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Updated: Dec 12, 2025

Eye Tracking Young Children with Autism
Published on: March 27, 2012
Gaze behaviour to lateral face stimuli in infants who do and do not gain an ASD diagnosis
Georgina Donati1, Rachael Davis2, Gillian S Forrester3
1Department of Psychological Sciences, School of Science, Birkbeck, University of London, Malet Street, London, WC1E 7HX, UK.
Insights
Infants later diagnosed with autism spectrum disorder (ASD) show early differences in visual attention to faces. These early gaze patterns at 6 months may predict later language and motor skills.
Area of Science:
- Neuroscience
- Developmental Psychology
- Genetics
Background:
- Cerebral lateralization is common in vertebrates and linked to cognitive fitness in humans.
- Early development of lateralized gaze behavior in infants is crucial for understanding neurodevelopmental trajectories.
- The British Autism Sibling Infant Study (BASIS) provides a unique cohort to investigate early behavioral markers in infants at high and low risk for autism spectrum disorder (ASD).
Purpose of the Study:
- To investigate the early development of lateralized gaze behavior towards face stimuli in infants at high and low risk for ASD.
- To examine differences in gaze patterns between infants who do and do not develop ASD.
- To explore longitudinal associations between early gaze behavior and later cognitive outcomes, including language and motor abilities.
Main Methods:
- Utilized eye-tracking data from a face pop-out task administered at 6 and 14 months of age.
- Compared gaze behavior in infants categorized into low-risk, high-risk typically developing, high-risk atypically developing, and high-risk ASD diagnostic groups at 3 years.
- Analyzed longitudinal associations between lateral looking behavior at 6 months and language/motor assessments at 14 months.
Main Results:
- Non-ASD groups exhibited a left-sided gaze bias at both 6 and 14 months.
- At 6 months, the ASD group showed a right-sided gaze preference and slower responses to left-sided faces compared to neurotypical infants.
- By 14 months, these group differences in gaze behavior diminished.
- Early lateral looking behavior at 6 months was longitudinally associated with language and motor abilities at 14 months.
Conclusions:
- Infants later diagnosed with ASD display distinct early gaze behaviors, particularly a rightward bias and delayed leftward attention to faces at 6 months.
- These early visual attention differences may be associated with subsequent cognitive development in children diagnosed with ASD.
- The findings highlight the potential of early gaze patterns as predictive markers for neurodevelopmental outcomes in the context of autism risk.
Abstract:
Cerebral lateralisation of function is common characteristic across vertebrate species and is positively associated with fitness of the organism, in humans we hypothesise that it is associated with cognitive fitness. This investigation evaluated the early development of lateralised gaze behaviour for face stimuli in infants at high and low risk for autism from the British Autism Sibling Infant Study (BASIS). The BASIS cohort includes a low risk group and three high-risk groups who at age 3 were developing (i) typically, (ii) atypically or (iii) had received a diagnosis for ASD. Using eye-tracking data derived from a face pop-out task at 6 and 14 months of age, all non-ASD groups showed a bias for stimuli on the left at both timepoints. At 6 months the ASD group demonstrated a preference for stimuli on the right and were slower than their neurotypical counterparts to look at faces on the left. However, by 14 months these differences disappear. Longitudinal associations between lateral looking behaviour at 6 months and language and motor ability at 14 months were also found. Results suggest that infants who go on to be diagnosed with autism exhibit early differences in gaze behaviour that may be associated with subsequent cognitive outcomes.
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