Network Structure of Autism Spectrum Disorder Behaviors and Its Evolution in Preschool Children: Insights from a New Longitudinal Network Analysis Method

J Autism Dev Disord. 2023 Nov;53(11):4293-4307. doi: 10.1007/s10803-022-05723-8. Epub 2022 Sep 6.

Abstract

Network modeling of the social, communication and restrictive/repetitive behaviors (RRBs) included in the definition of Autism Spectrum Disorder was performed. The Autism Diagnostic Interview-Revised (ADI-R) assessed behaviors in 139 pre-school cases at two cross-sections that averaged 34.8 months apart. Cross-sectional networks were based on the correlation matrix of the ADI-R behavioral items and the "bootCross" method was developed and enabled the estimation of a longitudinal network. At both stages, RRB items/nodes formed a consistent peripheral cluster, while social and communication nodes formed a core cluster that diverged with time. These differences in the nature and evolution of the RRB and socio-communicative dimensions indicate that their inter-behavior dynamics are very different. The most central behaviors across stages are proposed as prime targets for efficient therapeutic intervention.

Keywords: ADI-R; Autism; Communication; Network analysis; RRB; bootCross.

MeSH terms

  • Autism Spectrum Disorder* / diagnosis
  • Autistic Disorder* / diagnosis
  • Child, Preschool
  • Communication
  • Cross-Sectional Studies
  • Humans