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自闭症幼儿的面对面实时眼动追踪:熟悉度和面部遮挡的可行性和影响。

Face-to-face live eye-tracking in toddlers with autism: Feasibility and impact of familiarity and face covering.

机构信息

Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA.

Child Study Center, Northwestern University, Chicago, Illinois, USA.

出版信息

Autism Res. 2024 Jul;17(7):1381-1390. doi: 10.1002/aur.3060. Epub 2023 Nov 27.

Abstract

Studies utilizing eye-tracking methods have potential to promptly capture real-world dynamics of one of the core areas of vulnerability in autism spectrum disorders (ASD), selective social attention. So far, no studies have successfully reported utilizing the method to examine social attention in toddlers with neurodevelopmental vulnerabilities in real world and challenging settings such as an interactive face-to-face. This study examined the feasibility and validity of live eye-tracking method in response to live interaction occurring in several contexts in toddlers with and without ASD. Forty-seven toddlers with ASD, with atypical development (ATYP), or typically developing (TD), underwent a 30-s live eye-tracking procedure during a face-to-face interaction with a masked stranger using child-directed-speech (16 ASD, 14 ATYP, 17 TD; M = 23.44 months, SD = 6.02). Out of this group of toddlers, 29 (10 ASD, 8 ATYP, 11 TD, M = 21.97 months, SD = 5.76) underwent the same procedure with one of their maskless parent. Task completion rate, calibration accuracy, and affective response (feasibility measures) as well as attention to the task and the social partner (validity measures) were examined. Task completion rate and calibration accuracy were excellent. Despite the challenging context of face-to-face interaction, the toddlers exhibited a neutral affect, and high attention to the task and the speaker. As anticipated, toddlers with ASD looked less at the social partner compared with control groups. However, attention was comparable between the Stranger and Parent conditions, indicating that the effect was consistent regardless of presence of face covering or the familiarity of the interactive partner. The study demonstrates the high feasibility and validity of a live eye-tracking task involving face-to-face interaction in neurodiverse toddlers with social vulnerabilities. The effect of diminished attention to social partners in toddlers with autism is robust and present when interacting with an unfamiliar person and parent. The results suggest that a brief live eye-tracking method constitutes a promising ecologically valid candidate biomarker and potential intervention outcome in autism.

摘要

利用眼动追踪方法的研究有可能迅速捕捉自闭症谱系障碍(ASD)核心脆弱领域之一——选择性社交注意力的真实世界动态。到目前为止,尚无研究成功报告利用该方法在现实世界和具有挑战性的环境中(例如面对面的互动)检查有神经发育障碍风险的幼儿的社交注意力。本研究利用实时眼动追踪方法,检查了该方法在自闭症和非自闭症幼儿对各种情境中的实时互动做出反应的可行性和有效性。47 名自闭症、发育异常(ATYP)或典型发育(TD)的幼儿接受了 30 秒的实时眼动追踪程序,在与蒙面陌生人进行面对面互动时,他们使用儿童指向性言语(16 名自闭症、14 名发育异常、17 名典型发育;M=23.44 个月,SD=6.02)。在这群幼儿中,有 29 名(10 名自闭症、8 名发育异常、11 名典型发育,M=21.97 个月,SD=5.76)与他们未蒙面的父母之一进行了相同的程序。考察了任务完成率、校准精度和情感反应(可行性指标)以及对任务和社交伙伴的注意力(有效性指标)。任务完成率和校准精度非常好。尽管是面对面互动的具有挑战性的环境,幼儿表现出中性的情绪,并且对任务和说话者高度关注。正如预期的那样,自闭症幼儿相比对照组较少看社交伙伴。然而,在陌生人与父母两种情况下的注意力是相当的,表明该效应是一致的,无论是否存在面部遮挡或互动伙伴的熟悉程度。该研究表明,在具有社交脆弱性的神经多样性幼儿中,进行涉及面对面互动的实时眼动追踪任务具有很高的可行性和有效性。自闭症幼儿对社交伙伴注意力减少的影响在与陌生人和父母互动时是稳健的。研究结果表明,一种简短的实时眼动追踪方法可以成为自闭症的有前景的生态有效候选生物标志物和潜在的干预结果。

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