Abstract
Objective
Children with Autism Spectrum Disorder (ASD) exhibit abnormal responses to sensory events that interfere with the development of social communication. Previous studies have demonstrated that abnormal auditory processing contributes to this response; however, it remains unclear how this deficit is related to ASD severity throughout development. This cross-sectional study examines the relationship between auditory processing and symptom severity in a developmental sample of children, hypothesizing that auditory sensory event related potentials (ERP) will be associated with ASD severity as measured by the Autism Diagnostic Observation Schedule (ADOS), and that there will be interaction between age and severity.
Method
This study included children (ages 6-18) with ASD (n = 116, female = 21) as diagnosed by the ADOS and typically developing children (n = 142, female =76). Exclusion criteria includes Performance IQ below 85, abnormal hearing or vision, and presence of a neurological disorder. Participants performed an audiovisual reaction task in which they pressed a button on a response pad when seeing or hearing the instructed stimuli while recording electroencephalography (EEG).
Results
Electrophysiological indices of auditory processing were identified based on peak amplitudes of averaged N1 responses, an early auditory ERP. A positive correlation was found between severity scores and N1 peak amplitudes (N1a (r(85) = .56, p < .001) and N1b (r(85) = .44, p < .001)). Approximately 72% (R2 = .716) of symptom severity variance can be accounted for by linear combination of ERPs. A linear model demonstrated a significant age by severity interaction with N1b, B = -2.7, F(2,84) = 20.6, p < .001.
Conclusions
Abnormal early auditory processing is associated with symptom severity, and this effect is more pronounced throughout earlier ages.