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Updated: Jan 29, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Gaze-Speech Coordination During Narration in Autism Spectrum Disorder and First-Degree Relatives
Jiayin Xing1,2, Joseph C Y Lau2, Kritika Nayar1,2
1Department of Child and Adolescent Psychiatry, Child Study Center, Hassenfeld Children's Hospital at NYU Langone, New York, NY 10016, USA.
Autistic individuals coordinate gaze and speech differently, potentially impacting social communication. This study suggests a localized strategy may underlie these differences in autism spectrum disorder (ASD) and their relatives.
Area of Science:
- Neuroscience
- Developmental Psychology
- Linguistics
Background:
- Autism spectrum disorder (ASD) is associated with social-communication differences.
- These differences may stem from genetic factors influencing social-communication skills.
- Coordination of multimodal signals, like gaze and speech, is crucial for social communication and often impaired in ASD.
Purpose of the Study:
- To investigate gaze-speech coordination as a mechanism for narrative and pragmatic differences in ASD.
- To compare gaze-speech coordination between autistic individuals, non-autistic individuals, and their first-degree relatives.
- To examine the relationship between gaze-speech coordination and narrative quality/pragmatic language skills.
Main Methods:
- Simultaneous recording and coding of gaze and speech during picture book narration.
- Time series analyses to quantify temporal (lead of gaze to speech) and content (gaze-speech correspondence) coordination.
- Comparison of coordination metrics between autistic and non-autistic groups and parent groups, and correlation with narrative and pragmatic skills.
Main Results:
- Autistic individuals exhibited reduced temporal coordination but increased content coordination compared to non-autistic individuals.
- No significant differences in coordination were observed between parent groups.
- Increased content coordination and reduced temporal coordination were linked to poorer narrative quality and pragmatic language skills, respectively.
Conclusions:
- Reduced temporal and increased content coordination in ASD may represent a strategy of labeling items upon visualization.
- This pattern might suggest limited visual, linguistic, and cognitive processing, contributing to social-communicative differences.
- Multimodal skill coordination is identified as a potential mechanism underlying social-communicative differences in ASD and their relatives, suggesting mechanism-based interventions.
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