Multimodal pathways to joint attention in infants with a familial history of autism

Lauren M Smith1, Julia Yurkovic-Harding2, Leslie J Carver1

  • 1University of California, San Diego - Department of Psychology, Ja Jolla, CA 92093, USA.

PubMed

Insights

Infants with a family history of autism spectrum disorder (ASD) engage in joint attention (JA) similarly to other infants. However, parents of infants with an increased likelihood of ASD used more face-following cues to establish JA.

Area of Science:

  • Developmental psychology
  • Neurodevelopmental disorders
  • Infant behavior

Background:

  • Joint attention (JA) enables shared focus on objects between caregivers and infants.
  • JA deficits are a hallmark of autism spectrum disorder (ASD), observable early via face-following.
  • JA may also develop through hand-following pathways, a less-studied area in infants at high risk for ASD.

Purpose of the Study:

  • To investigate joint attention (JA) development in infants with (FH+) and without (FH-) a family history of ASD at 6, 9, and 12 months.
  • To examine differences in JA pathways (face-following vs. hand-following) used by infants and parents.
  • To explore how early motor or social behaviors might influence JA coordination in infants at high familial risk for ASD.

Main Methods:

  • Study included parent-infant dyads with (FH+) and without (FH-) a family history of ASD.
  • Interactions were recorded via Zoom during home play sessions.
  • Offline coding analyzed infant gaze and parent/infant hand movements to assess JA engagement and pathways.

Main Results:

  • FH+ and FH- infants demonstrated comparable overall time spent in joint attention (JA).
  • Significant differences were observed in the cues preceding JA.
  • Parents of FH+ infants exerted more effort to establish JA, utilizing more face-following than hand-following cues compared to parents of FH- infants.

Conclusions:

  • Early motor differences in FH+ infants may influence social coordination and JA development.
  • Parental strategies for establishing JA differ based on infant family history, potentially adapting to infant cues.
  • Multimodal JA pathways warrant further investigation in understanding early social development in infants at risk for ASD.

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