Children with autism spectrum disorder (ASD) exhibit deficits in multiple domains including joint attention, imitation, and emulation. In typical development, these key social skills hinge on monitoring the activities and actions of others. Our recent study demonstrated that 20-month old toddlers with ASD attend less to activities than both age-matched typically developing (TD) toddlers and age- and cognitively-matched developmentally delayed (DD) toddlers, focusing instead more on non-social background elements such as toys. Given the cascading deficits that may arise when children are deprived of a vital route by which to learn from others, there exists a pressing need to better understand the developmental mechanisms leading to both typical and atypical activity monitoring. This proposal seeks to understand why toddlers with ASD monitor the activities of others less frequently by examining the social, perceptual, and developmental factors which may influence this ability in 20-month old toddlers with ASD and 14- and 20-month old TD toddlers. In regards to typical development, this proposal aims to chart the normative developmental changes in activity monitoring and to understand the bases for these changes, thus providing a context by which to understand limited activity monitoring in ASD. In regards to ASD, this proposal seeks to quantify to what extent limited activity monitoring in ASD is due to (1) orienting less towards the locus of the shared attention of others;(2) being less sensitive to motion cues;and (3) being more easily distracted from social activities by perceptual distractors. To answer these questions we present subjects with scenes depicting play interactions between two actors and modulate the following factors: (1) whether the actors are focused on the centrally shared area or mutually upon each other;(2) whether the scene is shown as a static image or a dynamic movie;and (3) the extent to which the background is cluttered with distractors such as toys. To clarify the impact of these factors, we also examine the relationships between patterns of attention in experimental conditions and socio-cognitive functioning in ASD. Finally, we augment traditional analysis of variance analytic approach with computational modeling and dynamic analyses in order to better understand the microstructure of activity monitoring in ASD and TD toddlers. Disruptions in activity monitoring at an age where rapid development and skill acquisition is occurring in TD children may critically impact the social experience of children with ASD. By understanding the factors contributing to limited activity monitoring in ASD, and by charting the changes in activity monitoring occurring in typical development, we hope to gain insight into those specific processes which may be altered in ASD. This work thus has the potential to lead to novel measures of outcome, to aid in the development of new tools for parsing the heterogeneity of ASD, and to inform the design of targeted treatment for ASD in early development.

Public Health Relevance

Typically developing children seem to learn effortlessly simply by watching other people engaged in activities;however, children with autism spectrum disorders (ASD) show limited attention towards the activities of others, limiting their ability to learn. This project examines how limited activity monitoring in ASD is related to sensitivity to the gaze and focus of others, sensitivity to motion and dynamic cues, and distractibility caused by competitors to social attention. By understanding the components which may contribute to limited activity monitoring, and by understanding the trends in the typical development of activity monitoring, this project has the potential to aid in the development of novel methods for the early screening, monitoring, and treatment of ASD.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Small Research Grants (R03)
Project #
Application #
Study Section
Child Psychopathology and Developmental Disabilities Study Section (CPDD)
Program Officer
Gilotty, Lisa
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Yale University
Schools of Medicine
New Haven
United States
Zip Code
Wang, Quan; Campbell, Daniel J; Macari, Suzanne L et al. (2018) Operationalizing atypical gaze in toddlers with autism spectrum disorders: a cohesion-based approach. Mol Autism 9:25
Shic, Frederick (2016) Eye Tracking as a Behavioral Biomarker for Psychiatric Conditions: The Road Ahead. J Am Acad Child Adolesc Psychiatry 55:267-8
Chawarska, Katarzyna; Ye, Saier; Shic, Frederick et al. (2016) Multilevel Differences in Spontaneous Social Attention in Toddlers With Autism Spectrum Disorder. Child Dev 87:543-57
Wang, Quan; Kim, Elizabeth; Chawarska, Katarzyna et al. (2014) On Relationships Between Fixation Identification Algorithms and Fractal Box Counting Methods. Proc Eye Track Res Appl Symp 2014:67-74
Wittkowski, K M; Sonakya, V; Bigio, B et al. (2014) A novel computational biostatistics approach implies impaired dephosphorylation of growth factor receptors as associated with severity of autism. Transl Psychiatry 4:e354
Campbell, Daniel J; Shic, Frederick; Macari, Suzanne et al. (2014) Gaze response to dyadic bids at 2 years related to outcomes at 3 years in autism spectrum disorders: a subtyping analysis. J Autism Dev Disord 44:431-42
Chawarska, Katarzyna; Shic, Frederick; Macari, Suzanne et al. (2014) 18-month predictors of later outcomes in younger siblings of children with autism spectrum disorder: a baby siblings research consortium study. J Am Acad Child Adolesc Psychiatry 53:1317-1327.e1
Shic, Frederick; Macari, Suzanne; Chawarska, Katarzyna (2014) Speech disturbs face scanning in 6-month-old infants who develop autism spectrum disorder. Biol Psychiatry 75:231-7
Chawarska, Katarzyna; Macari, Suzanne; Shic, Frederick (2013) Decreased spontaneous attention to social scenes in 6-month-old infants later diagnosed with autism spectrum disorders. Biol Psychiatry 74:195-203
Chawarska, Katarzyna; Macari, Suzanne; Shic, Frederick (2012) Context modulates attention to social scenes in toddlers with autism. J Child Psychol Psychiatry 53:903-13