Masulli Paolo, Galazka Martyna, Eberhard David, Johnels Jakob Åsberg, Gillberg Christopher, Billstedt Eva, Hadjikhani Nouchine, Andersen Tobias S
Department of Applied Mathematics and Computer Science DTU Compute, Section of Cognitive Systems, Technical University of Denmark, Kgs. Lyngby, Denmark; iMotions A/S, Copenhagen V, Denmark.
Gillberg Neuropsychiatry Center, University of Gothenburg, Gothenburg, Sweden.
Cortex. 2022 Feb;147:9-23. doi: 10.1016/j.cortex.2021.11.011. Epub 2021 Dec 17.
Gaze patterns during face perception have been shown to relate to psychiatric symptoms. Standard analysis of gaze behavior includes calculating fixations within arbitrarily predetermined areas of interest. In contrast to this approach, we present an objective, data-driven method for the analysis of gaze patterns and their relation to diagnostic test scores. This method was applied to data acquired in an adult sample (N = 111) of psychiatry outpatients while they freely looked at images of human faces. Dimensional symptom scores of autism, attention deficit, and depression were collected. A linear regression model based on Principal Component Analysis coefficients computed for each participant was used to model symptom scores. We found that specific components of gaze patterns predicted autistic traits as well as depression symptoms. Gaze patterns shifted away from the eyes with increasing autism traits, a well-known effect. Additionally, the model revealed a lateralization component, with a reduction of the left visual field bias increasing with both autistic traits and depression symptoms independently. Taken together, our model provides a data-driven alternative for gaze data analysis, which can be applied to dimensionally-, rather than categorically-defined clinical subgroups within a variety of contexts. Methodological and clinical contribution of this approach are discussed.
面部感知过程中的注视模式已被证明与精神症状有关。注视行为的标准分析包括计算在任意预先确定的感兴趣区域内的注视点。与这种方法不同,我们提出了一种客观的、数据驱动的方法来分析注视模式及其与诊断测试分数的关系。该方法应用于一组成年精神科门诊患者(N = 111)在自由观看人脸图像时获取的数据。收集了自闭症、注意力缺陷和抑郁的维度症状评分。基于为每个参与者计算的主成分分析系数的线性回归模型用于对症状评分进行建模。我们发现注视模式的特定成分可以预测自闭症特征以及抑郁症状。随着自闭症特征的增加,注视模式会从眼睛移开,这是一个众所周知的效应。此外,该模型还揭示了一个偏侧化成分,即左视野偏差的减少与自闭症特征和抑郁症状均独立增加。总之,我们的模型为注视数据分析提供了一种数据驱动的替代方法,可应用于各种背景下维度定义而非类别定义的临床亚组。讨论了该方法在方法学和临床方面的贡献。