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The current study investigated longitudinal associations between parent-rated temperament, observed exuberance and accelerometer activity level at 18-months and symptoms of ASD and ADHD at 36-months in a sample of 54 children at elevated likelihood for ASD. For the specific parent-rated temperament scales, most observed significant associations appeared to be specific for either ASD or ADHD symptoms. Indeed, by controlling for overlapping symptoms a different pattern of associations emerged. These results illustrate how temperamental measures may signal risk for later ASD versus ADHD symptomatology in infants at elevated likelihood for ASD. In addition, they indicate the potential of adopting a broader view on neurodevelopmental disorders by investigating not only ASD traits, but also co-occurring disorders such as ADHD in samples of elevated likelihood for ASD.

Background Attention‐Deficit/Hyperactivity Disorder (ADHD) is linked to strengths in creative problem‐solving amongst school‐aged children and adults. In contrast, autism (which frequently co‐occurs with ADHD) is associated with lower generativity, and perseverative responses during problem‐solving. Little is known about how ADHD and autism traits—or broader heritable autism and ADHD phenotypes—associate with problem‐solving skills in early childhood. Methods 129 UK 2‐ and 3‐year‐olds (exploratory dataset) and 74 Swedish 3‐year‐olds (confirmatory dataset) with and without a family history (FH) of ADHD and autism, completed a problem‐solving task. Parents reported on their 3‐year‐olds’ ADHD and autism traits using the Child Behaviour Checklist and Social Responsiveness Scale‐2. FH group differences in problem‐solving performance were tested using ANOVA (exploratory dataset, FH‐autism and FH‐ADHD as fixed factors) and t‐test (confirmatory and combined datasets split by FH‐ADHD). Linear regressions of problem‐solving success on autism/ADHD traits were run in both samples. Results Compared with peers with no FH‐ADHD, children with FH‐ADHD showed higher problem‐solving success at 2 (partial ω2 = 0.106) and 3 years (partial ω2 = 0.045) in the exploratory dataset. In the confirmatory dataset, a FH‐ADHD‐and‐autism group trended towards higher success scores compared with a no‐FH‐ADHD group (comprising FH‐autism‐only and no‐FH ADHD‐or‐autism sub‐groups) but scores were only significantly higher for children with FH‐ADHD‐and‐autism when compared with children with no FH‐ADHD‐or‐autism (gs = 0.977). ADHD (but not autism) traits were positively associated with problem‐solving performance in the exploratory (β = 0.212, p = 0.031) and combined samples (β = 0.173, p = 0.024). Effects were a consistent direction and magnitude, but not significant, in the confirmatory sample alone (β = 0.201, p = 0.103). Conclusions Considering a child's family history alongside their neurodivergent traits may help to identify their likely strengths, and how to access them: Children with ADHD traits and/or a family history of ADHD are likely to have an aptitude for generative problem‐solving when presented with highly motivating, ecologically valid challenges. In this study 129 UK 2‐ and 3‐year‐olds, and 74 Swedish 3‐year‐olds, with and without a family history of ADHD and autism, completed a problem‐solving task. Our results show that children with ADHD traits and/or a family history of ADHD are likely to have an aptitude for generative problem‐solving when presented with highly motivating, ecologically valid challenges.

The purpose of the current study was to use the infant sibling design to explore whether proband traits of autism and ADHD could provide information about their infant sibling’s temperament. This could help us to gain information about the extent to which infant temperament traits are differentially associated with autism and ADHD traits. We used parent-ratings of autistic traits and ADHD traits (CRS-3) in older siblings diagnosed with autism (age range 4 to 19 years), and their infant siblings’ temperament traits (IBQ) at 9 months of age in 216 sibling pairs from two sites (BASIS, UK, and EASE, Sweden) to examine associations across siblings. We found specific, but modest, associations across siblings after controlling for sex, age, developmental level and site. Proband autistic traits were specifically related to low levels of approach in the infant siblings, with infant developmental level explaining part of the variance in infant approach. Proband ADHD traits were specifically related to high levels of infant activity even after controlling for covariates. Our findings suggest that proband traits of autism and ADHD carry information for infant sibling’s temperament, indicating that inherited liability may influence early emerging behaviours in infant siblings. The impact of sex, age, developmental level and site are discussed.

Autism is frequently associated with difficulties with top-down attentional control, which impact on individuals’ mental health and quality of life. The developmental processes involved in these attentional difficulties are not well understood. Using a data-driven approach, 2 samples (N = 294 and 412) of infants at elevated and typical likelihood of autism were grouped according to profiles of parent report of attention at 10, 15 and 25 months. In contrast to the normative profile of increases in attentional control scores between infancy and toddlerhood, a minority (7–9%) showed plateauing attentional control scores between 10 and 25 months. Consistent with pre-registered hypotheses, plateaued growth of attentional control was associated with elevated autism and ADHD traits, and lower adaptive functioning at age 3 years.

Many everyday activities require coordination and monitoring of multiple deadlines. One way to handle these temporal demands might be to represent future goals and deadlines as a pattern of spatial relations. We examined the hypothesis that spatial ability, in addition to executive functioning, contributes to individual differences in multitasking. In two studies, participants completed a multitasking session in which they monitored four digital clocks running at different rates. In Study 1, we found that individual differences in spatial ability and executive functions were independent predictors of multiple-task performance. In Study 2, we found that individual differences in specific spatial abilities were selectively related to multiple-task performance, as only coordinate spatial processing, but not categorical, predicted multitasking, even beyond executive functioning and numeracy. In both studies, males outperformed females in spatial ability and multitasking and in Study 2 these sex differences generalized to a simulation of everyday multitasking. Menstrual changes moderated the effects on multitasking, in that sex differences in coordinate spatial processing and multitasking were observed between males and females in the luteal phase of the menstrual cycle, but not between males and females at menses. Overall, these findings suggest that multiple-task performance reflects independent contributions of spatial ability and executive functioning. Furthermore, our results support the distinction of categorical versus coordinate spatial processing, and suggest that these two basic relational processes are selectively affected by female sex hormones and differentially effective in transforming and handling temporal patterns as spatial relations in the context of multitasking.

Atypical gaze processing has been reported in children with autism spectrum disorders (ASD). Here we explored how infants at risk for ASD respond behaviorally to others’ direct gaze. We assessed 10-month-olds with a sibling with ASD (high risk group; n = 61) and a control group (n = 18) during interaction with an adult. Eye-tracking revealed less looking at the adult in the high risk group during 300–1000 ms after the adult initiated direct gaze: a short alteration that is likely to go unnoticed by the naked eye. Data aggregated over longer segments (the traditional eye-tracking approach) showed no group differences. Although findings are limited by lack of outcome data, they are in line with theories linking atypical eye processing to the emergence of ASD.

The overall aim of this thesis was to examine aspects of self-regulation and the emergence of co-occurring autism and ADHD traits early in life, to enhance our understanding of specific and shared mechanisms underlying these conditions. Previous studies have shown that vulnerabilities in temperament and executive functions (EF) are closely related to both conditions, with overlapping as well as specific features associated to each phenotype. However, most previous studies focus on older children, and it is unclear if specific and shared markers are evident already before symptoms of autism and ADHD emerge. By using an infantsibling design we were able to follow infants with a family history of autism and/or ADHD, before clinical symptoms emerge. Study I and II focused on infant temperament as either predictors of later autistic and/or ADHD traits or as being predicted by familial quantitative traits, to understand specific and shared associations to autistic and ADHD traits. In Study I, we examined if temperament traits in 1.5-year olds predict autism and ADHD traits at 3 years. Parent-rated temperament showed specific associations to autistic or ADHD traits, respectively. We found some overlap in regulation difficulties across both trait domains. In Study II, we explored the possibility to use probands’ autistic and ADHD traits to predict temperament traits in their 10-month old infant siblings (a between-individual design). We found that higher levels of probands’ autistic symptoms were specifically associated to lower levels of infant sibling’s approach, whereas higher levels of proband’s ADHD symptoms were specifically associated to increased activity levels in the infant siblings. Proband autism and ADHD traits thus provide unique information about the infant siblings’ temperament. Study III focused on specific and shared links between executive functions and deferred gratification and concurrent associations to autistic traits, ADHD traits, and adaptive behaviors in 3-year-olds. We found that deferred gratification may function as a protective factor, moderating autistic traits and adaptive behaviors and thus act as a buffer for adaptive behaviors Together, these studies contribute to our understanding of specific and shared early aspects of self-regulation and their associations to autistic and/or ADHD traits.