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Babies’ Inability to Make Eye-Contact/Smile Used to Trigger Autistic Interventions

Babies’ Inability to Make Eye-Contact/Smile Used to Trigger Autistic Interventions

Emerging research from the University of Miami suggests babies at risk for autism spectrum disorder (ASD) may be identified before year one.

Early detection of a high risk child could allow interventions to mitigate autistic behaviors.

In the study, researchers studied babies at risk for autism because an older sibling had the disorder.

Researchers explored the subtleties of babies’ interactions with others and how they relate to the possibility and severity of future symptoms.

This study targeted the relationship of ASD symptoms later in childhood and joint attention — an early form of communication that develops toward the end of the first year. It’s the act of making eye contact with another person to share an experience.

Previous studies have shown that low levels of initiating joint attention are linked to later autism symptoms in high-risk siblings.

The current study reveals that joint attention without a positive affective component (a smile) in the first year is particularly important to this relationship.

“The ability to coordinate attention with another person without a smile, without an emotional component, seems to be particularly important for high-risk siblings in the development of ASD symptoms,” says Devon Gangi, Ph.D. student and first author of the study.

“The detection of markers associated with autism early in life, before a child can be diagnosed with autism, is important to help identify children at the greatest need for early interventions.”

The findings show that early joint attention initiation without smiling — matter-of-fact looking at an examiner to communicate interest in a toy — was negatively associated with ASD symptoms.

According to the study, the less joint attention without smiling at eight months in a high-risk sibling, the more likely they were to have elevated ASD symptoms by 30 months.

Experts believe impairments in joint attention are a core deficit in ASD. Now we know that less early initiating joint attention without smiling is a particularly important skill for high-risk siblings.

However, not all smiles are the same.

Children who were at risk for autism (both those who did and did not later develop symptoms of autism) had lower levels of anticipatory smiles than children who were not at risk for ASD.

That is, when an infant first looks at an object, smiles, and then turns that smile towards a social partner, as if the smile anticipates the gaze.

On the other hand, a reactive smile occurs when an infant first gazes at a partner, then smiles.

Children at risk for ASD did not show differences from low-risk siblings in reactive smiling.

“High-risk siblings seem to have particular difficulty in sharing their preexisting positive affect with another person, which is what happens during an anticipatory smile,” says Daniel Messinger, professor of psychology and principal investigator of the study.

“This difficulty may be indicative of a broader deficit autism trait among most high-risk siblings.”

The study, “Joint attention initiation with and without positive affect: Risk group differences and associations with ASD symptoms,” has been published in the Journal of Autism and Developmental Disorders.

The researchers primarily predicted the children’s symptom level. Symptoms vary in at-risk siblings, some of whom have an ASD outcome and some of whom do not.

Researchers did not look at whether the younger sibling eventually received an ASD diagnosis. In the future, the researchers would like to examine whether these early behaviors also predict who will have autism.

Source: University of Miami

Doctor examining infant photo by shutterstock.

Babies’ Inability to Make Eye-Contact/Smile Used to Trigger Autistic Interventions

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Babies’ Inability to Make Eye-Contact/Smile Used to Trigger Autistic Interventions. Psych Central. Retrieved on September 20, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 25 Jul 2014)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.