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Cognition and behavior: Children with autism avoid eyes

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Jessica Wright
11 October 2013

Focal point: When looking at faces, children with autism (left) tend to look just below the right eye rather than at the eye as controls (right) do.

When trying to recognize a face, children with autism look at the same general features as controls do, but tend to focus on the right eye rather than the left, according to a study published 8 August in the Journal of Vision1.

They also tend to look just below the eyes, instead of at the pupils.

Studies have found that children with autism struggle to recognize emotions and faces. They also look at faces in unusual ways, often preferring to look at the mouth rather than the eyes. This may help explain why they miss social cues and have trouble interacting with others.

The new study looked at how 20 Chinese children with autism, 21 age-matched controls and 21 controls matched for intelligence quotients look at faces. The researchers showed the children pictures of three faces. They then showed them a series of faces, some new and some not, and asked the children whether they’d seen that face before. During the test, they followed the children's gaze with an eye-tracking apparatus.

As expected, the children with autism spent less time looking at faces and were worse at face recognition than either of the control groups. However, when the researchers compared how long each group looked at specific areas of faces, they found that children with autism look at most regions about as long as others do.

The one exception to this is the eye region. Children with autism look less at the left eye than do controls, and more at the right. They are also more likely to look just below the right eye than at the pupil.

Children with autism may avoid this area because the left side of the face tends to convey more emotional information than the right side, as some studies have shown2, the researchers say.

The researchers also tracked how the children shifted their gaze around the face — for example, how often they moved their gaze from the eyes to the mouth. These patterns are overall similar across the groups, but the children with autism are less likely to look from one eye to another than controls.

In a separate article published 3 October in Autism Research, the researchers found similar results for eye contact in participants with an average age of 20 years3. That study compared 19 individuals with autism, 22 with intellectual disability and 28 controls.

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1: Yi L. et al. J. Vis. 13, 1-13 (2013) PubMed

2: Powell W.R. and J.A. Schirillo Laterality 14, 545-572 (2009) PubMed

3: Yi L. et al. Autism Res. Epub ahead of print (2013) Abstract


Name: Jon Brock
11 October 2013 - 9:07PM

We did something similar a few years ago and found that, although there were no group differences in the amount of time looking at the various features, kids with autism tended to move around the different features less than controls. We also found that this measure of "dynamic scanning" was a really good predictor of face recognition performance, both in autistic kids and in controls. Blogged here:


Name: Ray
15 October 2013 - 3:23PM

No Kidding, seriously, kids with autism avoid eye contact. Wow!!! A new finding.

That lack of eye contact is not permanent, meaning they do eye contact and some other times they dont. If you work in the lab alone you wont ever realize that unless you work closely with the kids. May be the aim of research should be to investigate why this difference? Is it possible that Amygdala is more active or inflammed that other times? Or some cells like Glia, are in a more exited mode than other times? There is room for research but if the same concept is investigated by another 10 teams, we arent any more advanced.

Name: Athro Dai
16 October 2013 - 3:25PM

I've had serious hearing losses for years, and have been looking carefully at people's mouths as they speak trying to lip-read for most of that time (not very successfully). If I stand a bit back, I have more success reading expressions. I also have difficulties recognizing people I don't see often or in locations I wouldn't expect to see them. I might or might not have some autism traits, but my now-adult daughter has medium severity Kanner Autism.

Name: Jana
28 March 2014 - 5:30PM

My sister and I have discussed whether we, like her daughter, might be dyspraxic. We each have some of the classic traits, although expressed differently. When I started hearing about the face-avoidance issue a light bulb went on. I cannot both look people in the face and also absorb the information they are trying to give me. They think I'm being rude or inattentive, but it's either that or lose track of what they're saying. I know this is anecdotal, and at nearly 60 it's a little late for testing, but these articles mean a lot to me because now I'm getting the message that I'm right, not rude, I'm just coping with my autism spectrum disorder.

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