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Updated: Oct 25, 2025

Eye Tracking Young Children with Autism
Published on: March 27, 2012
Abnormal visual attention to simple social stimuli in 4-month-old infants at high risk for Autism
Elisa Di Giorgio1, Orsola Rosa-Salva2, Elisa Frasnelli3
1Dipartimento Di Psicologia Dello Sviluppo E Della Socializzazione, Università Degli Studi Di Padova, Via Venezia 8, 35131, Padova, PD, Italy. elisa.digiorgio@unipd.it.
Insights
Infants at high risk for Autism Spectrum Disorder (ASD) showed altered visual attention to direct eye-gaze at 4 months. This suggests potential delays in early social attention development in high-risk infants.
Area of Science:
- Developmental Psychology
- Neuroscience
- Pediatrics
Background:
- Autism Spectrum Disorder (ASD) is characterized by social impairments, but its early pathogenesis remains unclear.
- Atypical visual attention to social stimuli is a potential early marker for ASD's social and communicative deficits.
- Early visual attention deficits in ASD may originate at birth or emerge around 2-3 months of age.
Purpose of the Study:
- To investigate the origins of early visual attention disturbances in infants at high risk (HR) for ASD.
- To compare social attention patterns in 4-month-old HR infants versus low-risk (LR) infants.
- To provide evidence for hypotheses regarding early social visual attention impairments in infants at risk for ASD.
Main Methods:
- Utilized four visual preference tasks to assess social attention.
- Compared 4-month-old HR infants with age-matched LR infants.
- Analyzed visual attention differences based on direct versus adverted eye-gaze stimuli.
Main Results:
- HR infants exhibited a significant visual preference for direct eye-gaze stimuli compared to LR infants.
- This difference in preference for direct eye-gaze suggests a potential developmental delay in HR infants.
- No other significant differences in visual attention were observed between the HR and LR groups.
Conclusions:
- Early visual attention to direct eye-gaze may be delayed in infants at high risk for ASD.
- Findings support the hypothesis that atypical visual attention develops during infancy.
- Further research is needed to understand the trajectory of social attention deficits in infants at risk for ASD.
Abstract:
Despite an increasing interest in detecting early signs of Autism Spectrum Disorders (ASD), the pathogenesis of the social impairments characterizing ASD is still largely unknown. Atypical visual attention to social stimuli is a potential early marker of the social and communicative deficits of ASD. Some authors hypothesized that such impairments are present from birth, leading to a decline in the subsequent typical functioning of the learning-mechanisms. Others suggested that these early deficits emerge during the transition from subcortically to cortically mediated mechanisms, happening around 2-3 months of age. The present study aimed to provide additional evidence on the origin of the early visual attention disturbance that seems to characterize infants at high risk (HR) for ASD. Four visual preference tasks were used to investigate social attention in 4-month-old HR, compared to low-risk (LR) infants of the same age. Visual attention differences between HR and LR infants emerged only for stimuli depicting a direct eye-gaze, compared to an adverted eye-gaze. Specifically, HR infants showed a significant visual preference for the direct eye-gaze stimulus compared to LR infants, which may indicate a delayed development of the visual preferences normally observed at birth in typically developing infants. No other differences were found between groups. Results are discussed in the light of the hypotheses on the origins of early social visual attention impairments in infants at risk for ASD.
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