Evidence map›Paper›PMID 23165989›Full record

ArticleAutism research : official journal of the International Society for Autism Research2013

Neonatal brainstem function and 4-month arousal-modulated attention are jointly associated with autism.

Ira L Cohen, Judith M Gardner, Bernard Z Karmel, Ha T T Phan, Phyllis Kittler, Tina Rovito Gomez, Maripaz G Gonzalez, Elizabeth M Lennon, Santosh Parab, Anthony Barone

Abstract read
In one paragraph

Article in Autism research : official journal of the International Society for Autism Research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Click-evoked auditory brainstem responses and autism spectrum disorder: A meta-analytic review.Autism research : official journal of the International Society for Autism Research · 2018
    Pooled it
  4. Auditory brainstem response in infants and children with autism spectrum disorder: A meta-analysis of wave V.Autism research : official journal of the International Society for Autism Research · 2018
    Pooled it
  5. Prematurity and autism: a dose-response relationship across gestational age.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Infant sensory gating and a developmental cascade to autistic traits and anxiety.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Pupil-Linked Arousal Response Reveals Aberrant Attention Regulation among Children with Autism Spectrum Disorder.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Prolonged Auditory Brainstem Response in Universal Hearing Screening of Newborns with Autism Spectrum Disorder.Autism research : official journal of the International Society for Autism Research · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Ira L CohenDepartment of Psychology, New York State Institute for Basic Research in Developmental Disabilities, Staten Island, NY 10314, USA. ira.cohen@opwdd.ny.gov
Judith M Gardner
Bernard Z Karmel
Ha T T Phan
Phyllis Kittler
Tina Rovito Gomez
Maripaz G Gonzalez
Elizabeth M Lennon
Santosh Parab
Anthony Barone
New York State Office for People With Developmental Disabilities · USRichmond University Medical Center · US

Funding

Standardized testing/Arousal-attention batteryP01HD047281 · NICHD · INSTITUTE FOR BASIC RES IN DEV DISABIL · PI GARDNER, JUDITH M · 2005 to 2009
$4.3M
NICHD NIH HHS P01 HD047281NICHD NIH HHS P01-HD047281-04
6 · The paper itself

Abstract

The authors evaluated the contribution of initially abnormal neonatal auditory brainstem responses (ABRs) and 4-month arousal-modulated attention visual preference to later autism spectrum disorder (ASD) behaviors in neonatal intensive care unit (NICU) graduates. A longitudinal study design was used to compare NICU graduates with normal ABRs (n = 28) to those with initially abnormal ABRs (n = 46) that later resolved. At 4 months postterm age, visual preference (measured after feeding) for a random check pattern flashing at 1, 3, or 8 Hz and gestational age (GA) served as additional predictors. Outcome measures were PDD Behavior Inventory (PDDBI) scores at 3.4 years (standard deviation = 1.2), and developmental quotients (DQ) obtained around the same age with the Griffiths Mental Development Scales (GMDS). Preferences for higher rates of stimulation at 4 months were highly correlated with PDDBI scores (all P-values < 0.01) and the GMDS Hearing and Speech DQ, but only in those with initially abnormal ABRs. Effects were strongest for a PDDBI social competence measure most associated with a diagnosis of autism. For those with abnormal ABRs, increases in preference for higher rates of stimulation as infants were linked to nonlinear increases in severity of ASD at 3 years and to an ASD diagnosis. Abnormal ABRs were associated with later reports of repetitive and ritualistic behaviors irrespective of 4-month preference for stimulation. The joint occurrence of initially abnormal neonatal ABRs and preference for more stimulation at 4 months, both indices of early brainstem dysfunction, may be a marker for the development of autism in this cohort.

Indexed as

ArousalAttentionChild DevelopmentEvoked Potentials, Auditory, Brain StemAutistic DisorderBrain StemChild, PreschoolFollow-Up StudiesHumansInfantInfant BehaviorInfant, NewbornIntensive Care Units, NeonatalLongitudinal StudiesPhotic StimulationSeverity of Illness Index

Identifiers

PMID23165989
PMCPMC3578986
OpenAlexW1951987568

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.