Clinical Study

Visual Scanning in Very Young Children with Autism and Their Unaffected Parents

Table 1

Overview of recent influential eye-tracking studies in very young children.

StudyAge (y)N (a–c)MethodMain results and conclusions

Chawarska and Shic 2009 [11]2–444–30Visual scanning and recognition of facesR: children with autism looked increasingly away from faces with age and atypically attended to key features of faces
C: face processing is affected early and becomes further compromised with age
Chawarska et al. 2010 [12]2–442–46Attentional bias associated with faces and nonfacial stimuliR: controls had more difficulties disengaging visual attention from faces but not objects than children with autism
C: the neural attentional mechanism that supports deep processing of faces is disrupted in autism
Falck-Ytter et al. 2010 [13]4–615-15Visual scanning of facesR: children with autism who are better at socioemotional skills than nonverbal communication skills look more at the eyes than the mouth, and vice versa
C: separate neural systems underlie these skills
Jones et al. 2008 [14]215–36Visual scanning of an actress playing the role of caregiverR: looking at the eyes of others was decreased in children with autism, while looking at mouths was increased
C: looking at the eyes is derailed early offering a potential biomarker quantifying syndrome manifestation
Klin and Jones 2008 [16]11–0Visual scanning of naturalistic and ambiguous social stimuliR: viewing patterns of a child with autism were driven by the physical contingencies of the stimuli rather than by their social context
C: mechanisms of social development are developmentally derailed in children with autism
Klin et al. 2009 [17]1–321–39Visual scanning of point-light (inverted) displays of biological motionR: children with autism fail to orient towards point-light displays of biological motion
C: early developmental derailment leads to an altered neurodevelopmental trajectory of brain specialization in autism
Nakano et al. 2010 [9]2–9;
>25
25-25
27-27
Temporospatial gaze patterns of visual scanning of video clipsR: typical infants preferred to watch the mouth rather than the eyes, which reversed with development (eyes rather than mouth)
C: research in gaze behavior should take the effect of development into account
Young et al. 2009 [15]0.533–25Live interaction with video-transmitted mothers’ faceR and C: eye contact did not predict autism at follow up; greater amounts attention to the mother’s mouth predicted higher levels of expressive language at follow up

a: autism spectrum disorder group; c: controls; C: conclusions; R: results.