Abstract
As indicated by longitudinal observation, autism has difficulty controlling emotions to a certain extent in early childhood, and most children's emotional and behavioral problems are further aggravated with the growth of age. This study aimed at exploring the correlation between white matter and white matter fiber bundle connectivity characteristics and their emotional regulation ability in children with autism using machine learning methods, which can lay an empirical basis for early clinical intervention of autism. Fifty-five high risk of autism spectrum disorder (HR-ASD) children and 52 typical development (TD) children were selected to complete the skull 3D-T1 structure and diffusion tensor imaging (DTI). The emotional regulation ability of the two groups was compared using the still-face paradigm (SFP). The classification and regression models of white matter characteristics and white matter fiber bundle connections of emotion regulation ability in the HR-ASD group were built based on the machine learning method. The volume of the right amygdala (R2 = 0.245) and the volume of the right hippocampus (R2 = 0.197) affected constructive emotion regulation strategies. FA (R2 = 0.32) and MD (R2 = 0.34) had the predictive effect on self-stimulating behaviour. White matter fiber bundle connection predicted constructive regulation strategies (positive edging R2 = 0.333, negative edging R2 = 0.334) and mother-seeking behaviors (positive edging R2 = 0.667, negative edging R2 = 0.363). The emotional regulation ability of HR-ASD children is significantly correlated with the connections of multiple white matter fiber bundles, which is a potential neuro-biomarker of emotional regulation ability.
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Data availability
The datasets used and analysed during the current study are available from the corresponding author upon reasonable request.
References
Adrian M, Zeman J, Veits G (2011) Methodological implications of the affect revolution: a 35-year review of emotion regulation assessment in children. J Exp Child Psychol 110(2):171–197
Amaral DG, Schumann CM, Nordahl CW (2008) Neuroanatomy of autism. Trends Neurosci 31(3):137–145
Barnea-Goraly N, Frazier TW, Piacenza L, Minshew NJ, Keshavan MS, Reiss AL, Hardan AY (2014) A preliminary longitudinal volumetric MRI study of amygdala and hippocampal volumes in autism. Prog Neuropsychopharmacol Biol Psychiatry 48(3):124–128
Baron-Cohen S, Ring HA, Bullmore ET, Wheelwright S, Ashwin C, Williams SC (2000) The amygdala theory of autism. Neurosci Biobehav Rev 24(3):355–364
Berking M, Wupperman P (2012) Emotion regulation and mental health: recent findings, current challenges, and future directions. Curr Opin Psychiatry 25(2):128–134
Ameis S, Catani M (2015) Altered white matter connectivity as a neural substrate for social impairment in Autism Spectrum Disorder. Cortex 62:158–181
Ball RS (1977) The gesell developmental schedules: Arnold Gesell (1880–1961). J Abnorm Child Psychol 5:233–239
Buhle JT, Silvers JA, Wager TD, Lopez R, Onyemekwu C, Kober H, Weber J, Ochsner KN (2014) Cognitive reappraisal of emotion: a meta-analysis of human neuroimaging studies. Cereb Cortex 24(11):2981–2990
Bush G, Luu P, Posner MI (2000) Cognitive and emotional influences in anterior cingulate cortex. Trends Cogn Sci 4(6):215–222
Brothers L (1990) The social brain: a project for integrating primate behavior and neurophysiology in a new domain. Concepts Neurosci 1:27–51
Bickart KC, Wright CI, Dautoff RJ, Dickerson BC, Barrett LF (2011) Amygdala volume and social network size in humans. Nat Neurosci 14(2):163–164
Bebko G, Bertocci M, Chase H, Dwojak A (2015) Decreased amygdala-insula resting state connectivity in behaviorally and emotionally dysregulated youth. Psychiatry Res 231(1):77–86
Cole PM, Teti LO, Zahn-Waxler C (2003) Mutual emotion regulation and the stability of conduct problems between preschool and early school age. Dev Psychopathol 15(1):1–18
Catani M, Thiebaut de Schotten M (2012) Limbic pathways. In atlas of human brain connections. Oxford University Press Inc, New York
Conturo TE, Williams DL, Smith CD, Gultepe E, Akbudak E, Minshew NJ (2008) Neuronal fiber pathway abnormalities in autism: an initial MRI diffusion tensor tracking study of hippocampo-fusiform and amygdalo-fusiform pathways. J Int Neuropsychol Soc 14(6):933–946
Diener ML, Mangelsdorf SC (1999) Behavioral strategies for emotion regulation in toddlers: associations with maternal involvement and emotional expressions. Infant Behav Dev 22(4):1879
Dimitrova R, Pietsch M, Christiaens D, Ciarrusta J (2020) Heterogeneity in brain microstructural development following preterm birth. Cereb Cortex 30(9):4800–4810
Etkin A, Buchel C, Gross JJ (2015) The neural bases of emotion regulation. Nat Rev Neurosci 16(11):693–700
Emery NJ, Lorincz EN, Perrett DI, Oram MW, Baker CI (1997) Gaze following and joint attention in rhesus monkeys (Macaca mulatta). J Comp Psychol 111(3):286–293
Feldman R (2006) From biological rhythms to social rhythms: physiological precursors of mother-infant synchrony. Dev Psychol 42(1):175–188
Feldman R (2009) The development of regulatory functions from birth to 5 years: insights from premature infants. Child Dev 80(2):544–561
Frank DW, Dewitt M, Hudgens-Haney M, Schaeffer DJ, Ball BH, Schwarz NF, Hussein AA, Smart LM, Sabatinelli D (2014) Emotion regulation: quantitative meta-analysis of functional activation and deactivation. Neurosci Biobehav Rev 45:202–211
Fingher N, Dinstein I, Ben-Shachar M, Haar S, Dale AM, Eyler L, Pierce K, Courchesne E (2017) Toddlers later diagnosed with autism exhibit multiple structural abnormalities in temporal corpus callosum fibers. Cortex 97:291–305
Giovagnoli G, Postorino V, Fatta LM, Sanges V, De Peppo L, Vassena L, Rose PD, Vicari S, Mazzone L (2015) Behavioral and emotional profile and parental stress in preschool children with autism spectrum disorder. Res Dev Disabil 45:411–421
Grossberg S, Kishnan D (2018) Neural dynamics of autistic repetitive behaviors and Fragile X Syndrome: basal ganglia movement gating and mglur-modulated adaptively timed learning. Front Psychol 13(9):269
Gibbard CR, Ren J, Skuse DH, Clayden JD, Clark CA (2018) Structural connectivity of the amygdala in young adults with autism spectrum disorder. Hum Brain Mapp 39(3):1270–1282
Gotts SJ, Simmons WK, Milbury LA, Wallace GL, Cox RW, Martin A (2012) Fractionation of social brain circuits in autism spectrum disorders. Brain 135:2711–2725
Garon N, Bryson SE, Zwaigenbaum L, Smith IM, Brian J, Roberts W, Szatmari P (2009) Temperament and its relationship to autistic symptoms in a high-risk infant sib cohort. J Abnorm Child Psychol 37(1):59–78
Guo Y, Garfin DR, Ly A, Goldberg WA (2017) Emotion coregulation in mother-child dyads: a dynamic systems analysis of children with and without autism spectrum disorder. J Abnorm Child Psychol 45(7):1369–1383
Gomez CR, Baird S (2005) Identifying early indicators for autism in self-regulation difficulties. Focus Autism Other Dev Disabl 20(2):106–116
Gross JJ (2002) Emotion regulation: affective, cognitive, and social consequences. Psychophy siology 39(3):281–291
Gillberg C, Ehlers S, Schaumann H, Jakobsson G, Dahlgren SO, Lindblom R, Bagenholm A, Tjuus T, Blidner E (1990) Autism under age 3 years: a clinical study of 28 cases referred for autistic symptoms in infancy. J Child Psychol Psychiatry 31(6):921–934
Hazlett HC, Poe M, Gerig G, Smith RG, Provenzale J, Ross A, Gilmore J, Piven J (2005) Magnetic resonance imaging and head circumference study of brain size in autism: birth through age 2 years. Arch Gen Psychiatry 62(12):1366–1376
Hazlett HC, Gu H, Munsell BC (2017) Early brain development in infants at high risk for autism spectrum disorder. Nature 542(7641):348–351
Hastings PD, Kahle S, Fleming C, Lohr MJ, Katz LF, Oxford ML (2019) An intervention that increases parental sensitivity in families referred to child protective services also changes toddlers’ parasympathetic regulation. Dev Sci 22(1):12725
Hornberger M, Geng J, Hodges JR (2011) Convergent grey and white matter evidence of orbitofrontal cortex changes related to disinhibition in behavioral variant frontotemporal dementia. Brain 134(9):2502–2512
Hoshino Y, Kaneko M, Yashima Y, Kumashiro H, Volkmar FR, Cohen DJ (1987) Clinical features of autistic children with setback course in their infancy. Jpn J Psychiatry Neurol 41(2):237–245
Haar S, Berman S, Behrmann M, Dinstein I (2016) Anatomical abnormalities in autism? Cereb Cortex 26(4):1440–1452
Jahromi LB, Meek SE, Ober-Reynolds S (2012) Emotion regulation in the context of frustration in children with high functioning autism and their typical peers. J Child Psychol Psychiatry 53(12):1250–1258
Kuusikko-Gauffin S, Pollock-Wurman R, Mattila ML, Jussila K, Ebeling H, Pauls D, Moilanen I (2013) Social anxiety in parents of high-functioning children with autism and Asperger syndrome. J Autism Dev Disord 43(3):521–529
Kozlowska K, Griffiths KR, Foster SL, Linton J, Williams LM, Korgaonkar MS (2017) Grey matter abnormalities in children and adolescents with functional neurological symptom disorder. Neuroimage Clin 15(6):306–314
Konstantareas MM, Stewart K (2006) Affect regulation and temperament in children with Autism Spectrum Disorder. J Autism Dev Disord 36(2):143–154
Kleinman JM, Robins DL, Ventola PE, Pandey J, Boorstein HC, Esser EL et al (2008) The modified checklist for autism in toddlers: a follow-up study investigating the early detection of autism spectrum disorders. J Autism Dev Disord 38:827–839
Keunen K, Benders MJ, Leemans A, Stam PC, Scholtens LH, Viergever MA (2017) White matter maturation in the neonatal brain is predictive of school age cognitive capacities in children born very preterm. Dev Med Child Neurol 59(9):939–946
Kumar A, Sundaram SK, Sivaswamy L, Behen ME, Makki MI, Ager J, Janisse J, Chugani HT, Chugani DC (2010) Alterations in frontal lobe tracts and corpus callosum in young children with autism spectrum disorder. Cereb Cortex 20(9):2103–2113
Losh M, Capps L (2006) Understanding of emotional experience in autism: insights from the personal accounts of high-functioning children with autism. Dev Psychol 42(5):809–818
Lipsky D, Richards W, Lipsky D, Richards W (2010) Managing meltdowns: using the scared calming technique with children and adults with autism. J Autism Dev Disord 40(7):916–917
Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J (2018) Autism spectrum disorder. Lancet 392(10146):508–520
Lord C, Rutter M, Goode S, Heemsbergen J, Jordan H, Mawhood L, Schopler E (1989) Autism diagnostic observation schedule: a standardized observation of communicative and social behavior. J Autism Dev Disord 19(2):185–212
Lord C, Charman T, Havdahl A, Carbone P, Anagnostou E (2021) The lancet commission on the future of care and clinical research in autism. Lancet 6(21):1541–1545
Lord C, Rutter M, Le Couteur A (1994) Autism diagnostic interview-revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Autism Dev Disord 24(5):659–685
Lange N, Dubray MB, Lee JE, Froimowitz MP, Froehlich A, Adluru N, Wright B, Ravichandran C, Fletcher PT, Bigler ED, Alexander AL, Lainhart JE (2010) Atypical diffusion tensor hemispheric asymmetry in autism. Autism Res 3(6):350–358
Mulraney M, Sciberras E, Gulenc A, Efron D, Hazell P, Silk TJ (2021) Neural correlates of irritability in a community sample of children. J Affect Disord 292(1):223–226
Macari S, DiNicola L, Kane-Grade F, Prince E, Vernetti A, Powell K (2018) Emotional expressivity in toddlers with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry 57(11):828–836
Mazefsky CA, Herrington J, Siegel M, Scarpa A, Maddox BB, Scahill L, White SW (2013) The role of emotion regulation in autism spectrum disorder. J Am Acad Child Adolesc Psychiatry 52(7):679–688
Matson JL, Cervantes PE (2014) Commonly studied comorbid psychopathologies among persons with autism spectrum disorder. Res Dev Disabil 35(5):952–962
McKechanie AG, Lawrie SM, Whalley HC, Stanfield AC (2022) A functional MRI facial emotion-processing study of autism in individuals with special educational needs. Psychiatry Res Neuroimaging 320(5):111426
Mattila ML, Hurtig T, Haapsamo H, Jussila K, Kuusikko-Gauffin S (2010) Comorbid psychiatric disorders associated with Asperger syndrome/high-functioning autism: a community- and clinic-based study. J Autism Dev Disord 40(9):1080–1093
Mazefsky CA, White SW (2014) Emotion regulation: concepts and practice in autism spectrum disorder. Child Adolesc Psychiatr Clin N Am 23(1):15–24
Nordahl CW, Scholz R, Yang X, Buonocore MH, Simon T, Rogers S, Amaral DG (2012) Increased rate of amygdala growth in children aged 2 to 4 years with autism spectrum disorders: a longitudinal study. Arch Gen Psychiatry 69(1):53–61
Noldus L (1991) The observer: a software system for collection and analysis of observational data. Behav Res Methods Instrum Comput 23(3):415–429
Noriuchi M, Kikuchi Y, Yoshiura T, Kira R, Shigeto H, Hara T, Tobimatsu S, Kamio Y (2010) Altered white matter fractional anisotropy and social impairment in children with autism spectrum disorder. Brain Res 1362(29):141–149
Nair A, Treiber JM, Shukla DK, Shih P, Müller RA (2013) Impaired thalamocortical connectivity in autism spectrum disorder: a study of functional and anatomical connectivity. Brain 136(6):1942–1955
Osterling J, Dawson G (1994) Early recognition of children with autism: a study of first birthday home videotapes. J Autism Dev Disord 24(3):247–257
Poustka L, Jennen-Steinmetz C, Henze R, Vomstein K, Haffner J, Sieltjes B (2012) Fronto-temporal disconnectivity and symptom severity in children with autism spectrum disorder. World J Biol Psychiatry 13(4):269–280
Pote I, Wang S, Sethna V, Blasi A, Daly E, BASIS Team (2019) Familial risk of autism alters subcortical and cerebellar brain anatomy in infants and predicts the emergence of repetitive behaviors in early childhood. Autism Res 12(4):614–627
Rieffe C, Meerum Terwogt M, Kotronopoulou K (2007) Awareness of single and multiple emotions in high-functioning children with autism. J Autism Dev Disord 37(3):455–465
Richey JA, Damiano CR, Sabatino A, Rittenberg A, Petty C, Bizzell J, Voyvodic J, Heller AS, Coffman MC, Smoski M, Davidson RJ, Dichter GS (2015) Neural mechanisms of emotion regulation in autism spectrum disorder. J Autism Dev Disord 45(11):3409–3423
Radua J, Via E, Catani M, Mataix-Cols D (2011) Voxel-based meta-analysis of regional white-matter volume differences in autism spectrum disorder versus healthy controls. Psychol Med 41(7):1539–1550
Raznahan A, Lenroot R, Thurm A, Gozzi M, Hanley A, Spence SJ, Swedo SE, Giedd JN (2012) Mapping cortical anatomy in preschool aged children with autism using surface-based morphometry. Neuroimage Clin 31(2):111–119
Sofronoff K, Attwood T, Hinton S, Levin I (2007) A randomized controlled trial of a cognitive behavioral intervention for anger management in children diagnosed with Asperger syndrome. J Autism Dev Disord 37(7):1203–1214
Shen MD, Nordahl CW, Young GS (2013) Early brain enlargement and elevated extra-axial fluid in infants who develop autism spectrum disorder. Brain 136(9):2825–2835
Schumann CM, Hamstra J, Goodlin-Jones BL, Lotspeich LJ, Kwon H, Buonocore MH, Lammers CR, Reiss AL, Amaral DG (2004) The amygdala is enlarged in children but not adolescents with autism; the hippocampus is enlarged at all ages. J Neurosci 24(28):6392–6401
Simonoff E, Jones CR, Pickles A, Happé F, Baird G, Charman T (2012) Severe mood problems in adolescents with autism spectrum disorder. J Child Psychol Psychiatry 53(11):1157–1166
Swanson MR, Shen MD, Wolff JJ, Elison JT, Emerson RW, Styner MA, Hazlett HC, IBIS Network (2017) Subcortical brain and behavior phenotypes differentiate infants with autism versus language delay. Biol Psychiatry Cogn Neurosci Neuroimaging. 2(8):664–672
Schopler E, Reichler RJ, DeVellis RF, Daly K (1980) Toward objective classification of childhood autism: childhood autism rating scale (CARS). J Autism Dev Disord 10(1):91–103
Shukla DK, Keehn B, Müller RA (2011) Tract-specific analyses of diffusion tensor imaging show widespread white matter compromise in autism spectrum disorder. J Child Psychol Psychiatry 52(3):286–295
Schumann CM, Barnes CC, Lord C, Courchesne E (2009) Amygdala enlargement in toddlers with autism related to severity of social and communication impairments. Biol Psychiatry 66(10):942–949
Totsika V, Hastings RP, Emerson E, Lancaster GA, Berridge DM (2011) A population-based investigation of behavioural and emotional problems and maternal mental health: associations with autism spectrum disorder and intellectual disability. J Child Psychol Psychiatry 52(1):91–99
Tarver J, Palmer M, Webb S, Scott S, Slonims V, Simonoff E, Charman T (2019) Child and parent outcomes following parent interventions for child emotional and behavioral problems in autism spectrum disorders: a systematic review and meta-analysis. Autism 23(7):1630–1644
Thompson RA (2019) Emotion dysregulation: a theme in search of definition. Dev Psychopathol 31(3):805–815
Valentovich V, Goldberg WA, Garfin DR, Guo Y (2018) Emotion coregulation processes between mothers and their children with and without autism spectrum disorder: associations with children’s maladaptive behaviors. J Autism Dev Disord 48(4):1235–1248
Vuilleumier P (2014) Brain circuits implicated in psychogenic paralysis in conversion disorders and hypnosis. Neurophysiol Clin 44(4):323–337
White SW, Oswald D, Ollendick T, Scahill L (2009) Anxiety in children and adolescents with autism spectrum disorders. Clin Psychol Rev 29(3):216–229
Wiggins JL, Brotman MA, Adleman NE, Kim P, Oakes AH, Reynolds RC, Chen G, Pine DS, Leibenluft E (2016) Neural correlates of irritability in disruptive mood dysregulation and bipolar disorders. Am J Psychiatry 173(7):722–730
Young KS, Sandman CF, Craske MG (2019) Positive and negative emotion regulation in adolescence: links to anxiety and depression. Brain Sci 29(4):76
Zwaigenbaum L, Bryson S, Rogers T, Roberts W, Brian J, Szatmari P (2005) Behavioral manifestations of autism in the first year of life. Int J Dev Neurosci 23(2):143–152
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The authors gratefully acknowledge the participants in this study. This study is based on the first author’s doctoral study project.
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This study was supported by the National Key Research and Development Program of China (2016YFC1306200), the National Natural Science Foundation of China (81771478), the Project of Nanjing Rehabilitation Medical Center in JiangSu Province, China (2020), and the “Special Disease Cohort” Research Project of Nanjing Medical University (NMUC2018010A).
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XK and ND designed the study and performed the experiments; LF, LQ and BS also performed the experiments; ND analysed the data and wrote the manuscript.
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Ding, N., Fu, L., Qian, L. et al. The correlation between brain structure characteristics and emotion regulation ability in children at high risk of autism spectrum disorder. Eur Child Adolesc Psychiatry (2024). https://doi.org/10.1007/s00787-024-02369-y
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DOI: https://doi.org/10.1007/s00787-024-02369-y