SLPOtherDevelopmental medicine and child neurology2026

Socially oriented attention in young children with neurofibromatosis type 1: An eye-tracking study.

Kristina M Haebich, Darren R Hocking, Hayley Darke and 4 others

PMID 40908560

WHAT IT FOUND

Young children with NF1 were slower to look at people and objects of social interest than their peers.

They missed early joint attention cues but caught up if given more time. Delayed attention was linked to higher autistic traits and poorer social functioning.

Key findings

01Children with NF1 took significantly longer to first fixate on social stimuli (1.3 seconds vs 0.6 seconds) and spent less time viewing social areas compared to controls.

02Children with NF1 were less likely to establish joint attention within 1 second (25% vs 42%) but showed no difference by 2 seconds, suggesting an initiation deficit rather than a maintenance problem.

03Slower initial fixation on social stimuli was associated with elevated autistic traits and poorer social adaptive functioning in the NF1 group.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The sample size was small and determined by feasibility, limiting statistical power and the ability to compare subgroups (e.g., NF1 with and without autism). The study used pre-recorded video and photo stimuli, which may not reflect how children process dynamic, reciprocal real-world social interactions. Different cognitive and adaptive measures were used for the NF1 group and the control group, which may affect direct comparisons. An idiopathic autism comparison group was collected but excluded from analysis due to cognitive mismatches, so the findings cannot be directly compared to autism profiles.

Declared interests

The study was funded by the US Department of Defense, Neurofibromatosis Research Program. No other conflicts of interest are reported.

The easy way to misread this

Do not conclude that children with NF1 have a permanent joint attention deficit. The study shows they are slower to initiate joint attention but can maintain it similarly to peers once engaged. This is an attentional orienting issue, not necessarily a lack of social understanding.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →