Watching Videos and Television Is Related to a Lower Development of Complex Language Comprehension in Young Children with Autism

Fridberg, Elisabeth; Khokhlovich, Edward; Vyshedskiy, Andrey

doi:10.3390/healthcare9040423

Cited by 21 publications

(39 citation statements)

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“…At the same time, the difference between the groups in the expressive language score was only 1.4-fold ( p =0.0144). In another 3-year epidemiological study of the effect of passive video and television watching on children with ASD (N= 3227), longer video and television watching were associated with slightly better development of expressive language but significantly impeded development of receptive language, as measured by the MSEC (Fridberg et al, 2021). This dissociation between receptive and expressive language trajectories observed in both studies strongly imply the need for a regular assessment of combinatorial receptive language in addition to expressive language.…”

Section: Discussionmentioning

confidence: 99%

Combinatorial language parent-report score differs significantly between typically developing children and those with Autism Spectrum Disorders

Arnold

Vyshedskiy

2022

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Prefrontal synthesis (PFS) is a component of constructive imagination. It is defined as the process of mentally juxtaposing objects into novel combinations. For example, to comprehend the instruction “put the cat under the dog and above the monkey,” it is necessary to use PFS in order to correctly determine the spatial arrangement of the cat, dog, and monkey with relation to one another. The acquisition of PFS hinges on the use of combinatorial language during early development in childhood. Accordingly, children with developmental delays exhibit a deficit in PFS, and frequent assessments are recommended for these individuals. In 2018, we developed the Mental Synthesis Evaluation Checklist (MSEC), a parent-reported evaluation designed to assess PFS and combinatorial language comprehension. In this manuscript we use MSEC to identify differences in combinatorial language acquisition between ASD (N=29138) and neurotypical (N=111) children. Results confirm the utility of the MSEC in distinguishing language deficits in ASD from typical development as early as 2 years of age (p<0.0001).

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Section: Discussionmentioning

confidence: 99%

Combinatorial language parent-report score differs significantly between typically developing children and those with Autism Spectrum Disorders

Arnold

Vyshedskiy

2022

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“…Inclusion criteria were identical to our previous studies of this population (Fridberg et al, 2021; Mahapatra, Khokhlovich, et al, 2018; Vyshedskiy et al, 2020). Specifically, we selected participants based on the following criteria:…”

Section: Methodsmentioning

confidence: 99%

“…Inclusion criteria: Inclusion criteria were identical to our previous studies of this population (Fridberg et al, 2021;Mahapatra, Khokhlovich, et al, 2018;Vyshedskiy et al, 2020). Specifically, we selected participants based on the following criteria: 1) Consistency: Participants must have filled out at least three ATEC evaluations and the interval between the first and the last evaluation was six months or longer.…”

Section: Participantsmentioning

confidence: 99%

“…(Vyshedskiy et al, 2020) and Fridberg et al . (Fridberg et al, 2021). This robust technique uses the Linear Mixed Effect Model with Repeated Measures to model complex relationships between time of evaluation, group assignment (no Seizures Group or Seizures Group), and evaluation subscales.…”

Section: Introductionmentioning

confidence: 99%

“…The framework for the evaluation of score changes over time was developed in Mahapatra et al (Mahapatra, Khokhlovich, et al, 2018) and further validated in Vyshedskiy et al (Vyshedskiy et al, 2020) and Fridberg et al (Fridberg et al, 2021). This robust technique uses the Linear Mixed Effect Model with Repeated Measures to model complex relationships between time of evaluation, group assignment (no Seizures Group or Seizures Group), and evaluation subscales.…”

Section: Introductionmentioning

confidence: 99%

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Effect of seizures on developmental trajectories in children with autism

Forman¹,

Edward²,

Vyshedskiy

2022

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The effect of seizures in 2 to 5-year-old children with ASD was investigated in the largest and the longest observational study to-date. Parents assessed the development of 8461 children quarterly for three years on five orthogonal subscales: combinatorial receptive language, expressive language, sociability, sensory awareness, and health. Seizures were reported in 11% of children. Children with no seizures developed faster compared to matched children with seizures in all subscales. On an annualized basis, participants with no seizures improved their receptive language 1.5-times faster than those with seizures; expressive language: 1.3-times faster; sociability: 2.3-times faster; sensory awareness: 6.2-times faster; and health: 20.0-times faster. This study confirms a high prevalence of seizures in ASD children and points to the need for more systematic approach to the development of treatment strategies.

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Outdoor Play as a Mitigating Factor in the Association Between Screen Time for Young Children and Neurodevelopmental Outcomes

et al. 2023

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ImportanceWhether the association between higher screen time in infancy and later suboptimal neurodevelopment can be mitigated by frequency of outdoor play is unknown.ObjectiveTo investigate whether higher screen time at age 2 years is associated with neurodevelopmental outcomes at age 4 years and whether this association is mediated by frequency of outdoor play at age 2 years 8 months.Design, Setting, and ParticipantsParticipants were a subsample of the Hamamatsu Birth Cohort Study for Mothers and Children (HBC Study, N = 1258). Children were born between December 2007 and March 2012 and followed up from 1 year 6 months to 4 years. The analysis was conducted from April 2021 to June 2022.ExposuresScreen time longer than 1 hour a day at age 2 years was coded as higher screen time.Main Outcomes and MeasuresStandardized scores for communication, daily living skills, and socialization domains of the Vineland Adaptive Behavior Scale, second edition, at age 4 years were used (mean [SD], 100 [15]). The mediating factor was frequency of outdoor play at age 2 years 8 months, with 6 or 7 days per week coded as frequent outdoor play.ResultsOf 885 participants, 445 children (50%) were female; mean (SD) screen time per day was 2.6 (2.0) hours. Causal mediation analyses revealed that higher screen time at age 2 years was associated with lower scores in communication at age 4 years (nonstandardized coefficient b = −2.32; 95% CI, −4.03 to −0.60), but the association was not mediated by frequency of outdoor play. Higher screen time was also associated with lower scores in daily living skills (b = −1.76; 95% CI, −3.21 to −0.31); 18% of this association was mediated by frequency of outdoor play. Frequency of outdoor play was associated with socialization (b = 2.73; 95% CI, 1.06 to 4.39), whereas higher screen time was not (b = −1.34; 95% CI, −3.05 to 0.36).Conclusions and RelevanceHigher screen time at age 2 years was directly associated with poorer communication at age 4 years. It was also associated with daily living skills, but frequency of outdoor play at age 2 years 8 months alleviated it, suggesting outdoor play mitigated the association between higher screen time and suboptimal neurodevelopment. Future research should specify the nature of the associations and intervention measures, enabling targeted interventions that reduce the potential risk in screen time.

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Watching Videos and Television Is Related to a Lower Development of Complex Language Comprehension in Young Children with Autism

Cited by 21 publications

References 35 publications

Combinatorial language parent-report score differs significantly between typically developing children and those with Autism Spectrum Disorders

Combinatorial language parent-report score differs significantly between typically developing children and those with Autism Spectrum Disorders

Effect of seizures on developmental trajectories in children with autism

Outdoor Play as a Mitigating Factor in the Association Between Screen Time for Young Children and Neurodevelopmental Outcomes

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