SLPOtherAutism : the international journal of research and practice2019

Do minimally verbal and verbally fluent individuals with autism spectrum disorder differ in their viewing patterns of dynamic social scenes?

Daniela Plesa Skwerer, Briana Brukilacchio, Andrea Chu and 3 others

PMID 31067982

WHAT IT FOUND

Minimally verbal autistic participants attended less to the video overall, looked less at the woman's face when she shifted her gaze, and were less likely to follow her unexpected gaze than verbally fluent peers.

Both groups looked more at the woman than objects.

Key findings

01In episode 3, minimally verbal participants looked at the protagonist's face for 10.5% of their viewing time, compared with over 21% for verbally fluent participants.

02After looking at the protagonist's face, 21.4% of minimally verbal participants made at least a fixation on the panda, compared with 55.2% of verbally fluent participants.

03Looking more at the protagonist's face in episodes 3 and 5 was associated with better receptive vocabulary scores.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study did not include a non-autism control group, so it cannot show how these viewing patterns compare with typical development. Only one video clip was used, and there was no matched non-social viewing condition, so the results may reflect this particular scene and objects. The free-viewing task was passive and did not require explicit responses, so it cannot prove joint attention ability or distinguish lack of understanding from lack of interest. Gaze data inclusion was less stringent than in studies with cognitively able participants, and a 5-point calibration was used instead of a 9-point calibration. Nine minimally verbal and five verbally fluent participants were excluded from gaze analyses, so the analysed sample was smaller than the recruited sample. Although nonverbal IQ was covaried, differences may still reflect non-social processes such as eye movement control, attention, or motivation. The study is observational, so associations with language and symptom scores do not show that changing viewing patterns will change communication.

Declared interests

No funding or conflict-of-interest declaration is included in the article text; the publication metadata lists NIH extramural research support.

The easy way to misread this

Do not conclude that minimally verbal autistic people lack social interest or that training gaze patterns will improve communication. Both groups looked more at the person than at objects, and the study was observational, passive, and not an intervention test.

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