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Precursors to Social and Communication Difficulties in Infants At-Risk for Autism: Gaze Following and Attentional Engagement
Open accessAbstract
Whilst joint attention (JA) impairments in autism have been widely studied, little is known about the early development of gaze following, a precursor to establishing JA. We employed eye-tracking to record gaze following longitudinally in infants with and without a family history of autism spectrum disorder (ASD) at 7 and 13 months. No group difference was found between at-risk and low-risk infants in gaze following behaviour at either age. However, despite following gaze successfully at 13 months, at-risk infants with later emerging socio-communication difficulties (both those with ASD and atypical development at 36 months of age) allocated less attention to the congruent object compared to typically developing at-risk siblings and low-risk controls. The findings suggest that the subtle emergence of difficulties in JA in infancy may be related to ASD and other atypical outcomes.
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“Behavioral measures of gaze following seem typical around 6 months of age in Sib-A, but impairments become apparent at the beginning of the second year, when Sib-A follow gaze but spend less time than controls looking at the gazed-at object (Bedford et al., 2012; Landa, Holman, & Garrett-Mayer, 2007).”
From From early markers to neuro-developmental mechanisms of autism (2014) · cites this paper as Bedford et al., 2012
Experimental — accuracy not yet measuredIn the citing paper
“Behavioral measures of gaze following seem typical around 6 months of age in Sib-A, but impairments become apparent at the beginning of the second year, when Sib-A follow gaze but spend less time than controls looking at the gazed-at object (Bedford et al., 2012; Landa, Holman, & Garrett-Mayer, 2007).”
From From early markers to neuro-developmental mechanisms of autism (2014) · cites this paper as Bedford et al., 2012
In the citing paper
“Bedford et al. (2014) focused on gaze following (Bedford et al., 2012) and disengagement of attention (Elsabbagh, Fernandes, et al., 2013) measured at one year of age to show that they independently and additively predict clinical outcome.”
From From early markers to neuro-developmental mechanisms of autism (2014) · cites this paper as Bedford et al., 2012
In the citing paper
“The independence of gaze following and disengagement of attention measures at 14 months, speaks against the hypothesis that poor attentional control could be a unique primary cause of autism, with subsequent cascading effects on gaze following (no relationship was found between disengagement of attention at 7 months and gaze following at 14 months, either; Bedford, 2012).”
From From early markers to neuro-developmental mechanisms of autism (2014) · cites this paper as Bedford, 2012
In the citing paper
“At this age, clinically relevant behavioural differences span both social communication (e.g. gaze following (Bedford et al., 2012); social referencing (Cornew, Dobkins, Akshoomoff, McCleery, & Carver, 2012)) and stereotyped/repetitive behaviour (e.g. repetitive play (Christensen et al., 2010); repetitive movement (Loh et al., 2007) domains, as well as motor (Flanagan et al., 2012) and attentional”
From Behavioural markers for autism in infancy: Scores on the Autism Observational Scale for Infants in a prospective study of at-risk siblings (2015) · cites this paper as Bedford et al., 2012
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L'atenció conjunta en la detecció primerenca del trastorn de l'espectre autista
Montagut-Asunción, M. (2019) · Anuari de Psicologia de la Societat Valenciana de Psicologia · doi:10.7203/anuari.psicologia.17.2.201 · Cited by 1
Amso, D., & Tummeltshammer, K. S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108351959.007 · Cited by 1
Early Knowledge About Space and Quantity
Newcombe, N. S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108351959.015 · Cited by 1
Siblings and social interaction development of individuals with ASD: A systematic review
Pan, Q., Bak, M. Y. S., Johnson, L., Bell, L. S., & Dumas, N. G. (2023) · Research in Autism · doi:10.1016/j.rasd.2023.102280 · Cited by 1
An Examination of Eye Tracking in Videos and 3D Animations in Children with ASD and TD Children
Özdemir, S., Bülbül, I. A., Eren, S. U. N. A., & Akkuş, Ş. K. (2023) · TED EĞİTİM VE BİLİM · doi:10.15390/eb.2023.11750 · Cited by 1
Ilyka, D., Jiang, Y., Begum-Ali, J., Mason, L., Gui, A., Gliga, T., Lloyd‐Fox, S., Jones, E., Charman, T., & Johnson, M. H. (2025) · Early Human Development · doi:10.1016/j.earlhumdev.2025.106398 · Cited by 1
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Metadata
- Authors
- the BASIS team, Bedford, R., Elsabbagh, M., Gliga, T., Pickles, A., Senju, A., Charman, T., & Johnson, M. H.
- Affiliations
- University of London (GB)
- Corresponding author
- Bedford, Rachael
- ORCID
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2012-01-26
- Volume
- 42
- Issue
- 10
- Pages
- 2208-2218
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2038288599
- Cited by
- 248
- References
- 60
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 13 · 2023: 15 · 2022: 8 · 2021: 16 · 2020: 54 · 2019: 20 · 2018: 24 · 2017: 17 · 2016: 20 · 2015: 18 · 2014: 14 · 2013: 19
- FWCI
- 8.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion, other-oa)
- PubMed (publishedVersion)
- BIROn (Birkbeck, University of London) (acceptedVersion)
- Research Portal (King's College London) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- National Institute for Health and Care Research (NF-SI-0510-10268)
- Medical Research Council (MR/K005863/1)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Keywords
- gaze following, joint attention, autism spectrum disorder, family history of autism, attentional engagement, atypical development, early development, eye tracking
- MeSH terms
- Attention, Autistic Disorder, Child, Preschool, Communication, Eye Movements, Female, Humans, Infant, Male, Social Behavior, Siblings
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