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Updated: Jan 26, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Development of attention from birth to 5 months in infants at risk for autism spectrum disorder
Jessica Bradshaw1, Ami Klin2,3, Lindsey Evans4
1Department of Psychology, University of South Carolina, Columbia, SC, USA.
Insights
Infants at high risk for autism spectrum disorder (ASD) show early attention differences. These early attention deficits by 3 months predict later social communication and cognitive development outcomes.
Area of Science:
- Neurodevelopmental science
- Developmental psychology
- Pediatric neurology
Background:
- Early social-communication skills rely on attention to social and environmental cues.
- Disruptions in early attention can negatively impact social interaction and learning.
- Infant siblings of children with autism spectrum disorder (ASD) are at higher risk for developmental delays.
Purpose of the Study:
- To investigate early visual and auditory attention in infants at familial risk for ASD.
- To determine if early attention differences predict later social-communication and cognitive outcomes.
Main Methods:
- Mapped visual and auditory attention from 1 week to 5 months in high-risk (N=41) and low-risk (N=39) infants.
- Assessed social communication and nonverbal cognition at 12 months in a subset of participants (N=40).
Main Results:
- High-risk infants demonstrated lower performance on attention tasks at 2 and 3 months compared to low-risk infants.
- Attention at 3 months was significantly associated with developmental outcomes at 12 months in both groups.
- Early vulnerabilities in visual attention were identified in infants at risk for ASD between 2 and 3 months.
Conclusions:
- Early attention deficits in infancy are linked to later social and cognitive development in infants at risk for ASD.
- The period between 2 and 3 months is a critical neurodevelopmental transition for attention.
- Targeting early attention may be crucial for supporting social development in at-risk infants.
Abstract:
Social-communication skills emerge within the context of rich social interactions, facilitated by an infant's capacity to attend to people and objects in the environment. Disruption in this early neurobehavioral process may decrease the frequency and quality of social interactions and learning opportunities, potentially leading to downstream deleterious effects on social development. This study examined early attention in infant siblings of children with autism spectrum disorder (ASD) who are at risk for social and communication delays. Visual and auditory attention was mapped from age 1 week to 5 months in infants at familial risk for ASD (high risk; N = 41) and low-risk typically developing infants (low risk; N = 39). At 12 months, a subset of participants (N = 40) was administered assessments of social communication and nonverbal cognitive skills. Results revealed that high-risk infants performed lower on attention tasks at 2 and 3 months of age compared to low-risk infants. A significant association between overall attention at 3 months and developmental outcome at 12 months was observed for both groups. These results provide evidence for early vulnerabilities in visual attention for infants at risk for ASD during a period of important neurodevelopmental transition (between 2 and 3 months) when attention has significant implications for social communication and cognitive development.
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