N, Raj S, Santapuram P, Suzman E, Augustine AE, Muhumuza A, Cascio CJ, Williams KL, Kirby AV, Keceli-Kaysili B, Woynaroski TG. Longitudinal Relations Between Early Sensory Responsiveness and Later Communication in Infants with Autistic and Non-autistic Siblings. J Autism Dev Disord 2024; 54:594-606. [PMID: 36441431 PMCID: PMC9707174 DOI: 10.1007/s10803-022-05817-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2022] [Indexed: 11/29/2022]
Abstract
Early differences in sensory responsiveness may contribute to difficulties with communication among autistic children; however, this theory has not been longitudinally assessed in infants at increased familial versus general population-level likelihood for autism (Sibs-autism vs. Sibs-NA) using a comprehensive battery of sensory responsiveness and communication. In a sample of 40 infants (20 Sibs-autism, of whom six were later diagnosed with autism; 20 Sibs-NA), we tested (a) associations between sensory responsiveness at 12-18 months and communication 9 months later and (b) evaluated whether such associations were moderated by sibling group, autism diagnosis, or age. We found negative zero-order correlations between sensory responsiveness (i.e., caregiver reported hyperresponsiveness and hyporesponsiveness; an observational measure of hyperresponsiveness) and later communication. Additionally, caregiver reported sensory seeking was negatively associated with later expressive communication only in Sibs-NA. Limitations include our relatively small sample size of infants diagnosed with autism. Implications for future research are discussed.
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Affiliation(s)
- Jacob I Feldman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 8310 South Tower, 1215 21St Avenue South, Nashville, TN, 37232, USA.
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA.
| | - Varsha Garla
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Kacie Dunham
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
| | - Jennifer E Markfeld
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
| | - Sarah M Bowman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 8310 South Tower, 1215 21St Avenue South, Nashville, TN, 37232, USA
- Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, OH, USA
| | - Alexandra J Golden
- Vanderbilt School of Medicine, Vanderbilt University, Nashville, TN, USA
| | - Claire Daly
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
| | - Sophia Kaiser
- Cognitive Studies Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Nisha Mailapur
- Economics Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Sweeya Raj
- Vanderbilt School of Medicine, Vanderbilt University, Nashville, TN, USA
| | - Pooja Santapuram
- Vanderbilt School of Medicine, Vanderbilt University, Nashville, TN, USA
- Department of Anesthesiology, Columbia University Irving Medical Center, New York, NY, USA
| | - Evan Suzman
- Master's Program in Biomedical Science, Vanderbilt University, Nashville, TN, USA
- University of Texas Southwestern Medical School, University of Texas, Dallas, TX, USA
| | - Ashley E Augustine
- Biological Sciences Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- Department of Pediatrics, University Hospitals Cleveland, Cleveland, OH, USA
| | - Aine Muhumuza
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Carissa J Cascio
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Kathryn L Williams
- Department of Occupational Therapy and Occupational Science, Towson University, Towson, MD, USA
| | - Anne V Kirby
- Department of Occupational and Recreational Therapies, University of Utah, Salt Lake City, UT, USA
| | - Bahar Keceli-Kaysili
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 8310 South Tower, 1215 21St Avenue South, Nashville, TN, 37232, USA
| | - Tiffany G Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 8310 South Tower, 1215 21St Avenue South, Nashville, TN, 37232, USA
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
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Markfeld JE, Feldman JI, Daly C, Santapuram P, Bowman SM, Dunham-Carr K, Suzman E, Keçeli-Kaysılı B, Woynaroski TG. The Stability and Validity of Automated Indices of Vocal Development in Infants With Autistic and Non-Autistic Siblings. J Speech Lang Hear Res 2023; 66:4934-4948. [PMID: 37889262 PMCID: PMC11001377 DOI: 10.1044/2023_jslhr-23-00069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 04/27/2023] [Accepted: 08/25/2023] [Indexed: 10/28/2023]
Abstract
PURPOSE This study evaluates the extent to which automated indices of vocal development are stable and valid for predicting language in infants at increased familial likelihood for autism and/or language impairment and relatively lower likelihood infants. METHOD A group of infants with autistic siblings (Sibs-autism; 20 infants) and a comparison group of infants with non-autistic siblings (Sibs-NA; 20 infants) wore Language ENvironment Analysis (LENA) recording devices for 16 hr on 2 days within a 1-week period. Extant software was used to derive several putative indices of vocal development from these recordings. Stability of these variables was examined across and within groups. Expressive and receptive language aggregates were calculated for each participant. Multiple regression analyses were used to (a) evaluate zero-order correlations for variables derived from LENA recordings with concurrent and future language and (b) test whether those associations were moderated by group status. RESULTS Both stability and validity differed by variable and group status. All variables reached acceptable stability in the Sibs-autism group within two to three observations, whereas stability of most variables was attenuated in the Sibs-NA group. No variables were associated with concurrent language in the theoretically motivated direction across groups, but two variables were strongly associated with concurrent expressive language in only the Sibs-NA group. Additionally, two variables were associated with later expressive language, though these correlations were again stronger in the Sibs-NA versus Sibs-autism group. CONCLUSIONS Although selected automated indices of vocal development were stable in Sibs-autism and/or valid for predicting expressive language within Sibs-NA, no scores showed strong, theoretically motivated associations with language within the Sibs-autism group. Automated indices of vocal development may, thus, have limited validity or clinical utility for predicting language development in infants at elevated familial likelihood for autism. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.24415735.
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Affiliation(s)
| | - Jacob I. Feldman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN
| | - Claire Daly
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN
| | | | - Sarah M. Bowman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Kacie Dunham-Carr
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN
- Neuroscience Graduate Program, Vanderbilt University, Nashville, TN
| | - Evan Suzman
- Master's Program in Biomedical Science, Vanderbilt University, Nashville, TN
| | - Bahar Keçeli-Kaysılı
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Tiffany G. Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN
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Feldman JI, Dunham K, DiCarlo GE, Cassidy M, Liu Y, Suzman E, Williams ZJ, Pulliam G, Kaiser S, Wallace MT, Woynaroski TG. A Randomized Controlled Trial for Audiovisual Multisensory Perception in Autistic Youth. J Autism Dev Disord 2023; 53:4318-4335. [PMID: 36028729 PMCID: PMC9417081 DOI: 10.1007/s10803-022-05709-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/01/2022] [Indexed: 11/24/2022]
Abstract
Differences in audiovisual integration are commonly observed in autism. Temporal binding windows (TBWs) of audiovisual speech can be trained (i.e., narrowed) in non-autistic adults; this study evaluated a computer-based perceptual training in autistic youth and assessed whether treatment outcomes varied according to individual characteristics. Thirty autistic youth aged 8-21 were randomly assigned to a brief perceptual training (n = 15) or a control condition (n = 15). At post-test, the perceptual training group did not differ, on average, on TBWs for trained and untrained stimuli and perception of the McGurk illusion compared to the control group. The training benefited youth with higher language and nonverbal IQ scores; the training caused widened TBWs in youth with co-occurring cognitive and language impairments.
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Affiliation(s)
- Jacob I Feldman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, MCE 8310 South Tower, 1215 21st Avenue South, Nashville, TN, 37232, USA.
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA.
| | - Kacie Dunham
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
| | - Gabriella E DiCarlo
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Mass General Brigham Neurology Residency Program, Harvard Medical School, Boston, MA, USA
- Medical Scientist Training Program, Vanderbilt University, Nashville, TN, USA
| | - Margaret Cassidy
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- National Institutes of Health, Bethesda, MD, USA
| | - Yupeng Liu
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO, USA
| | - Evan Suzman
- Master's Program in Biomedical Science, Vanderbilt University, Nashville, TN, USA
- Southwestern School of Medicine, University of Texas, Dallas, TX, USA
| | - Zachary J Williams
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
- Medical Scientist Training Program, Vanderbilt University, Nashville, TN, USA
| | - Grace Pulliam
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Sophia Kaiser
- Cognitive Studies Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Mark T Wallace
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Pharmacology, Vanderbilt University, Nashville, TN, USA
| | - Tiffany G Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, MCE 8310 South Tower, 1215 21st Avenue South, Nashville, TN, 37232, USA
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
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Santapuram P, Feldman JI, Bowman SM, Raj S, Suzman E, Crowley S, Kim SY, Keceli-Kaysili B, Bottema-Beutel K, Lewkowicz DJ, Wallace MT, Woynaroski TG. Mechanisms by which Early Eye Gaze to the Mouth During Multisensory Speech Influences Expressive Communication Development in Infant Siblings of Children with and without Autism. Mind Brain Educ 2022; 16:62-74. [PMID: 35273650 PMCID: PMC8903197 DOI: 10.1111/mbe.12310] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 11/18/2021] [Indexed: 06/14/2023]
Abstract
Looking to the mouth of a talker early in life predicts expressive communication. We hypothesized that looking at a talker's mouth may signal that infants are ready for increased supported joint engagement and that it subsequently facilitates prelinguistic vocal development and translates to broader gains in expressive communication. We tested this hypothesis in 50 infants aged 6-18 months with heightened and general population-level likelihood of autism diagnosis (Sibs-autism and Sibs-NA; respectively). We measured infants' gaze to a speaker's face using an eye tracking task, supported joint engagement during parent-child free play sessions, vocal complexity during a communication sample, and broader expressive communication. Looking at the mouth was indirectly associated with expressive communication via increased higher-order supported joint engagement and vocal complexity. This indirect effect did not vary according to sibling status. This study provides preliminary insights into the mechanisms by which looking at the mouth may influence expressive communication development.
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Affiliation(s)
- Pooja Santapuram
- Vanderbilt School of Medicine, Vanderbilt University, Nashville, TN, USA
| | - Jacob I Feldman
- Department of Hearing & Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Sarah M Bowman
- Department of Hearing & Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Present Affiliation: Augusta University/University of Georgia Medical Partnership at the Medical College of Georgia, Athens, GA, USA
| | - Sweeya Raj
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Evan Suzman
- Master's Program in Biomedical Sciences, Vanderbilt University, Nashville, TN, USA
| | - Shannon Crowley
- Lynch School of Education and Human Development, Boston College, Boston, MA, USA
| | - So Yoon Kim
- Present Affiliation: Department of Teacher Education, Duksung Women's University, Seoul, South Korea
| | - Bahar Keceli-Kaysili
- Department of Hearing & Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
| | | | | | - Mark T Wallace
- Department of Hearing & Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Pharmacology, Vanderbilt University, Nashville, TN, USA
| | - Tiffany G Woynaroski
- Department of Hearing & Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
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Williams ZJ, Suzman E, Woynaroski TG. A Phenotypic Comparison of Loudness and Pain Hyperacusis: Symptoms, Comorbidity, and Associated Features in a Multinational Patient Registry. Am J Audiol 2021; 30:341-358. [PMID: 33877881 DOI: 10.1044/2021_aja-20-00209] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose Hyperacusis is a complex and poorly understood auditory disorder characterized by decreased tolerance to sound at levels that would not trouble most individuals. Recently, it has been suggested that individuals who experience otalgia in response to everyday sounds (termed pain hyperacusis) may differ clinically from those whose primary symptom is the perception of everyday sounds as excessively loud (termed loudness hyperacusis). Despite this theoretical distinction, there have been no empirical studies directly comparing these two populations of hyperacusis patients. Method Using data from a multinational patient registry (the Coordination of Rare Diseases at Sanford Registry), we examined self-reported demographics, symptoms, comorbidity, and response to treatment in a sample of 243 adults with hyperacusis, 152 of whom were classified as having pain hyperacusis based on reported symptoms. Bayesian statistical tests were used to investigate both the presence and absence of group differences between patients with loudness and pain hyperacusis. Results Individuals with pain hyperacusis presented with a more severe clinical phenotype, reporting a higher frequency of temporary symptom exacerbations (i.e., "setbacks"), less perceived symptom improvement over time, more severe comorbid headache disorders, and reduced benefit from sound therapy. However, the two hypothesized hyperacusis subtypes exhibited more similarities than differences, with the majority of symptoms and comorbidities being equally prevalent across groups. Multiple comorbidities were commonly observed, including tinnitus, primary headache disorders, psychiatric disorders, and functional somatic syndromes. Intolerance of sensory stimuli in other modalities was also frequently reported. Conclusion Although this study provides little evidence that loudness and pain hyperacusis are pathophysiologically distinct conditions, our findings indicate that a pain-predominant phenotype may be a meaningful prognostic marker in patients with hyperacusis.
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Affiliation(s)
- Zachary J. Williams
- Medical Scientist Training Program, Vanderbilt University School of Medicine, Nashville, TN
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN
| | - Evan Suzman
- Graduate Program in Biomedical Sciences, Vanderbilt University, Nashville, TN
| | - Tiffany G. Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN
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Suzman E, Williams ZJ, Feldman JI, Failla M, Cascio CJ, Wallace MT, Niarchou M, Sutcliffe JS, Wodka E, Woynaroski TG. Psychometric validation and refinement of the Interoception Sensory Questionnaire (ISQ) in adolescents and adults on the autism spectrum. Mol Autism 2021; 12:42. [PMID: 34099040 PMCID: PMC8185943 DOI: 10.1186/s13229-021-00440-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 04/24/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Individuals on the autism spectrum are reported to display alterations in interoception, the sense of the internal state of the body. The Interoception Sensory Questionnaire (ISQ) is a 20-item self-report measure of interoception specifically intended to measure this construct in autistic people. The psychometrics of the ISQ, however, have not previously been evaluated in a large sample of autistic individuals. METHODS Using confirmatory factor analysis, we evaluated the latent structure of the ISQ in a large online sample of adults on the autism spectrum and found that the unidimensional model fit the data poorly. Using misspecification analysis to identify areas of local misfit and item response theory to investigate the appropriateness of the seven-point response scale, we removed redundant items and collapsed the response options to put forth a novel eight-item, five-response choice ISQ. RESULTS The revised, five-response choice ISQ (ISQ-8) showed much improved fit while maintaining high internal reliability. Differential item functioning (DIF) analyses indicated that the items of the ISQ-8 were answered in comparable ways by autistic adolescents and adults and across multiple other sociodemographic groups. LIMITATIONS Our results were limited by the fact that we did not collect data for typically developing controls, preventing the analysis of DIF by diagnostic status. Additionally, while this study proposes a new 5-response scale for the ISQ-8, our data were not collected using this method; thus, the psychometric properties for the revised version of this instrument require further investigation. CONCLUSION The ISQ-8 shows promise as a reliable and valid measure of interoception in adolescents and adults on the autism spectrum, but additional work is needed to examine its psychometrics in this population. A free online score calculator has been created to facilitate the use of ISQ-8 latent trait scores for further studies of autistic adolescents and adults (available at https://asdmeasures.shinyapps.io/ISQ_score/ ).
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Affiliation(s)
- Evan Suzman
- Graduate Program in Biomedical Sciences, Vanderbilt University, 1215 21st Avenue South, Medical Center East, Room 8310, Nashville, TN 37232 USA
| | - Zachary J. Williams
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 1215 21st Avenue South, Medical Center East, Room 8310, Nashville, TN 37232 USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN USA
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN USA
- Medical Scientist Training Program, Vanderbilt University School of Medicine, Nashville, TN USA
| | - Jacob I. Feldman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 1215 21st Avenue South, Medical Center East, Room 8310, Nashville, TN 37232 USA
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN USA
| | - Michelle Failla
- Center for Healthy Aging, Self Management and Complex Care, College of Nursing, The Ohio State University, Columbus, OH USA
| | - Carissa J. Cascio
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN USA
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN USA
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN USA
| | - Mark T. Wallace
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 1215 21st Avenue South, Medical Center East, Room 8310, Nashville, TN 37232 USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN USA
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN USA
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN USA
- Department of Psychology, Vanderbilt University, Nashville, TN USA
| | - Maria Niarchou
- Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN USA
| | - James S. Sutcliffe
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN USA
- Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN USA
| | - Ericka Wodka
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD USA
- Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD USA
| | - Tiffany G. Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 1215 21st Avenue South, Medical Center East, Room 8310, Nashville, TN 37232 USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN USA
- Frist Center for Autism and Innovation, Vanderbilt University, Nashville, TN USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN USA
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Feldman JI, Raj S, Bowman SM, Santapuram P, Golden AJ, Daly C, Dunham K, Suzman E, Augustine AE, Garla V, Muhumuza A, Cascio CJ, Williams KL, Kirby AV, Keceli-Kaysili B, Woynaroski TG. Sensory Responsiveness Is Linked With Communication in Infant Siblings of Children With and Without Autism. J Speech Lang Hear Res 2021; 64:1964-1976. [PMID: 34003699 PMCID: PMC8740754 DOI: 10.1044/2021_jslhr-20-00196] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 10/09/2020] [Accepted: 01/21/2021] [Indexed: 06/12/2023]
Abstract
Purpose Differences in communication development impact long-term outcomes of children with autism. Previous research has identified factors associated with communication in children with autism, but much of the variance in communication skill remains unexplained. It has been proposed that early differences in sensory responsiveness (i.e., hyporesponsiveness, hyperresponsiveness, and sensory seeking) may produce "cascading effects" on communication. Evidence for this theory is limited, however, as relations between sensory responsiveness and communication in the earliest stages of development have not been well established. The purpose of this study was to evaluate (a) whether infants with a heightened likelihood of autism diagnosis (i.e., infants with an older sibling with autism) differ from infants at general population-level likelihood of autism (i.e., infants with an older, nonautistic sibling) on patterns of sensory responsiveness, (b) whether early sensory responsiveness is correlated with concurrent communication, and (c) whether the aforementioned between-groups differences and associations are moderated by age. Method Participants were 40 infants (20 infants with an older sibling with autism, 20 infants with an older, nonautistic sibling) aged 12-18 months. A series of observational and parent report measures of sensory responsiveness and communication skill were administered. Results Group differences in sensory responsiveness across the 12- to 18-month period were limited (i.e., only observed for one measure of hyporesponsiveness), though selected differences in sensory responsiveness (i.e., parent-reported hyperresponsiveness and sensory seeking) emerged between groups over this developmental window. Parent-reported hyporesponsiveness was unconditionally, negatively associated with communication skills. Associations between expressive communication and (a) parent-reported sensory seeking and (b) an observational measure of hyperresponsiveness were moderated by age. Conclusions This study provides new insights into the nature of sensory responsiveness and theorized links with communication skill in infants at elevated and general population-level likelihood of autism diagnosis. Further work is needed to better characterize the effects of interest in a larger sample spanning a wider age range. Supplemental Material https://doi.org/10.23641/asha.14515542.
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Affiliation(s)
- Jacob I. Feldman
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Sweeya Raj
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN
| | - Sarah M. Bowman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Pooja Santapuram
- Vanderbilt School of Medicine, Vanderbilt University, Nashville, TN
| | | | - Claire Daly
- Psychology Undergraduate Program, Vanderbilt University, Nashville, TN
| | - Kacie Dunham
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN
- Neuroscience Graduate Program, Vanderbilt University, Nashville, TN
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN
| | - Evan Suzman
- Master's Program in Biomedical Sciences, Vanderbilt University, Nashville, TN
| | - Ashley E. Augustine
- Biological Sciences Undergraduate Program, Vanderbilt University, Nashville, TN
| | - Varsha Garla
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN
| | - Aine Muhumuza
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN
| | - Carissa J. Cascio
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN
- The First Center for Autism and Innovation, Vanderbilt University, Nashville, TN
| | - Kathryn L. Williams
- Division of Occupational Science and Occupational Therapy, University of North Carolina at Chapel Hill
| | - Anne V. Kirby
- Department of Occupational and Recreational Therapies, The University of Utah, Salt Lake City
| | - Bahar Keceli-Kaysili
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Tiffany G. Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN
- The First Center for Autism and Innovation, Vanderbilt University, Nashville, TN
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Dunham K, Feldman JI, Liu Y, Cassidy M, Conrad JG, Santapuram P, Suzman E, Tu A, Butera I, Simon DM, Broderick N, Wallace MT, Lewkowicz D, Woynaroski TG. Stability of Variables Derived From Measures of Multisensory Function in Children With Autism Spectrum Disorder. Am J Intellect Dev Disabil 2020; 125:287-303. [PMID: 32609807 PMCID: PMC8903073 DOI: 10.1352/1944-7558-125.4.287] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 10/11/2019] [Indexed: 06/11/2023]
Abstract
Children with autism spectrum disorder (ASD) display differences in multisensory function as quantified by several different measures. This study estimated the stability of variables derived from commonly used measures of multisensory function in school-aged children with ASD. Participants completed: a simultaneity judgment task for audiovisual speech, tasks designed to elicit the McGurk effect, listening-in-noise tasks, electroencephalographic recordings, and eye-tracking tasks. Results indicate the stability of indices derived from tasks tapping multisensory processing is variable. These findings have important implications for measurement in future research. Averaging scores across repeated observations will often be required to obtain acceptably stable estimates and, thus, to increase the likelihood of detecting effects of interest, as it relates to multisensory processing in children with ASD.
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Affiliation(s)
- Kacie Dunham
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
| | - Jacob I. Feldman
- Department of Hearing & Speech Sciences, Vanderbilt University, Nashville, TN, USA
| | - Yupeng Liu
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Margaret Cassidy
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Julie G. Conrad
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- Present Address: College of Medicine, University of Illinois, Chicago, IL, USA
| | - Pooja Santapuram
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- Present Address: School of Medicine, Vanderbilt University, Nashville, TN, USA
| | - Evan Suzman
- Department of Biomedical Sciences, Vanderbilt University, Nashville, TN, USA
| | - Alexander Tu
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- Present Address: College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA
| | - Iliza Butera
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
| | - David M. Simon
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Present Address: axialHealthcare, Nashville, TN, USA
| | - Neill Broderick
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Mark T. Wallace
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing & Speech Sciences, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Pharmacology, Vanderbilt University, Nashville, TN, USA
| | - David Lewkowicz
- Department of Communication Sciences & Disorders, Northeastern University, Boston, MA, USA
| | - Tiffany G. Woynaroski
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Hearing & Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
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9
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A'Hearn-Thomas B, Khatami A, Randis TM, Vurayai M, Mokomane M, Arscott-Mills T, Banda FM, Mazhani T, Lepere T, Gaolebale P, Nchingane S, Chamby A, Gegick M, Suzman E, Steenhoff AP, Ratner AJ. High Rate of Serotype V Streptococcus agalactiae Carriage in Pregnant Women in Botswana. Am J Trop Med Hyg 2020; 100:1115-1117. [PMID: 30915949 DOI: 10.4269/ajtmh.18-0847] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Maternal rectovaginal colonization is the major risk factor for early-onset neonatal sepsis due to Group B Streptococcus (GBS), a major cause of early life morbidity and mortality. Transmission generally occurs perinatally from colonized mothers to infants. Vaccines targeting a subset of GBS serotypes are under development, but GBS epidemiology remains poorly understood in many African nations. We performed a cross-sectional study of GBS colonization among pregnant women at two sites in Botswana, a country with minimal prior GBS carriage data. We found a rectovaginal colonization rate of 19%, comparable with studies in other regions; however, we also noted a striking predominance of serotype V (> 45% of strains). Although further studies are required to delineate the burden of invasive GBS disease in Botswana and the generalizability of type V epidemiology, these data provide a useful baseline for understanding the potential local impact of GBS prevention strategies, including vaccines.
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Affiliation(s)
- Brady A'Hearn-Thomas
- Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Ameneh Khatami
- Department of Microbiology, New York University School of Medicine, New York, New York.,Department of Pediatrics, New York University School of Medicine, New York, New York
| | - Tara M Randis
- Department of Microbiology, New York University School of Medicine, New York, New York.,Department of Pediatrics, New York University School of Medicine, New York, New York
| | | | | | - Tonya Arscott-Mills
- Department of Paediatrics and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana.,Children's Hospital of Philadelphia Department of Pediatrics, Botswana-UPenn Partnership and Global Health Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Francis M Banda
- Department of Paediatrics and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana
| | - Tiny Mazhani
- Department of Paediatrics and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana
| | | | | | | | - Anna Chamby
- Department of Microbiology, New York University School of Medicine, New York, New York.,Department of Pediatrics, New York University School of Medicine, New York, New York
| | - Margaret Gegick
- Department of Microbiology, New York University School of Medicine, New York, New York.,Department of Pediatrics, New York University School of Medicine, New York, New York
| | - Evan Suzman
- Department of Microbiology, New York University School of Medicine, New York, New York.,Department of Pediatrics, New York University School of Medicine, New York, New York
| | - Andrew P Steenhoff
- Division of Pediatric Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.,Department of Paediatrics and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana.,Children's Hospital of Philadelphia Department of Pediatrics, Botswana-UPenn Partnership and Global Health Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Adam J Ratner
- Department of Microbiology, New York University School of Medicine, New York, New York.,Department of Pediatrics, New York University School of Medicine, New York, New York
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10
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Khatami A, Randis TM, Tavares L, Gegick M, Suzman E, Ratner AJ. Vaginal co-colonization with multiple Group B Streptococcus serotypes. Vaccine 2018; 37:409-411. [PMID: 30528847 DOI: 10.1016/j.vaccine.2018.12.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 11/06/2018] [Accepted: 12/03/2018] [Indexed: 01/30/2023]
Abstract
Group B Streptococcus (GBS) is a neonatal pathogen frequently transmitted from maternal asymptomatic vagino-rectal colonization. Co-colonization with multiple GBS serotypes, which has implications for type-specific vaccination strategies, is difficult to detect with standard microbiologic techniques. We designed a nested real-time PCR assay to detect vaginal co-colonization in samples from a cohort of non-pregnant women (N = 433). 6/91 (6.6%) GBS-positive samples harbored ≥2 GBS serotypes, with over-representation of serotype V among co-colonized samples. Serotype IV GBS was more prevalent (>10%) in this cohort than in previously reported United States studies. Ongoing surveillance of GBS serotype epidemiology and co-colonization is indicated.
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Affiliation(s)
- Ameneh Khatami
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, NY, USA
| | - Tara M Randis
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, NY, USA
| | - Larissa Tavares
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, NY, USA
| | - Margaret Gegick
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, NY, USA
| | - Evan Suzman
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, NY, USA
| | - Adam J Ratner
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, NY, USA.
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11
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Khatami A, Randis TM, Chamby A, Hooven TA, Gegick M, Suzman E, A’Hearn-Thomas B, Steenhoff AP, Ratner AJ. Improving the Sensitivity of Real-time PCR Detection of Group B Streptococcus Using Consensus Sequence-Derived Oligonucleotides. Open Forum Infect Dis 2018; 5:ofy164. [PMID: 30038931 PMCID: PMC6051451 DOI: 10.1093/ofid/ofy164] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 07/03/2018] [Indexed: 12/20/2022] Open
Abstract
Group B Streptococcus (GBS) is a perinatal pathogen and an emerging cause of disease in adults. Culture-independent GBS detection relies on polymerase chain reaction (PCR) of conserved genes, including sip. We demonstrate suboptimal sensitivity of the existing sip PCR strategy and validate an improved method based on consensus sequences from >100 GBS genomes.
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Affiliation(s)
- Ameneh Khatami
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, New York
| | - Tara M Randis
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, New York
| | - Anna Chamby
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, New York
| | - Thomas A Hooven
- Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, New York
| | - Margaret Gegick
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, New York
| | - Evan Suzman
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, New York
| | - Brady A’Hearn-Thomas
- Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Andrew P Steenhoff
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
- Division of Pediatric Infectious Diseases, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Adam J Ratner
- Departments of Pediatrics and Microbiology, New York University School of Medicine, New York, New York
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