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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
[Visual fixation patterns during basic facial emotion recognition and its correlation with social impairment among
1Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Insights
Children with high-functioning autism spectrum disorder (HFASD) who spend more time looking at eyes (fixation duration percentage) show less social impairment. Difficulty recognizing emotions, like happiness, requires longer eye fixation in HFASD.
Area of Science:
- Neuroscience
- Developmental Psychology
- Ophthalmology
Background:
- Facial emotion recognition is crucial for social interaction.
- Individuals with high-functioning autism spectrum disorder (HFASD) often exhibit social communication challenges.
- Visual attention patterns, particularly to the eye region, are implicated in social cognition deficits.
Purpose of the Study:
- To investigate visual fixation patterns during facial emotion recognition in children with HFASD.
- To examine the association between eye region fixation duration percentage (FDP) and social impairment in HFASD.
- To compare fixation patterns between HFASD subgroups and typically developing children.
Main Methods:
- A case-control study involving 42 children with HFASD and 23 typically developing (TD) children.
- Eye-tracking technology recorded visual fixation data during a facial emotion recognition task.
- Social Responsiveness Scale (SRS) assessed social impairment; HFASD subgroups were defined by emotion recognition accuracy.
Main Results:
- Significant differences in eye FDP were observed for happy emotion recognition across groups (p=0.02).
- Children with HFASD showed longer eye FDP for happy emotions compared to TD children.
- A negative association was found between eye FDP and social impairment in HFASD (OR=0.15, P<0.01), indicating longer fixation correlates with milder impairment.
Conclusions:
- Longer fixation duration on the eye region is linked to reduced social impairment in children with HFASD.
- HFASD children facing difficulties in recognizing facial emotions, particularly happiness, demonstrate prolonged visual fixation on the eyes.
Abstract:
Objective: To explore the visual fixation patterns during facial emotion recognition and the association between fixation duration percentage (FDP) of eye region with social impairment among high-functioning autism spectrum disorders (HFASD). Methods: Children were recruited from the Child and Adolescent Behavior Research Center of Sun Yat-sen University, Guangzhou, between July and December 2019 for case control study. A total of 42 children with HFASD and 23 age-and gender-matched typical development (TD) children were enrolled. Based on their performance during the facial emotion recognition task, HFASD children were further divided into ASD-1 group (correctly recognized both happy and fear emotions) and ASD-2 group (recognized happy emotions only). During the free viewing task, an infrared eye tracker was used to record the gazing data of children in the three groups. The social responsiveness scales (SRS) was utilized to evaluate HFASD children's social impairment, with the cutoff score of 75 to differentiate those from mild and severe social impairment. The differences of FDP among the three groups were analyzed by the Analysis of Variance (ANOVA) model. Mixed linear regression model was conducted to evaluate the associations between social impairment and FDP of eye region among HFASD children. Results: The final sample consists of 25 ASD-1 (20 males, aged (7.9±1.0) years), 17 ASD-2(14 males, aged (7.2±1.2) years), and 23 TD (12 males, aged (7.7±1.3) years) children. There were no significant differences in age and gender among three groups (F=2.05, χ²=10.08, P=0.14 and 0.07, respectively). For the happy emotion, there are significant differences in eye FDP among the three groups (TD: 0.37±0.20, ASD-1: 0.35±0.20, ASD-2: 0.47±0.24, F=3.97, P=0.02). Mixed linear regression model revealed that, adjusting for emotion, gender, age and intelligence quotient, ASD children's eye FDP negatively associates with social impairment (OR=0.15, 95%CI: 0.06-0.35, P<0.01). Conclusions: Longer FDP is associated with milder social impairment among HFASD children. HFASD children with facial emotion recognition difficulties require longer fixation to recognize happy emotions.
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