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Updated: Oct 17, 2025

Eye Tracking Young Children with Autism
Published on: March 27, 2012
Affect and gaze responses during an Emotion-Evoking Task in infants at an increased likelihood for autism spectrum
Lori-Ann R Sacrey1, Lonnie Zwaigenbaum2, Jessica A Brian3
1Department of Pediatrics, Autism Research Centre - E209, Glenrose Rehabilitation Hospital, University of Alberta, 10230-111 Avenue, Edmonton, AB, T5G 0B7, Canada. sacrey@ualberta.ca.
Insights
Infant behavioral responses, including affect and gaze, at 12 months can predict autism spectrum disorder (ASD) symptoms. These early behavioral markers offer valuable insights complementing parent reports for infants at high likelihood for ASD.
Area of Science:
- Developmental psychology
- Neurodevelopmental disorders
- Infant behavior
Background:
- Current research on early emotional difficulties in autism spectrum disorder (ASD) primarily relies on parental reports.
- Parental reports may not capture the full spectrum of emotional regulation challenges in infants.
- Objective behavioral measures are needed for a more comprehensive understanding of early ASD indicators.
Purpose of the Study:
- To investigate early behavioral indicators of emotional regulation in infants.
- To compare behavioral responses between infants with and without an increased likelihood for ASD.
- To determine if early behavioral markers predict later ASD symptomatology.
Main Methods:
- Behavioral responses (affect and gaze) were assessed in infants at 12 and 18 months using the Emotion-Evoking (EE) Task.
- Infants were categorized into increased likelihood (IL) for ASD (n=60) and low likelihood (LL) groups (n=21).
- ASD symptomatology was evaluated at 24 months using the Autism Diagnostic Observation Scale-second Edition (ADOS-2).
Main Results:
- Infants in the IL group exhibited more negative affect and less gaze at task objects compared to the LL group.
- Early affect and gaze scores at 12 and 18 months predicted 24-month ASD symptoms.
- Parental reports via the Infant Behavior Questionnaire-Revised (IBQ-R) did not predict ASD symptoms.
Conclusions:
- Behavioral responses in infancy provide crucial information for assessing emotional regulation.
- Early behavioral markers, specifically affect and gaze, can serve as predictors of ASD.
- These findings highlight the potential of objective behavioral assessments in identifying infants at risk for ASD as early as 12 months.
Background:
The majority of research examining emotional difficulties in autism spectrum disorder (ASD) prior to age 2 relies on parent report.
Methods:
We examined behavioral responses (affect and gaze) during emotionally salient tasks designed to elicit mildly positive and negative emotional states in infants. At 12 and 18 months, infants at an increased likelihood for an ASD diagnosis (IL; have an older sibling with ASD; n = 60) and low likelihood (LL; no family history of ASD; n = 21) completed the Emotion-Evoking (EE) Task and parents completed the Infant Behavior Questionnaire-Revised (IBQ-R). All children received an Autism Diagnostic Observation Scale-second Edition assessment for ASD symptomatology at 24 months.
Results:
The main findings were (1) the IL group displayed higher rates of negative affect and spent less time looking at the task objects compared to the LL group, and (2) affect and gaze scores at 12 and 18 months, but not scores on the IBQ-R, predicted ASD symptoms at 24 months.
Limitations:
The data were drawn from an IL sample and may not be generalizable to the general ASD population, and the children were not followed to determine a diagnosis of ASD.
Conclusion:
These results suggest that behavioral responses can provide important information that complements parent reports of emotional regulation in IL infants as early as 12 months of age.
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