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Autistic Children Make Limited Eye Contact


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The children were shown 10 videos of adults looking directly into the camera and mimicking caregiving and playing with the child. While the videos were running, the researchers used eye tracking to assess the child's visual fixation patterns.

They found that children with autism spent significantly less time looking at the eyes than did typically developing children or the developmentally delayed group. Autistic children looked at the eyes about 30 percent of the time, compared to nearly 55 percent for both of the other groups.

Children with autism spent almost 40 percent of the time looking at the mouth area, while children in the other groups only spent about 24 percent of the time looking at this area.

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Eye fixation in children with autism also appeared to predict the level of social disability. Those who had greater social disabilities spent less time looking at the eye area, according to the study.

"We've always had a sense that children with autism don't make eye contact, but this study confirms it in a higher-tech way," said Cynthia Johnson, director of the autism center at Children's Hospital of Pittsburgh.

Johnson said she'd like to see this study confirmed in a larger group of children. Klin added that he and his colleagues are currently conducting a prospective study in children at a higher risk of autism to see "if there's a derailment in the process of social engagement," and if so, when that happens.

More information

To learn more about the early signs of autism, visit the American Academy of Family Physicians' FamilyDoctor Web site.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 8/6/2008

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SOURCES: Ami Klin, Ph.D., director, autism program, and Harris associate professor of child psychology and psychiatry, Yale University School of Medicine, New Haven, Conn.; Cynthia Johnson, Ph.D., director, autism center, Children's Hospital of Pittsburgh; August 2008 Archives of General Psychiatry


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