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Autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and developmental language disorder (DLD) are neurodevelopmental conditions (NDCs) that share etiological factors and frequently co-occur. Despite this, they have rarely been studied together?particularly in relation to functional outcomes. In this study, we investigate the association between the developmental pattern of sustained visual attention in infancy and number of diagnoses, and map the clinical profile of 6-year-old children. A cohort of 6-year-olds, originally recruited in infancy due to elevated (n = 42) or low (n =7) likelihood of ASD, were assessed for sustained visual attention, diagnostic outcomes, general adaptive functioning, intellectual abilities, and language skills. Participants were grouped based on the number of NDC diagnoses (ASD, ADHD, DLD, and/or Subthreshold ASD) they received at follow-up. We could not find statistical support for an association between sustained visual attention and number of diagnoses. Findings revealed no significant differences in adaptive functioning, intellectual abilities, or language skills between children with no diagnosis (n = 24) and those with a single diagnosis (n = 15). However, children with two or more diagnoses (n = 10) scored significantly lower in general adaptive functioning, intellectual ability, language production, and verbal comprehension compared to those with only one or no diagnosis. The results indicate that compared to children with only one diagnosis or no diagnosis, children with two or more diagnoses scored lower on several key functional domains, emphasizing the need to prioritize children with multiple diagnoses or confirmed functional impairment in clinical settings. Moreover, the findings indicate that a single diagnosis in preschool-aged children should not be a stand-alone outcome measure in sibling studies, if the goal is to identify early processes that predict meaningful differences in everyday functioning.

This study examines the links between urbanization-related factors (crowding, access to institutions, and socioeconomic status) and cognitive development in young children (3-5 years old) in Bhutan, a rapidly urbanizing country in the Global South. Using Structural Equation Modeling (SEM) on data from 443 families, we find that SES is the strongest predictor of cognitive development, while crowding and institutional access had minimal effects. Higher parental education and income correlate with better cognitive skills, emphasizing SES's crucial role in child development. These findings challenge the assumption that urbanization inherently benefits children by improving access to services, highlighting the persistent impact of economic disparities. This study underscores the need for policies supporting low-income families to mitigate urbanization's negative effects and suggests that these challenges stem largely from poverty, aligning with broader research on socioeconomic factors related to child development.

High levels of performance in video games may share the same underlying foundation for transfer with high levels of performance in musical instruments. The aim of this study was to examine the phenomenon of expertise by studying its underlying processes through eye movements during video game tasks. We compared three distinctly different groups (N = 30 adults) across a training and testing period: (1) people with experience in video games, (2) people with experience playing musical instruments, but no experience with video games, and (3) a control group with no experience with either computer games or musical instruments. Results showed that the musician group distinguished themselves through their pattern of eye movements, showing improvements in visual prediction and performance on par with experienced video game players. While the control group also showed overall improvement in performance and increased eye movements, only the group of musicians performed at the level of experienced video game players. Findings challenge previous assumptions that consider expertise as an isolated and task-specific ability that cannot be generalized to other areas, and have significant implications for how we understand the development of expertise and general learning.

Automated eye tracking has emerged as a powerful method in psychology, and has special benefits when studying infant populations. The field has developed much during the last decades, and while there are numerous reviews on methodological aspects and specific research topics, a general overview of the state and trends of the field has been lacking. That lack leaves the field unguided on several important aspects such as WEIRDness, statistical power and replication issues, unexploited areas of research, and the current status of the field as a whole. We here conducted a systematic review of the complete peer-reviewed English literature on automated eye tracking with children during their first two years of life (793 articles), and extracted dates of publication, author and population geographic affiliation, keywords and sample sizes. The results show that automated eye tracking in infant research is increasingly used, and is accompanied by larger sample sizes, which together suggests improved accessibility. There is a focus on WEIRD populations, and a few broad research topics (methods, language and attention) and specific topics (autism, faces) are dominating the field. The current focus leaves many areas of research understudied, yielding a large potential for more infant eye tracking in the future.

Gaze following in infancy allows triadic social interactions and a comprehension of other individuals and their surroundings. Despite its importance for early development, its ontology is debated, with theories suggesting that gaze following is either a universal core capacity or an experience-dependent learned behavior. A critical test of these theories among 809 nine-month-olds from Africa (Uganda and Zimbabwe), Europe (Sweden), and Asia (Bhutan) demonstrated that infants follow gaze to a similar degree regardless of environmental factors such as culture, maternal well-being (postpartum depression, well-being), or traumatic family events (related to war and/or climate change). These findings suggest that gaze following may be a universal, experience-expectant process that is resilient to adversity and similar across a wide range of human experiences-a core foundation for social development.

Computer-vision-based gaze estimation refers to techniques that estimate gaze direction directly from video recordings of the eyes or face without the need for an eye tracker. Although many such methods exist, their validation is often found in the technical literature (e.g., computer science conference papers). We aimed to (1) identify which computer-vision-based gaze estimation methods are usable by the average researcher in fields such as psychology or education, and (2) evaluate these methods. We searched for methods that do not require calibration and have clear documentation. Two toolkits, OpenFace and OpenGaze, were found to fulfill these criteria. First, we present an experiment where adult participants fixated on nine stimulus points on a computer screen. We filmed their face with a camera and processed the recorded videos with OpenFace and OpenGaze. We conclude that OpenGaze is accurate and precise enough to be used in screen-based experiments with stimuli separated by at least 11 degrees of gaze angle. OpenFace was not sufficiently accurate for such situations but can potentially be used in sparser environments. We then examined whether OpenFace could be used with horizontally separated stimuli in a sparse environment with infant participants. We compared dwell measures based on OpenFace estimates to the same measures based on manual coding. We conclude that OpenFace gaze estimates may potentially be used with measures such as relative total dwell time to sparse, horizontally separated areas of interest, but should not be used to draw conclusions about measures such as dwell duration.

Social activities are likely to cause effects or reactivity in the brains of the people involved in collaborative social situations. This study assesses a new method, Tigramite, for time domain analysis of directed causality between the prefrontal cortex (PFC) of persons in such situations. An experimental situation using hyperscanning EEG was applied while individuals led and followed each other in finger-tapping rhythms. This structured task has a long duration and a high likelihood of inter-brain causal reactions in the prefrontal cortices. Tigramite is a graph-based causal discovery method to identify directed causal relationships in observational time series. Tigramite was used to analyze directed causal connections within and between the PFC. Significantly directed causality within and between brains could be detected during the social interactions. This is the first empirical evidence the Tigramite can reveal inter- and intra-brain-directed causal effects in hyperscanning EEG time series. The findings are promising for further studies of causality in neural networks during social activities using Tigramite on EEG in the time domain.

Being looked at is an important communicative signal, and attenuated responses to such direct gaze have been suggested as an early sign of autism. Using live eye tracking, we examined whether direct gaze elicits different gaze responses in infants at ages 10, 14 and 18 months with and without later autism in real-life interaction. The sample consisted of 169 infants: 35 with elevated likelihood of autism and subsequent diagnosis, 94 without subsequent diagnosis and 40 with typical likelihood of autism. Infants in all groups tended to look more towards the adult’s face shortly after the direct gaze occurred. Neither how much nor how quickly the infants responded to the direct gaze differentiated the without elevated likelihood of autism and subsequent diagnosis and with elevated likelihood of autism and subsequent diagnosis groups. Infants in the typical likelihood group looked more at the face after the direct-gaze event than infants in the two elevated likelihood groups, but this result is tentative. In an exploratory analysis, infants in the elevated likelihood of autism and subsequent diagnosis group looked away quicker from faces with direct gaze than infants in the typical likelihood group, but this measure did not correlate with dimensional autism or differentiate between the two elevated likelihood groups. The current results suggest that attenuated behavioural responses to direct gaze in infancy are neither strong nor specific early markers of autism.

Lay abstract

When other people look directly towards us, we often respond by looking back at them, and such direct-gaze responses are important for establishing eye contact. Atypical eye contact is common in autism, but how and when this aspect of autism develops is not well understood. Here, we studied whether how much and how quickly infants respond to others’ direct gaze is associated with autism in toddlerhood. We did this by measuring direct-gaze responses in a playful social interaction using live eye tracking. The study included 169 infants, of whom 129 had an elevated likelihood of developing autism due to having a first-degree family member with the condition, and 40 with typical likelihood of autism. In the elevated likelihood group, 35 were diagnosed with autism spectrum disorder at 3 years of age, and 94 were not. The results showed that infants in all three groups tended to increase their looking towards the adult’s face after the adult looked directly at them. However, neither how much nor how quickly the infants responded to direct gaze by looking back at the adult reliably differentiated the infants with or without subsequent autism. While infants in the elevated likelihood of autism and subsequent diagnosis group tended to look away quicker from faces with direct gaze than infants in the typical likelihood group, this measure did not differentiate between the two elevated likelihood groups. We interpret the results as supporting the view that atypical direct-gaze responses are not early markers of autism.

Previous work has explored transformative strategies that adds or removes components to change an original structure or state, and showed that adults tend to search for additive solutions far more often than subtractive ones. In the current study, we replicated a Lego building task and a grid-based symmetry task from a previous study, and also introduced a novel digital puzzle task. We investigated limitations in the previous study as well as extended the investigation of the subtraction neglect in a sample of children and across two cultures. Results partially confirm previous results, and extends the literature by showing that 9-10 year old children were more likely to ignore subtractive transformations than adults. However, we found both task-based and cultural variations in strategy use in adults from Sweden and the USA. We conclude that a subtraction neglect involves complex cognitive processes that are dependent on the task, culture, and age.

We assessed risk/protective factors for cognitive development of Bhutanese children (504 3-5 year-olds, 49% girls, major ethnicities Ngalop 26%, Tshangla 30%, Lhotsampa 34%) using a non-verbal test of cognitive capacity (SON-R) and primary caregiver interviews. Cognitive capacity was related to the family's SES and whether the family belonged to the primary Buddhist majority ethnic groups (Ngalop or Tshangla) or primarily Hindu minorities (Lhotsampa). In majority families more engagement in Buddhist practices was associated with higher cognitive capacity in children. Minority children were more impacted by parents autonomous-relatedness values. Results demonstrate that cognitive development is dependent on the financial and educational context of the family, societal events, and culture specific risk/protective factors that differ across sub-groups (majority/minority, culture/religion).