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An Exploratory Analysis of Eye-Tracking During a Virtual Reality Social Cognition Intervention for Children with
Sara Gámez Martínez1,2, Gary Lovatón Romero1, Mariano Alcañiz Raya3
1Research Psychologist Hospital Universitari Mutua Terrassa, Terrassa, Spain.
Cyberpsychology, Behavior and Social Networking
|April 11, 2026
Summary
Virtual reality (VR) interventions increased social orientation in autistic children. However, eye-tracking measures did not reliably predict autism symptom severity or theory of mind (ToM) abilities.
Area of Science:
- Neuroscience
- Developmental Psychology
- Biomedical Engineering
Background:
- Autism spectrum disorder (ASD) diagnosis relies on clinical judgment due to the absence of definitive biomarkers.
- Gaze patterns are being explored as potential objective biomarkers for ASD.
- Virtual reality (VR) offers novel platforms for social cognition interventions in autistic children.
Purpose of the Study:
- To explore eye-tracking data from a VR social cognition intervention for autistic children.
- To assess social orientation variations toward social stimuli.
- To investigate the links between gaze patterns, autistic traits, theory of mind (ToM), and task performance, including potential mediation by attentional mechanisms.
Main Methods:
- Exploratory analysis of eye-tracking data during a VR-based social cognition intervention.
- Evaluation of social orientation towards social stimuli.
- Statistical analysis of gaze patterns, autistic traits, ToM, task performance, and attentional mechanisms.
Main Results:
- An increase in social orientation time towards social stimuli was observed.
- Eye-tracking measures did not significantly predict autism symptom severity or ToM ability.
- Mediation analysis did not reveal a significant mediating effect of gaze patterns on task performance and autism severity.
Conclusions:
- VR is a promising tool for enhancing social orienting in autistic children.
- Further research is needed to validate eye-tracking measures as behavioral markers for predicting social cognition performance in ASD.
- The utility of gaze patterns as a direct biomarker for autism severity or ToM requires additional investigation.

