There is common recognition in the field of developmental psychiatry on the necessity for new approaches to research into the mechanisms underlying neurodevelopmental disorders. In particular, prospective studies of infants at elevated likelihood for these disorders hold the potential to transform our understanding of the mechanisms underlying symptom emergence. However, traditional analytic approaches examine differences between groups of infants defined retrospectively by current diagnostic categories, implicitly reinforcing existing clinical models. Among other neurodevelopmental disorders, Autism Spectrum Disorder (ASD) is characterised by high variability across individuals. This heterogeneity makes it difficult to capture the complexity of the disorder when investigating it under a unitary diagnostic label. In the symposium entitled "New tools for understanding transdiagnostic domains in developmental research" presented at vICIS 2020 last July (https://infantstudies.org/program/), I presented together with 3 fellow early-stage researchers on novel analytic approaches that promote an understanding of transdiagnostic domains in developmental research, with a specific focus on processing of social stimuli in 4-to-8 month-old infants. The studies presented there investigated the social-communication domain in typical development and emerging ASD using innovative techniques that allow us to improve our understanding of early brain development beyond clinical categories, and to address the emerging need in developmental neuroscience to investigate mechanisms at the level of the individual.
You can find my presentation below, where I show how individual-level approaches can help to understand and reduce heterogeneity in clinical cohorts. In particular, I introduce machine-learning methods to examine the domain of face processing at an individual level, moving from group-level comparisons, to supervised pattern recognition for prediction of later ASD diagnosis, and Bayesian hierarchical clustering for stratification into subgroups. This highlights the potential of novel tools to improve our understanding of brain development in a more dimensional way by means of individual-level research, enhancing our current categorical understanding of infant development.
Tye, C.*, Bussu, G.*, Gliga, T., Elsabbagh, M., Pasco, G., Johnsen, K., Charman, T., Jones, E.J.H.#, Buitelaar, J.K.#, Johnson, M.H.#, and the BASIS team. 2020. Understanding the nature of face processing in early autism: A prospective study. MedRxiv doi: 10.1101/2020.05.06.20092619 *shared first authorship #shared last authorship
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