Early Social Behavior in Young Children with Sex Chromosome Trisomies (XXX, XXY, XYY): Profiles of Observed Social Interactions and Social Impairments Associated with Autism Spectrum Disorder (ASD)

J Autism Dev Disord. 2023 Aug;53(8):3194-3207. doi: 10.1007/s10803-022-05553-8. Epub 2022 May 12.

Abstract

Individuals with Sex Chromosome Trisomies (SCT; XXX, XXY, XYY) have an increased vulnerability for developing challenges in social adaptive functioning. The present study investigates social interaction behavior in the context of varying social load, and Autism Spectrum Disorder (ASD) symptomatology in young children aged 1-7.5 years old, with SCT (N = 105) and control children (N = 101). Children with SCT show less interaction behaviors and more social withdrawal, as compared to their control peers, which were most evident in the high social load condition. Second, social impairments related to ASD are more prevalent, as compared to controls (27.1% at clinical level). These findings stress the importance of early monitoring and (preventive) support of early social development in young children with SCT.

Keywords: Autism Spectrum Disorder; Klinefelter syndrome; Sex Chromosome Trisomies; Social behavior; Triple X; Trisomy.

MeSH terms

  • Autism Spectrum Disorder* / genetics
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Sex Chromosomes
  • Social Behavior
  • Social Interaction
  • Trisomy / genetics