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No preference for direct versus averted gaze in autistic adults: a reinforced preferential looking paradigm

Clin, Elise; Maes, Pauline; Stercq, Fanny; Kissine, Mikhail; (2020) No preference for direct versus averted gaze in autistic adults: a reinforced preferential looking paradigm. Molecular Autism , 11 (1) , Article 91. 10.1186/s13229-020-00398-3. Green open access

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Abstract

Background: With the overarching objective to gain better insights into social attention in autistic adults, the present study addresses three outstanding issues about face processing in autism. First, do autistic adults display a preference for mouths over eyes; second, do they avoid direct gaze; third, is atypical visual exploration of faces in autism mediated by gender, social anxiety or alexithymia? Methods: We used a novel reinforced preferential looking paradigm with a group of autistic adults (n = 43, 23 women) pairwise matched on age with neurotypical participants (n = 43, 21 women). Participants watched 28 different pairs of 5 s video recordings of a speaking person: the two videos, simultaneously displayed on the screen, were identical except that gaze was directed at the camera in one video and averted in the other. After a 680 ms transition phase, a short reinforcement animation appeared on the side that had displayed the direct gaze. Results: None of the groups showed a preference for mouths over eyes. However, neurotypical participants fixated significantly more the stimuli with direct gaze, while no such preference emerged in autistic participants. As the experiment progressed, neurotypical participants also increasingly anticipated the appearance of the reinforcement, based on the location of the stimulus with the direct gaze, while no such anticipation emerged in autistic participants. Limitations: Our autistic participants scored higher on the social anxiety and alexithymia questionnaires than neurotypicals. Future studies should match neurotypical and autistic participants on social anxiety and alexithymia and complement questionnaires with physiological measures of anxiety. Conclusions: The absence of preference for direct versus averted gaze in the autistic group is probably due to difficulties in distinguishing eye gaze direction, potentially linked to a reduced spontaneous exploration or avoidance of the eye region. Social attention and preference for direct versus averted gaze correlated with alexithymia and social anxiety scores, but not gender.

Type: Article
Title: No preference for direct versus averted gaze in autistic adults: a reinforced preferential looking paradigm
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s13229-020-00398-3
Publisher version: https://doi.org/10.1186/s13229-020-00398-3
Language: English
Additional information: Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Keywords: Science & Technology, Life Sciences & Biomedicine, Genetics & Heredity, Neurosciences, Neurosciences & Neurology, Autism, Eye-tracking, Eye gaze direction, Social attention, Alexithymia, Social anxiety, Gender, Adults, Reinforced preferential looking paradigm, FACIAL EMOTION RECOGNITION, TORONTO-ALEXITHYMIA-SCALE, HIGH-FUNCTIONING AUTISM, SPECTRUM DISORDER, SOCIAL ANXIETY, EYE CONTACT, ASPERGER-SYNDROME, AGED CHILDREN, ATTENTIONAL BIAS, VISUAL-ATTENTION
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Linguistics
URI: https://discovery.ucl.ac.uk/id/eprint/10214664
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