Face Processing in School-Age Preterm Children: Assessing Neural Sensitivity to Facial Identity and Expression Using Frequency-Tagging Electroencephalography.

Abstract

Background: Preterm (PT) birth is associated with important social vulnerabilities that can have long-term implications and may result in psychopathology (e.g., autism spectrum disorder). A recurring preterm behavioral phenotype has been described, although these difficulties may often be subtle and subclinical. As face processing is crucial for social interactions, and several studies have reported impaired face-processing performance in PT populations, we hypothesized that face-processing difficulties may contribute to or be a part of these social difficulties. Here, we investigated neural sensitivity to crucial sociocommunicative facial cues in school-age PT children.

Methods: Thirty-nine 8- to 12-year-old PT children born between 24 and 32 weeks of gestation and 38 term-born matched control children performed a series of innovative facial identity and expression discrimination frequency-tagging electroencephalography paradigms. More specifically, we evaluated the neural sensitivity to implicitly and automatically discriminate a different facial identity among a stream of identical faces, as well as an expressive face (fearful and happy, in separate sequences) among a stream of neutral faces.

Results: We found intact implicit facial identity and expression processing in both groups. Unexpectedly, PT participants showed a significantly greater neural sensitivity toward these subtle sociocommunicative facial cues. Correlations with neonatal measures such as gestational age and birth weight showed that this greater neural sensitivity was uniformly present among the PT group.

Conclusions: The evidence suggests that impaired neural sensitivity to facial cues may not be the primary cause of the behavioral face-processing and social difficulties often encountered in PT children.