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Eye-tracking correlates of response to joint attention in preschool children with autism spectrum disorder

A number of differences in joint attention behaviour between children with autism spectrum disorder (ASD) and typically developing (TD) individuals have previously been documented. We use eye-tracking technology to assess response to joint attention (RJA) behaviours in 77 children aged 31 to 73 mont...

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Published in:BMC psychiatry 2023-03, Vol.23 (1), p.211-17, Article 211
Main Authors: de Belen, Ryan Anthony, Pincham, Hannah, Hodge, Antoinette, Silove, Natalie, Sowmya, Arcot, Bednarz, Tomasz, Eapen, Valsamma
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description A number of differences in joint attention behaviour between children with autism spectrum disorder (ASD) and typically developing (TD) individuals have previously been documented. We use eye-tracking technology to assess response to joint attention (RJA) behaviours in 77 children aged 31 to 73 months. We conducted a repeated-measures analysis of variance to identify differences between groups. In addition, we analysed correlations between eye-tracking and clinical measures using Spearman's correlation. The children diagnosed with ASD were less likely to follow gaze compared to TD children. Children with ASD were less accurate at gaze following when only eye gaze information was available, compared to when eye gaze with head movement was observed. Higher accuracy gaze-following profiles were associated with better early cognition and more adaptive behaviours in children with ASD. Less accurate gaze-following profiles were associated with more severe ASD symptomatology. There are differences in RJA behaviours between ASD and TD preschool children. Several eye-tracking measures of RJA behaviours in preschool children were found to be associated with clinical measures for ASD diagnosis. This study also highlights the construct validity of using eye-tracking measures as potential biomarkers in the assessment and diagnosis of ASD in preschool children.
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1471-244X
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subjects Accuracy
Attention - physiology
Autism
Autism Spectrum Disorder - diagnosis
Autistic children
Biomarkers
Child, Preschool
Children
Children & youth
Cognition
Communication
Diagnosis
Eye movements
Eye-Tracking Technology
Fixation, Ocular
Humans
Preschool children
Psychiatry
Response to joint attention
Social Behavior
Validation studies
title Eye-tracking correlates of response to joint attention in preschool children with autism spectrum disorder
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