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Auditory joint attention skills: Development and diagnostic differences during infancy.

Lauren B Adamson1, Katharine Suma1, Roger Bakeman1

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Summary
This summary is machine-generated.

Auditory joint attention skills develop slower than multimodal ones in children. Toddlers with autism spectrum disorder (ASD) showed particular difficulty with auditory bids, impacting their overall joint attention development.

Keywords:
AuditoryAutism spectrum disorderInfantsJoint attentionMultimodalSkill development

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Area of Science:

  • Developmental Psychology
  • Neurodevelopmental Disorders
  • Communication Sciences

Background:

  • Joint attention, crucial for social and language development, has traditionally been assessed using multimodal stimuli.
  • A systematic evaluation of auditory joint attention skills, encompassing both receptive (RJA) and initiatory (IJA) bids, has been lacking.

Purpose of the Study:

  • To introduce and validate a novel assessment for auditory joint attention skills.
  • To track the developmental trajectory of auditory joint attention in typically developing (TD) children.
  • To investigate the impact of autism spectrum disorder (ASD) on auditory and multimodal joint attention skills.

Main Methods:

  • Study 1: Longitudinal assessment of 47 TD children from 12 to 30 months using a novel auditory and multimodal joint attention task.
  • Study 2: Cross-sectional assessment of 113 toddlers (TD, ASD, and developmental disorders [DD]) at approximately 22.4 months.

Main Results:

  • Auditory joint attention skills were significantly more challenging than multimodal skills across all groups.
  • TD children achieved near-ceiling performance on multimodal RJA by 24 months, but not auditory RJA even by 30 months.
  • Toddlers with ASD demonstrated deficits in both multimodal RJA and higher-level IJA bids, with minimal success on auditory RJA items.

Conclusions:

  • Auditory joint attention skills emerge later and are more difficult to master than multimodal skills.
  • Children with ASD exhibit specific challenges in auditory joint attention, particularly in initiating bids.
  • Further research is needed to explore the relationship between auditory joint attention, bid variations, and language development.