CohortMolecular autism2023

EEG functional connectivity in infants at elevated familial likelihood for autism spectrum disorder.

Christian O'Reilly, Scott Huberty, Stefon van Noordt and 5 others

PMID 37805500

WHAT IT FOUND

Infant brain connectivity did not distinguish those later diagnosed with autism from those who were not.

The main analysis found no significant differences. Exploratory links between connectivity and symptom severity were weak, inconsistent across sites, and failed statistical correction.

Key findings

01The primary analysis found no significant association between functional connectivity and autism diagnosis or symptom severity.

02Exploratory analyses suggested a negative correlation between connectivity and restricted/repetitive behaviors at 12 months, but this did not survive correction for multiple testing.

03Site-specific exploratory findings regarding sex differences in social affect connectivity were not replicated across both study locations.

STILL TO COME

How it was doneWhat they found

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What it does not show

The study was underpowered to detect small or moderate effects; the authors note that only very large differences would have been detected. The analysis was post hoc and exploratory, lacking pre-registration, which increases the risk of false-positive findings in the secondary analyses. Infant EEG is inherently noisy, and a significant portion of recordings was rejected due to artifacts or outlier status, potentially introducing bias. The elevated-likelihood group is defined by sibling status, which may not represent all pathways to autism (e.g., those without family history). Results varied between sites, and many exploratory findings failed to replicate across the two independent datasets.

Declared interests

Funding was provided by the Brain & Behavior Research Foundation, National Institutes of Health, and Medical Research Council. No specific conflicts of interest regarding commercial entities or personal financial gains were declared in the provided text.

The easy way to misread this

Do not interpret the exploratory correlations with symptom severity as evidence that EEG connectivity can currently be used for diagnosis or prognosis. These findings were not significant in the primary analysis, failed statistical correction for multiple testing, and were not consistent across the two study sites.

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The study

Participants
176 participants (288 recordings)
Certainty of evidence
Low

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    Cite

    Christian O'Reilly, Scott Huberty, Stefon van Noordt, et al. EEG functional connectivity in infants at elevated familial likelihood for autism spectrum disorder. Molecular autism. 2023.

    Read the original

    EEG functional connectivity in infants at elevated familial likelihood for autism spectrum disorder. — Applied Evidence