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Updated: Aug 19, 2026

Eye Tracking Young Children with Autism
Published on: March 27, 2012
Early-life trajectories of dyadic synchrony among infants developing autism or concerns for ADHD
Antonia M H Piergies1,2, Ana-Maria Iosif3, Gregory S Young2
1Department of Psychology, University of California, Davis, Davis, CA, United States.
Insights
Infants later diagnosed with autism showed lower caregiver-child synchrony from 6 to 36 months compared to typically developing peers. This early dyadic synchrony may be a key developmental indicator.
Area of Science:
- Developmental Psychology
- Neurodevelopmental Disorders
- Child Psychiatry
Background:
- Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD) are neurodevelopmental conditions impacting social interaction and behavior.
- Early identification and understanding of developmental trajectories are crucial for timely intervention.
- Dyadic synchrony, reflecting coordinated interaction between caregivers and infants, is a potential early marker.
Purpose of the Study:
- To investigate developmental trajectories of dyadic synchrony in infants at elevated likelihood for autism or ADHD.
- To compare dyadic synchrony patterns between infants who developed autism, ADHD concerns, or typical development by 36 months.
- To examine specific behavioral modalities contributing to synchrony differences.
Main Methods:
- Longitudinal study of 163 infants (elevated/average risk for autism/ADHD) from 6 to 36 months.
- Caregiver-child dyads engaged in play sessions coded for gaze, positive affect, and vocalizations.
- Mixed-effects models estimated developmental trajectories of dyadic synchrony.
Main Results:
- Infants with autism outcomes exhibited significantly lower overall dyadic synchrony from 6 to 36 months compared to the comparison group.
- Unique patterns of actor responsiveness were observed across behavioral modalities, with varied evidence for group differences.
- No significant differences in synchrony were found between the ADHD concerns group and the comparison group.
Conclusions:
- Lower early dyadic synchrony is associated with autism outcomes in high-risk infants.
- Specific interactional patterns may differentiate developmental trajectories.
- Further research is needed to link synchrony to developmental milestones and long-term outcomes.
Abstract:
This study followed infants at elevated and average likelihood for autism or ADHD (n = 163) from 6-36 months, classifying them into 36-month outcome groups: Autism (n = 28), ADHD Concerns (n = 20), or Comparison (n = 115). The sample was predominantly male, White, and non-Hispanic. Between 2013 and 2019, caregiver-child dyads played up to five times, with gaze, positive affect, and vocalizations coded from video. Developmental trajectories of dyadic synchrony (the degree of state matching and turn-taking relative to chance) were estimated via mixed-effects models. From 6 to 36 months, overall synchrony was lower in the Autism vs. Comparison group. Within behavior modalities, there were unique patterns of actor responsiveness, with mixed evidence for outcome group differences. Future research should explore links between synchrony, developmental milestones, services, and longer-term outcomes.
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