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Auteur Adam NAPLES
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Documents disponibles écrits par cet auteur (4)
Faire une suggestion Affiner la rechercheFace perception, attention, and memory as predictors of social change in autistic children / Sara Jane WEBB in Journal of Neurodevelopmental Disorders, 17 (2025)
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[article]
Titre : Face perception, attention, and memory as predictors of social change in autistic children Type de document : texte imprimé Auteurs : Sara Jane WEBB, Auteur ; Brian KWAN, Auteur ; Raphael BERNIER, Auteur ; Katarzyna CHARWARSKA, Auteur ; Geraldine DAWSON, Auteur ; James DZIURA, Auteur ; Susan FAJA, Auteur ; Gerhard HELLMANN, Auteur ; Shafali JESTE, Auteur ; Natalia KLEINHANS, Auteur ; April LEVIN, Auteur ; Adam NAPLES, Auteur ; Maura SABATOS-DEVITO, Auteur ; Damla SENTURK, Auteur ; Frederick SHIC, Auteur ; Catherine SUGAR, Auteur ; James C. MCPARTLAND, Auteur ; AUTISM BIOMARKERS CONSORTIUM FOR CLINICAL TRIALS, Auteur Langues : Anglais (eng) Mots-clés : Asd Biomarkers Erp Eye tracking Face memory Social attention Social cognition Social perception the Declaration of Helsinki, the study was reviewed and approved by the Yale Institutional Review Board which served as Central Institutional Review Board for the study. Written informed consent was provided by the participants' legal guardian assent was provided by the child participant. While not a clinical trial, the study was registered with ClinicalTrials.gov (NCT02996669). Consent for publication: Not applicable. Competing interests: Geraldine Dawson is on the Scientific Advisory Boards of Tris Pharma and the Nonverbal Learning Disability Project, a consultant for Apple, Inc, and receives book royalties from Guilford Press, Springer, and Oxford University Press. Shafali Jeste is a consultant for Roche Pharmaceutical Company. James C. McPartland consults or has consulted with Customer Value Partners, Bridgebio, Determined Health, Apple, and BlackThorn Therapeutics, has received research funding from Janssen Research and Development, serves on the Scientific Advisory Boards of Pastorus and Modern Clinics, and receives royalties from Guilford Press, Lambert, Oxford, and Springer. Frederick Shic is a consultant for Roche Pharmaceutical Company and Janssen Research. All authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential competing interest. Index. décimale : PER Périodiques Résumé : OBJECTIVE: Social perception and attention markers have been identified that, on average, differentiate autistic from non-autistic children. However, little is known about how these markers predict behavior over time at both short and long time intervals. METHODS: We conducted a large multisite, naturalistic study of 6- to 11-year-old children diagnosed with ASD (n = 214). We evaluated three markers of social processing: social perception via the ERP N170 Latency to Upright Faces; social attention via the Eye Tracking (ET) OMI (Oculomotor Index of Gaze to Human Faces) that captures percent looking to faces from three tasks; and social cognition via the NEPSY Face Memory task. Each was evaluated in predicting social ability and autistic social behaviors derived from parental interviews and questionnaires about child behavior at + 6 months (T3) and + 4 years (T4). RESULTS: Adjusting for baseline performance, time between measurements, age, and sex, our results suggest differential prognostic relations for each of the markers. The ERP N170 Latency to Upright Faces showed limited prognostic relations, with a significant relation to short term changes in face memory. The ET OMI was related to face memory over both short and long term. Both the ET OMI and Face Memory predicted long-term autistic social behavior scores. CONCLUSIONS: In the context of a large-scale, rigorous evaluation of candidate markers for use in future clinical trials, our primary markers had significant but small-effect prognostic capability. The ET OMI and Face Memory showed significant long-term predictive relations, with increased visual attention to faces and better face memory at baseline related to increased social approach and decreased autistic social behaviors 4 years later. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s11689-025-09646-0. En ligne : https://dx.doi.org/10.1186/s11689-025-09646-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=576
in Journal of Neurodevelopmental Disorders > 17 (2025)[article] Face perception, attention, and memory as predictors of social change in autistic children [texte imprimé] / Sara Jane WEBB, Auteur ; Brian KWAN, Auteur ; Raphael BERNIER, Auteur ; Katarzyna CHARWARSKA, Auteur ; Geraldine DAWSON, Auteur ; James DZIURA, Auteur ; Susan FAJA, Auteur ; Gerhard HELLMANN, Auteur ; Shafali JESTE, Auteur ; Natalia KLEINHANS, Auteur ; April LEVIN, Auteur ; Adam NAPLES, Auteur ; Maura SABATOS-DEVITO, Auteur ; Damla SENTURK, Auteur ; Frederick SHIC, Auteur ; Catherine SUGAR, Auteur ; James C. MCPARTLAND, Auteur ; AUTISM BIOMARKERS CONSORTIUM FOR CLINICAL TRIALS, Auteur.
Langues : Anglais (eng)
in Journal of Neurodevelopmental Disorders > 17 (2025)
Mots-clés : Asd Biomarkers Erp Eye tracking Face memory Social attention Social cognition Social perception the Declaration of Helsinki, the study was reviewed and approved by the Yale Institutional Review Board which served as Central Institutional Review Board for the study. Written informed consent was provided by the participants' legal guardian assent was provided by the child participant. While not a clinical trial, the study was registered with ClinicalTrials.gov (NCT02996669). Consent for publication: Not applicable. Competing interests: Geraldine Dawson is on the Scientific Advisory Boards of Tris Pharma and the Nonverbal Learning Disability Project, a consultant for Apple, Inc, and receives book royalties from Guilford Press, Springer, and Oxford University Press. Shafali Jeste is a consultant for Roche Pharmaceutical Company. James C. McPartland consults or has consulted with Customer Value Partners, Bridgebio, Determined Health, Apple, and BlackThorn Therapeutics, has received research funding from Janssen Research and Development, serves on the Scientific Advisory Boards of Pastorus and Modern Clinics, and receives royalties from Guilford Press, Lambert, Oxford, and Springer. Frederick Shic is a consultant for Roche Pharmaceutical Company and Janssen Research. All authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential competing interest. Index. décimale : PER Périodiques Résumé : OBJECTIVE: Social perception and attention markers have been identified that, on average, differentiate autistic from non-autistic children. However, little is known about how these markers predict behavior over time at both short and long time intervals. METHODS: We conducted a large multisite, naturalistic study of 6- to 11-year-old children diagnosed with ASD (n = 214). We evaluated three markers of social processing: social perception via the ERP N170 Latency to Upright Faces; social attention via the Eye Tracking (ET) OMI (Oculomotor Index of Gaze to Human Faces) that captures percent looking to faces from three tasks; and social cognition via the NEPSY Face Memory task. Each was evaluated in predicting social ability and autistic social behaviors derived from parental interviews and questionnaires about child behavior at + 6 months (T3) and + 4 years (T4). RESULTS: Adjusting for baseline performance, time between measurements, age, and sex, our results suggest differential prognostic relations for each of the markers. The ERP N170 Latency to Upright Faces showed limited prognostic relations, with a significant relation to short term changes in face memory. The ET OMI was related to face memory over both short and long term. Both the ET OMI and Face Memory predicted long-term autistic social behavior scores. CONCLUSIONS: In the context of a large-scale, rigorous evaluation of candidate markers for use in future clinical trials, our primary markers had significant but small-effect prognostic capability. The ET OMI and Face Memory showed significant long-term predictive relations, with increased visual attention to faces and better face memory at baseline related to increased social approach and decreased autistic social behaviors 4 years later. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s11689-025-09646-0. En ligne : https://dx.doi.org/10.1186/s11689-025-09646-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=576 Longitudinal predictors of internalizing and externalizing behaviors in autism: Examining relationships with ritualistic behavior and social diagnostic features / Madison SURMACZ in Development and Psychopathology, 38-4 (October 2026)
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Titre : Longitudinal predictors of internalizing and externalizing behaviors in autism: Examining relationships with ritualistic behavior and social diagnostic features Type de document : texte imprimé Auteurs : Madison SURMACZ, Auteur ; Marika M. COFFMAN, Auteur ; Susan FAJA, Auteur ; Nicole NADWODNY, Auteur ; Geraldine DAWSON, Auteur ; Shafali S. JESTE, Auteur ; Natalia KLEINHANS, Auteur ; Katarzyna CHAWARSKA, Auteur ; Sara Jane WEBB, Auteur ; Frederick SHIC, Auteur ; Adam NAPLES, Auteur ; Catherine SUGAR, Auteur ; James DZIURA, Auteur ; James C. MCPARTLAND, Auteur Article en page(s) : p.2105-2116 Langues : Anglais (eng) Mots-clés : Autism externalizing internalizing longitudinal ritualistic behavior Index. décimale : PER Périodiques Résumé : Autistic youth commonly experience co-occurring mental health conditions. Core autism features have been linked to internalizing and externalizing symptoms, yet longitudinal pathways remain unclear. This study examined how ritualistic and social diagnostic features predict later internalizing and externalizing behaviors in school-age autistic children. Caregivers reported ritualistic behavior (PDDBI), social diagnostic features (SRS-2), and internalizing and externalizing behaviors (CASI-5; BASC-3) at two time points (baseline Mage = 8.50, SD = 1.62, range = 6.0–11.5; follow-up Mage = 12.67, SD = 1.79, range = 8.7–16.1). Children (n = 139) were 79.1% male (n = 110), 20.9% female (n = 29), 5% African American/Black (n = 7), 0.7% American Indian/Alaska Native (n = 1), 7.2% Asian (n = 10), 17.3% Mixed Race (n = 24), 1.4% Other (n = 2), 68.3% White (n = 95), 17.3% Hispanic/Latinx (n = 24), and 82.7% non-Hispanic/Latinx (n = 115). Ritualistic behavior and social diagnostic features were associated at baseline (r = .590). Baseline ritualistic behavior predicted later internalizing behaviors, while neither social diagnostic features nor ritualistic behavior predicted later externalizing behaviors. Findings underscore the importance of examining specific core autism features, particularly ritualistic behavior, as early indicators of internalizing and externalizing challenges across development. En ligne : https://dx.doi.org/10.1017/S0954579426101813 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=594
in Development and Psychopathology > 38-4 (October 2026) . - p.2105-2116[article] Longitudinal predictors of internalizing and externalizing behaviors in autism: Examining relationships with ritualistic behavior and social diagnostic features [texte imprimé] / Madison SURMACZ, Auteur ; Marika M. COFFMAN, Auteur ; Susan FAJA, Auteur ; Nicole NADWODNY, Auteur ; Geraldine DAWSON, Auteur ; Shafali S. JESTE, Auteur ; Natalia KLEINHANS, Auteur ; Katarzyna CHAWARSKA, Auteur ; Sara Jane WEBB, Auteur ; Frederick SHIC, Auteur ; Adam NAPLES, Auteur ; Catherine SUGAR, Auteur ; James DZIURA, Auteur ; James C. MCPARTLAND, Auteur . - p.2105-2116.
Langues : Anglais (eng)
in Development and Psychopathology > 38-4 (October 2026) . - p.2105-2116
Mots-clés : Autism externalizing internalizing longitudinal ritualistic behavior Index. décimale : PER Périodiques Résumé : Autistic youth commonly experience co-occurring mental health conditions. Core autism features have been linked to internalizing and externalizing symptoms, yet longitudinal pathways remain unclear. This study examined how ritualistic and social diagnostic features predict later internalizing and externalizing behaviors in school-age autistic children. Caregivers reported ritualistic behavior (PDDBI), social diagnostic features (SRS-2), and internalizing and externalizing behaviors (CASI-5; BASC-3) at two time points (baseline Mage = 8.50, SD = 1.62, range = 6.0–11.5; follow-up Mage = 12.67, SD = 1.79, range = 8.7–16.1). Children (n = 139) were 79.1% male (n = 110), 20.9% female (n = 29), 5% African American/Black (n = 7), 0.7% American Indian/Alaska Native (n = 1), 7.2% Asian (n = 10), 17.3% Mixed Race (n = 24), 1.4% Other (n = 2), 68.3% White (n = 95), 17.3% Hispanic/Latinx (n = 24), and 82.7% non-Hispanic/Latinx (n = 115). Ritualistic behavior and social diagnostic features were associated at baseline (r = .590). Baseline ritualistic behavior predicted later internalizing behaviors, while neither social diagnostic features nor ritualistic behavior predicted later externalizing behaviors. Findings underscore the importance of examining specific core autism features, particularly ritualistic behavior, as early indicators of internalizing and externalizing challenges across development. En ligne : https://dx.doi.org/10.1017/S0954579426101813 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=594 Resting state EEG in youth with ASD: age, sex, and relation to phenotype / Emily NEUHAUS in Journal of Neurodevelopmental Disorders, 13 (2021)
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Titre : Resting state EEG in youth with ASD: age, sex, and relation to phenotype Type de document : texte imprimé Auteurs : Emily NEUHAUS, Auteur ; Sarah J. LOWRY, Auteur ; Megha SANTHOSH, Auteur ; Anna KRESSE, Auteur ; Laura A. EDWARDS, Auteur ; Jack KELLER, Auteur ; Erin J. LIBSACK, Auteur ; Veronica Y. KANG, Auteur ; Adam NAPLES, Auteur ; Allison JACK, Auteur ; Shafali JESTE, Auteur ; James C. MCPARTLAND, Auteur ; Elizabeth AYLWARD, Auteur ; Raphael BERNIER, Auteur ; Susan BOOKHEIMER, Auteur ; Mirella DAPRETTO, Auteur ; John D. VAN HORN, Auteur ; Kevin PELPHREY, Auteur ; Sara Jane WEBB, Auteur ; THE ACE GENDAAR NETWORK, Auteur Langues : Anglais (eng) Mots-clés : Adolescent Aged Autism Spectrum Disorder/diagnosis Brain Electroencephalography Female Humans Male Phenotype Sex Characteristics Alpha Autism Biomarker Eeg Power Resting Sex differences funding from Janssen Research and Development, and receives royalties from Guilford Press, Lambert, and Springer. The remaining authors report no affiliations with or involvement in any organization or entity with any financial interest in the outcome of this project. Index. décimale : PER Périodiques Résumé : BACKGROUND: Identification of ASD biomarkers is a key priority for understanding etiology, facilitating early diagnosis, monitoring developmental trajectories, and targeting treatment efforts. Efforts have included exploration of resting state encephalography (EEG), which has a variety of relevant neurodevelopmental correlates and can be collected with minimal burden. However, EEG biomarkers may not be equally valid across the autism spectrum, as ASD is strikingly heterogeneous and individual differences may moderate EEG-behavior associations. Biological sex is a particularly important potential moderator, as females with ASD appear to differ from males with ASD in important ways that may influence biomarker accuracy. METHODS: We examined effects of biological sex, age, and ASD diagnosis on resting state EEG among a large, sex-balanced sample of youth with (N = 142, 43% female) and without (N = 138, 49% female) ASD collected across four research sites. Absolute power was extracted across five frequency bands and nine brain regions, and effects of sex, age, and diagnosis were analyzed using mixed-effects linear regression models. Exploratory partial correlations were computed to examine EEG-behavior associations in ASD, with emphasis on possible sex differences in associations. RESULTS: Decreased EEG power across multiple frequencies was associated with female sex and older age. Youth with ASD displayed decreased alpha power relative to peers without ASD, suggesting increased neural activation during rest. Associations between EEG and behavior varied by sex. Whereas power across various frequencies correlated with social skills, nonverbal IQ, and repetitive behavior for males with ASD, no such associations were observed for females with ASD. CONCLUSIONS: Research using EEG as a possible ASD biomarker must consider individual differences among participants, as these features influence baseline EEG measures and moderate associations between EEG and important behavioral outcomes. Failure to consider factors such as biological sex in such research risks defining biomarkers that misrepresent females with ASD, hindering understanding of the neurobiology, development, and intervention response of this important population. En ligne : https://dx.doi.org/10.1186/s11689-021-09390-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=574
in Journal of Neurodevelopmental Disorders > 13 (2021)[article] Resting state EEG in youth with ASD: age, sex, and relation to phenotype [texte imprimé] / Emily NEUHAUS, Auteur ; Sarah J. LOWRY, Auteur ; Megha SANTHOSH, Auteur ; Anna KRESSE, Auteur ; Laura A. EDWARDS, Auteur ; Jack KELLER, Auteur ; Erin J. LIBSACK, Auteur ; Veronica Y. KANG, Auteur ; Adam NAPLES, Auteur ; Allison JACK, Auteur ; Shafali JESTE, Auteur ; James C. MCPARTLAND, Auteur ; Elizabeth AYLWARD, Auteur ; Raphael BERNIER, Auteur ; Susan BOOKHEIMER, Auteur ; Mirella DAPRETTO, Auteur ; John D. VAN HORN, Auteur ; Kevin PELPHREY, Auteur ; Sara Jane WEBB, Auteur ; THE ACE GENDAAR NETWORK, Auteur.
Langues : Anglais (eng)
in Journal of Neurodevelopmental Disorders > 13 (2021)
Mots-clés : Adolescent Aged Autism Spectrum Disorder/diagnosis Brain Electroencephalography Female Humans Male Phenotype Sex Characteristics Alpha Autism Biomarker Eeg Power Resting Sex differences funding from Janssen Research and Development, and receives royalties from Guilford Press, Lambert, and Springer. The remaining authors report no affiliations with or involvement in any organization or entity with any financial interest in the outcome of this project. Index. décimale : PER Périodiques Résumé : BACKGROUND: Identification of ASD biomarkers is a key priority for understanding etiology, facilitating early diagnosis, monitoring developmental trajectories, and targeting treatment efforts. Efforts have included exploration of resting state encephalography (EEG), which has a variety of relevant neurodevelopmental correlates and can be collected with minimal burden. However, EEG biomarkers may not be equally valid across the autism spectrum, as ASD is strikingly heterogeneous and individual differences may moderate EEG-behavior associations. Biological sex is a particularly important potential moderator, as females with ASD appear to differ from males with ASD in important ways that may influence biomarker accuracy. METHODS: We examined effects of biological sex, age, and ASD diagnosis on resting state EEG among a large, sex-balanced sample of youth with (N = 142, 43% female) and without (N = 138, 49% female) ASD collected across four research sites. Absolute power was extracted across five frequency bands and nine brain regions, and effects of sex, age, and diagnosis were analyzed using mixed-effects linear regression models. Exploratory partial correlations were computed to examine EEG-behavior associations in ASD, with emphasis on possible sex differences in associations. RESULTS: Decreased EEG power across multiple frequencies was associated with female sex and older age. Youth with ASD displayed decreased alpha power relative to peers without ASD, suggesting increased neural activation during rest. Associations between EEG and behavior varied by sex. Whereas power across various frequencies correlated with social skills, nonverbal IQ, and repetitive behavior for males with ASD, no such associations were observed for females with ASD. CONCLUSIONS: Research using EEG as a possible ASD biomarker must consider individual differences among participants, as these features influence baseline EEG measures and moderate associations between EEG and important behavioral outcomes. Failure to consider factors such as biological sex in such research risks defining biomarkers that misrepresent females with ASD, hindering understanding of the neurobiology, development, and intervention response of this important population. En ligne : https://dx.doi.org/10.1186/s11689-021-09390-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=574 Sex and Cognitive Ability-Based Stratification of Social Attention in Autism / Jason W. GRIFFIN in Autism Research, 19-10 (October 2026)
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Titre : Sex and Cognitive Ability-Based Stratification of Social Attention in Autism Type de document : texte imprimé Auteurs : Jason W. GRIFFIN, Auteur ; Frederick SHIC, Auteur ; Adam NAPLES, Auteur ; Kelsey DOMMER, Auteur ; Geraldine DAWSON, Auteur ; Susan FAJA, Auteur ; Shafali JESTE, Auteur ; Natalia KLEINHANS, Auteur ; James DZIURA, Auteur ; Catherine SUGAR, Auteur ; Damla SENTURK, Auteur ; Gerhard HELLEMANN, Auteur ; Sara Jane WEBB, Auteur ; James C. MCPARTLAND, Auteur ; Trials THE AUTISM BIOMARKERS CONSORTIUM FOR CLINICAL, Auteur Année de publication : 2026 Article en page(s) : p.e70356 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : ABSTRACT Reduced social attention (SA) is a hallmark feature of autism that is foundational to social communication and interaction. However, emerging evidence suggests that reduced SA may not be uniformly expressed across the autism spectrum. Sex and cognitive ability (IQ) have been identified as relevant stratification variables, potentially moderating SA in autistic children. We examined differential patterns of SA stratified by sex and cognitive ability in a large, longitudinal sample of autistic and neurotypical (NT) children (ages 6?11?years) from the Autism Biomarkers Consortium for Clinical Trials (ABC-CT), examining SA across four measurement timepoints (Baseline, 6?weeks, 6?months, and 4?years). SA was measured using the oculomotor index of gaze to human faces (OMI) derived from standardized eye-tracking (ET) assays, with children stratified by sex (male, female) and IQ (IQ?≥?85, IQ?85). Linear mixed-effects models were used to evaluate the effects of sex, IQ, and timepoint on SA, with additional analyses assessing the stability and clinical associations of OMI. Autistic females did not exhibit lower OMI scores compared to autistic males; however, relative to sex-matched NT children, autistic females showed approximately twice the reduction in OMI observed in autistic males. Likewise, the reduction in OMI associated with autism (i.e., ASD? En ligne : https://doi.org/10.1002/aur.70356 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=594
in Autism Research > 19-10 (October 2026) . - p.e70356[article] Sex and Cognitive Ability-Based Stratification of Social Attention in Autism [texte imprimé] / Jason W. GRIFFIN, Auteur ; Frederick SHIC, Auteur ; Adam NAPLES, Auteur ; Kelsey DOMMER, Auteur ; Geraldine DAWSON, Auteur ; Susan FAJA, Auteur ; Shafali JESTE, Auteur ; Natalia KLEINHANS, Auteur ; James DZIURA, Auteur ; Catherine SUGAR, Auteur ; Damla SENTURK, Auteur ; Gerhard HELLEMANN, Auteur ; Sara Jane WEBB, Auteur ; James C. MCPARTLAND, Auteur ; Trials THE AUTISM BIOMARKERS CONSORTIUM FOR CLINICAL, Auteur . - 2026 . - p.e70356.
Langues : Anglais (eng)
in Autism Research > 19-10 (October 2026) . - p.e70356
Index. décimale : PER Périodiques Résumé : ABSTRACT Reduced social attention (SA) is a hallmark feature of autism that is foundational to social communication and interaction. However, emerging evidence suggests that reduced SA may not be uniformly expressed across the autism spectrum. Sex and cognitive ability (IQ) have been identified as relevant stratification variables, potentially moderating SA in autistic children. We examined differential patterns of SA stratified by sex and cognitive ability in a large, longitudinal sample of autistic and neurotypical (NT) children (ages 6?11?years) from the Autism Biomarkers Consortium for Clinical Trials (ABC-CT), examining SA across four measurement timepoints (Baseline, 6?weeks, 6?months, and 4?years). SA was measured using the oculomotor index of gaze to human faces (OMI) derived from standardized eye-tracking (ET) assays, with children stratified by sex (male, female) and IQ (IQ?≥?85, IQ?85). Linear mixed-effects models were used to evaluate the effects of sex, IQ, and timepoint on SA, with additional analyses assessing the stability and clinical associations of OMI. Autistic females did not exhibit lower OMI scores compared to autistic males; however, relative to sex-matched NT children, autistic females showed approximately twice the reduction in OMI observed in autistic males. Likewise, the reduction in OMI associated with autism (i.e., ASD? En ligne : https://doi.org/10.1002/aur.70356 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=594

