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Updated: Jun 24, 2026

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Comparing Eye-tracking Data of Children with High-functioning ASD, Comorbid ADHD, and of a Control Watching Social Videos
Published on: December 7, 2018
Eye-movement patterns are associated with communicative competence in autistic spectrum disorders
Courtenay Frazier Norbury1, Jon Brock, Lucy Cragg
1Department of Experimental Psychology, University of Oxford, UK. courtenay.norbury@rhul.ac.uk
Summary
Teenagers with autism spectrum disorder (ASD) and typical language skills show less eye contact. Mouth focus, not eye focus, correlated with better communication skills in ASD.
Area of Science:
- Neuroscience
- Developmental Psychology
- Behavioral Science
Background:
- Eye-tracking studies reveal reduced attention to social cues like eyes in individuals with autism spectrum disorder (ASD).
- Previous research has not differentiated cognitive phenotypes within ASD, potentially obscuring nuanced viewing patterns.
Purpose of the Study:
- To investigate how language impairments influence visual attention patterns in adolescents with ASD.
- To examine the relationship between eye-movement patterns and social-communicative competence in different ASD phenotypes.
Main Methods:
- Recorded eye movements of 28 adolescents with ASD and 18 typically developing peers viewing social interaction videos.
- Compared viewing patterns (time on eyes, mouths, scene details; fixation latency) between ASD subgroups (with/without language impairments) and controls.
- Assessed the association between visual attention and social-communicative competence.
Main Results:
- Adolescents with ASD and typical language spent less time looking at eyes and were slower to fixate them compared to controls.
- No significant differences in viewing patterns were found between ASD individuals with language impairments and typically developing peers.
- Eye-movement patterns did not correlate with social outcomes, but increased mouth fixation was linked to higher communicative competence across ASD.
Conclusions:
- Visual attention to eyes and mouths is crucial for language development and communication.
- Reduced eye fixation alone may not fully explain social competence deficits in daily interactions for all individuals with ASD.
- A multiple cognitive deficit model, accounting for language phenotypes, is proposed for understanding ASD.
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Autism Spectrum Disorder
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
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