Preserved but Un-Sustained Responses to Bids for Dyadic Engagement in School-Age Children with Autism

Purpose: Dynamic eye-tracking paradigms are an engaging and increasingly used method to study social attention in autism. While prior research has focused primarily on younger populations, there is a need for developmentally appropriate tasks for older children.

Methods: This study introduces a novel eye-tracking task designed to assess school-aged children's attention to speakers involved in conversation. We focused on a primary outcome of attention to speakers' faces during conversation between three actors and during emulated bids for dyadic engagement (dyadic bids).

Results: In a sample of 161 children (78 autistic, 83 neurotypical), children displayed significantly lower overall attention to faces compared to their neurotypical peers (p <.0001). Contrary to expectations, both groups demonstrated preserved attentional responses to dyadic bids, with no significant group differences. However, a divergence was observed following the dyadic bid: neurotypical children showed more attention to other conversational agents' faces than autistic children (p =.017). Exploratory analyses in the autism group showed that reduced attention to faces was associated with greater autism features during most experimental conditions.

Conclusion: These findings highlight key differences in how autistic and neurotypical children engage with social cues, particularly in dynamic and interactive contexts. The preserved response to dyadic bids in autism, alongside the absence of post-bid attentional shifts, suggests nuanced and context-dependent social attention mechanisms that should be considered in future research and intervention strategies.