Responding to joint attention as a developmental catalyst: Longitudinal associations with language and social responsiveness

Joint attention (JA), infants' ability to engage in triadic attention with another person and a separate object or event, emerges in infancy. Responding to joint attention (RJA) develops earlier than initiating joint attention (IJA) and may benefit from a reconceptualization from a competence to a skill that varies in performance. Investigating associations between RJA performance and important skills of toddlerhood such as language, social responsiveness, and executive function (EF) in typically developing samples can better elucidate how RJA may serve as a developmental precursor to later dimensional skills, with implications for both typical and atypical development. Here, 210 (82% White) infants completed the Dimensional Joint Attention Assessment (DJAA), a naturalistic play-based assessment of RJA, at 8–15 months. At 16–38 months social responsiveness, verbal ability, and EF were assessed. Multilevel models showed that DJAA scores were associated with later verbal abilities and parent-reported social responsiveness. Exploratory analyses showed trend-level associations between RJA and EF. Results establish the content validity of the DJAA as a measure of RJA, and longitudinal associations with later verbal ability and social responsiveness. Future work should examine EF emergence and consolidation, and RJA and later EF associations.     

The Development of Referential Communication and Autism Symptomatology in High‐Risk Infants

Non‐verbal referential communication is impaired in children with autism spectrum disorders (ASD). However, the development of difficulties with referential communication in the younger siblings of children with ASD (High‐Risk Siblings)—and the degree to which early referential communication predicts later autism symptomatology—is not clear. We modeled the early developmental trajectories of three types of referential communication: responding to joint attention (RJA), initiating joint attention (IJA), and initiating behavioral requests (IBR) across 8, 10, 12, 15, and 18 months of age in High‐Risk Siblings (n = 40) and the infant siblings of children without ASD (Low‐Risk Siblings; n = 21). Hierarchical linear modeling indicated that High‐Risk Siblings exhibited lower levels of baseline RJA and IJA and a lower rate of linear change in IBR than Low‐Risk Siblings. When the 10 High‐Risk Siblings who received an ASD diagnosis were excluded from analyses, group differences in the development of referential communication remained significant only for RJA. Baseline levels of IJA were associated with later ASD symptomatology among High‐Risk Siblings, suggesting that individual differences in referential communication development at 8 months may index early manifestations of ASD.     

Infants’ abilities to respond to cues for joint attention vary by family socioeconomic status

The influence of socioeconomic variability on language and cognitive development is present from toddlerhood to adolescence and calls for investigating its earliest manifestation. Response to joint attention (RJA) abilities constitute a foundational developmental milestone that are associated with future language, cognitive, and social skills. How aspects of the family home environment shape RJA skills is relatively unknown. We investigated associations between family socioeconomic status (SES) —both parent education and family percentage of the federal poverty level (FPL)— parent depressive and anxiety symptoms and infant RJA performance in a cross-sectional sample of 173 infants aged 8–18 months and their parents from a variety of socioeconomic backgrounds. Results suggest that, correcting for age and receptive language, infants in families with greater economic resources respond to relatively less redundant, more sophisticated cues for joint attention. Although parent depressive and anxiety symptoms are negatively correlated with SES, parent depressive and anxiety symptoms were not associated with infant RJA. These findings provide evidence of SES-related differences in social cognitive development as early as infancy, calling on policymakers to address the inequities in the current socioeconomic landscape of the United States.     

Exploring Infant Gesture and Joint Attention as Related Constructs and as Predictors of Later Language

In infancy, use of gesture and the ability to engage in joint attention with others both predict later language development. Conceptually, gesture and joint attention abilities may reflect a similar underlying social‐communicative skill. However, these abilities are often studied separately. Despite the fact that gesture is often used in episodes of joint attention, little is known about the degree to which measures of gesture use and joint attention ability are associated with one another or how they similarly, or differentially, predict children's language abilities. Participants in this study were 53 infants. At 12 months, multiple measures of infants’ gesture use were gleaned from a free–play interaction with a parent. Infants’ responding to and initiating joint attention were measured via the Early Social‐Communicative Scales (Mundy et al., 2003). Infants’ expressive and receptive language was measured at 24 months with the Mullen Scales of Early Learning (Mullen, 1995). A factor analysis including gesture and joint attention measures indicated that at 12 months, joint attention, particularly responding to joint attention, reflects a similar underlying construct with infant gesture use, yet they uniquely predict later language ability.     

Consequences of Eye Color,Positioning, and Head Movement for Eye‐Tracking Data Quality in Infant Research

Eye tracking has become a valuable tool for investigating infant looking behavior over the last decades. However, where eye‐tracking methodology and achieving high data quality have received a much attention for adult participants, it is unclear how these results generalize to infant research. This is particularly important as infants behave different from adults in front of the eye tracker. In this study, we investigated whether eye physiology, positioning, and infant behavior affect measures of eye‐tracking data quality: accuracy, precision, and data loss. We report that accuracy and precision are lower, and more data loss occurs for infants with bluish eye color compared to infants with brownish eye color. Moreover, accuracy was lower for infants positioned in a high chair or in the parents' lap compared to infants positioned in a baby seat. Finally, precision decreased and data loss increased as a function of time. We highlight the importance of data quality when comparing multiple groups, as differences in data quality can affect eye‐tracking measures. In addition, we investigate how two different measures to quantify infant movement influence eye‐tracker data quality. These findings might help researchers with data collection and help manufacturers develop better eye‐tracking systems for infants.     

Separable Attentional Predictors of Language Outcome

The aim of this study was to examine the combined influences of infants' attention and use of social cues in the prediction of their language outcomes. This longitudinal study measured infants' visual attention on a distractibility task (11 months), joint attention (14 months), and language outcomes (word–object association, 14 months; MBCDI vocabulary size and multi‐word productions at 18 months of age). Path analyses were conducted for two different language outcomes. The analysis for vocabulary revealed unique direct prediction from infants' visual attention on a distractibility task (i.e., maintaining attention to a target event in the presence of competing events) and joint attention (i.e., more frequent response to tester's bids for attention) for larger vocabulary size at outcome; this model accounted for 48% of variance in vocabulary, after controlling for baseline communication status (assessed at 11 months). The analysis for multi‐word productions yielded direct effects for infants' distractibility, but not joint attention; this model accounted for 45% of variance in multi‐word productions, again after controlling for baseline communication status. Indirect effects were not significant in either model. Results are discussed in light of the unique predictive role of attentional factors and social/attention cues for emerging language.     

The Value of Vocalizing: 10‐Month‐Olds' Vocal Usage Relates to Language Outcomes at 15 Months

The interaction between infant's communicative competence and responsiveness of caregivers facilitates the transition from prelinguistic to linguistic communication. It is thus important to know how infants' communicative behavior changes in relation to different caregiver responses; furthermore, how infants' modification of communicative behavior relates to language outcomes. We investigated 39 10‐month‐old infants' communication as a function of mothers' attention and responses and the relationship to language outcomes at 15 months. We elicited infants' communicative behavior in three conditions: (1) joint attention: Mothers were visually attending and responding to infants' attention and interest; (2) available: Mothers were visually attending to infants, but not responding contingently to infants' attention and interest; (3) unavailable: Mothers were not attending to infants nor responding to them. Infants vocalized more when mothers attended and responded to them (conditions 1 and 2) than when mothers did not (condition 3), but infants' gesture and gesture‐vocal production did not differ across conditions. Furthermore, infants' production of a higher proportion of vocalizations in the unavailable condition relative to the joint attention condition correlated with, and predicted, infants' language scores at 15 months. Thus, infants who appear to be aware of the social effects of vocalizations may learn words better.     

Child,Caregiver, and Temperament Contributions to Infant Joint Attention

Little is known about variables that may contribute to individual differences in infant joint attention, or the coordination of visual attention with a social partner. Therefore, this study examined the contributions of caregiver behavior and temperament to infant joint attention development between 9 and 12 months. Data were collected from 57 infants using a caregiver–infant paradigm, an infant–tester paradigm, and a parent report of infant temperament. Nine‐month measures of caregiver scaffolding and infant initiating joint attention (IJA) with testers were significantly related to 12‐month infant IJA with testers. A temperament measure of positive emotional reactivity was related to 9‐month IJA, and a measure of negative emotional reactivity was related to 12‐month IJA. Temperament and caregiver scaffolding measures, however, were not associated with the development of infant responding to joint attention. These results further the understanding of the multiple processes that contribute to joint attention development in infancy, and support the hypothesis that initiating and responding measures tap different aspects of joint attention development.     

Greater Pupil Size in Response to Emotional Faces as an Early Marker of Social‐Communicative Difficulties in Infants at High Risk for Autism

When scanning faces, individuals with autism spectrum disorder (ASD) have shown reduced visual attention (e.g., less time on eyes) and atypical autonomic responses (e.g., heightened arousal). To understand how these differences might explain subclinical variability in social functioning, 9‐month‐olds, with or without a family history of ASD, viewed emotionally expressive faces, and gaze and pupil diameter (a measure of autonomic activation) were recorded using eye‐tracking. Infants at high risk for ASD with no subsequent clinical diagnosis (HRA‐) and low‐risk controls (LRC) showed similar face scanning and attention to eyes and mouth; attention was overall greater to eyes than mouth, but this varied as a function of the emotion presented. As a group, HRA‐ showed significantly larger pupil size than LRC. Correlations between scanning at 9 months, pupil size at 9 months, and 18‐month social‐communicative behavior, revealed positive associations between pupil size and attention to both face and eyes at 9 months in LRC, and a negative association between 9‐month pupil size and 18‐month social‐communicative behavior in HRA‐.The present findings point to heightened autonomic arousal in HRA‐. Further, with greater arousal relating to worse social‐communicative functioning at 18 months, this work points to a mechanism by which unaffected siblings might develop atypical social behavior.     

Infant Emotionality: Observational Methods and the Validity of Maternal Reports

This study was designed to improve the observational measurement of emotionality, and to test factors that influence the validity of maternal reports. More than 150 infants were visited at home with their mothers, two thirds of whom were depressed. These visits yielded 4 different observational measures of positive and negative emotionality at both 6 and 9 months. These were standard assessments (based on LabTab), naturalistic interactions, atypical reactions to the standard assessments, and the still‐face procedure. Atypical reactions were consistently related to traditional measures of emotionality. Responses to the still‐face procedure also generally cohered with the other measures. Aggregation improved agreement between mothers and observers. Depressed mothers' reports of negative emotionality were less accurate at 6 months than those of nondepressed mothers. Parenting experience appeared to be associated with greater maternal accuracy. Taken together the findings provide some support for both sides of the controversy surrounding the validity of maternal reports.     

Joint Attention,Self‐Recognition,and Neurocognitive Function in Toddlers

Recent studies have attempted to understand the processes involved in joint attention because of its relevance to both atypical and normal development. Data from a recent study of young children with autism suggests that performance on a delay nonmatch to sample (DNMS) task associated with ventromedial prefrontal functions, but not an A‐not‐B/delayed response task associated with dorsolateral prefrontal cortex, was related to joint attention skills (Dawson et al., 2002). Recent research also suggests that joint attention is associated with dorsalmedial brain systems linked to self‐monitoring (Mundy, 2003). This study investigated the relations among joint attention, DNMS, and self‐recognition performance in a longitudinal study of 39 normally developing toddlers from 14 to 18 months. The results indicated that development on the DNMS and self‐recognition tasks, but not a means end task, predicted joint attention at 18 months. Further analysis showed that the model was only significant for initiating joint attention (IJA). The implications of these results for the neuro‐development of IJA are discussed.     

Bimodal Dynamics of Faces and Voices Influence Older Infants' Perception of Emotion

Given the importance of infants' perception of bimodal speech for emerging language and emotion development, this study used eye‐tracking technology to examine infants' attention to face+voice displays differing by emotion (fear, sad, happy) and visual stimulus (dynamic versus static). Peripheral distracters were presented to measure attention disengagement. It was predicted that infants would look longer at and disengage more slowly from dynamic bimodal emotion displays, especially when viewing dynamic fear. However, the results from twenty‐two 10‐month‐olds found significantly greater attention on dynamic versus static trials, independent of emotion. Interestingly, infants looked equally to mouth and eye regions of speakers' faces except when viewing/hearing dynamic fear; in this case, they fixated more on the speakers' mouth region. Average latencies to distracters were longer on dynamic compared to static bimodal stimuli, but not differentiated by emotion. Thus, infants' attention was enhanced (in terms of both elicitation and maintenance) by dynamic, bimodal emotion displays. Results are compared to conflicting findings using static emotion displays, with suggestions for future research using more ecologically relevant dynamic, multimodal displays to gain a richer understanding of infants' processing of emotion.     

Family Cohesion And Control: A Multitrait-Multimethod Study*

This study assessed the convergent and discriminant validity of widely used various measures of family cohension and control using a multitrait, multi-method approach. Forty-two families, who had at least one adolescent and who were currently receiving family therapy, completed self-report measures of cohesion and control and engaged in Reiss' Card Sort Procedure. Ratings of the families' cohesiveness were also obtained from the families and their therapists. We were only partially successful in demonstrating convergent validity and discriminant validity for the family trait of cohesiveness across measures and methods, and even less so for family control. There was a general lack of relationship between self-report measures and either the therapist rating of family cohesion or the family's performance on the Card Sort Procedure. Our results cast doubt on the construct validity of some of the best measures of family functioning currently available. Implications of this are discussed.     

Becoming a Communicative Partner: Infant Contingent Responsiveness to Maternal Language and Gestures

Infant contingent responsiveness to maternal language and gestures was examined in 190 Mexican American, Dominican American, and African American infant–mother dyads when infants were 14 and 24 months. Dyads were video‐recorded during book‐sharing and play. Videos were coded for the timing of infants’ vocalizations and gestures and mothers’ referential language (i.e., statements that inform infants about objects and events in the world; e.g., “That's a big doggy!”), regulatory language (i.e., statements that regulate infants’ attention or actions; e.g., “Look at that”, “Put it down!”), and gestures. Infants of all three ethnicities responded within 3 sec of mothers’ language and gestures, increased their responsiveness over development, and displayed specificity in their responses: They vocalized and gestured following mothers’ referential language and gestures, but were less likely than chance to communicate following mothers’ regulatory language. At an individual level, responsive infants had responsive mothers.     

Role Reversal Imitation and Language in Typically Developing Infants and Children With Autism

Three types of role reversal imitation were investigated in typically developing 12‐ and 18‐month‐old infants and in children with autism and other developmental delays. Many typically developing infants at both ages engaged in each of the 2 types of dyadic, body‐oriented role reversal imitation: self‐self reversals, in which the adult acted on herself and the child then acted on himself, and other‐other reversals, in which the adult acted on the child and the child then acted back on the adult. However, 12‐month‐olds had more difficulty than 18‐month‐olds with triadic, object‐mediated role reversals involving interactions around objects. There was little evidence of any type of role reversal imitation in children with autism. Positive relations were found between role reversal imitation and various measures of language development for 18‐month‐olds and children with autism.     

Robustness and Precision: How Data Quality May Influence Key Dependent Variables in Infant Eye‐Tracker Analyses

In recent years, eye‐tracking has become a popular method for drawing conclusions about infant cognition. Relatively little attention has been paid, however, to methodological issues associated with infant eye‐tracking. Here, we consider the possibility that systematic differences in the quality of raw eye‐tracking data obtained from different populations and individuals might create the impression of differences in gaze behavior, without this actually being the case. First, we show that lower quality eye‐tracking data are obtained from populations who are younger and populations who are more fidgety and that data quality declines during the testing session. Second, we assess how these differences in data quality might influence key dependent variables in eye‐tracking analyses. We show that lower precision data can appear to suggest a reduced likelihood to look at the eyes in a face relative to the mouth. We also show that less robust tracking may manifest as slower reaction time latencies (e.g., time to first fixation). Finally, we show that less robust data can manifest as shorter first look/visit duration. We argue that data quality should be reported in all analyses of infant eye‐tracking data and/or that steps should be taken to control for data quality before performing final analyses.     

Vocal Coordination During Early Parent–Infant Interactions Predicts Language Outcome in Infant Siblings of Children with Autism Spectrum Disorder

This study examined vocal coordination during mother–infant interactions in the infant siblings (high‐risk infants; HR) of children with autism spectrum disorder (ASD), a population at heightened risk for developing language delays (LDs). Vocal coordination between mothers and HR infants was compared to a group of low‐risk (LR; no first‐ or second‐degree relative with ASD) dyads and used to predict later language development. Nine‐month‐old infants were video‐taped at home playing with their mothers, and interactions were coded for the frequency and timing of vocalizations. Percent infant simultaneous speech was predictive of later LD, and dyads with LD infants were less coordinated with one another in average latency to respond than dyads with non‐delayed (ND) infants. The degree of coordination between mothers and infants on this variable predicted a continuous measure of language development in the third year. This research underscores the importance of understanding early development in the context of interaction.     

Sexual compulsivity among heterosexual college students

A growing body of literature suggests that an association exists between sexual compulsivity and participation in sexual behaviors that are high risk in terms of HIV/STD infection. In most of these studies, sexual compulsivity has been measured using the Sexual Compulsivity Scale (SCS; Kalichman & Rompa, 1995). As yet, sexual compulsivity has only been assessed with this scale among individuals who are members of “high risk” groups for HIV infection or who are HIV‐positive. In this study, we found support for reliability and construct validity of the SCS in a sample of 876 heterosexual college students, a group not yet examined in the sexual addiction and compulsivity literature. Construct validity was substantiated by the presence of significant relationships of sexual compulsivity with frequencies of sexual behaviors and numbers of sexual partners. The scale was also related to gender and age. Sexual compulsivity scores were associated with frequency of risky sexual behaviors. The relationships between sexual compulsivity and solo, partner, public, and risky sexual behaviors remained significant when we controlled for demographic variables. Although we found support for construct validity of the SCS in our sample, it is not clear whether the scale distinctly measures sexual compulsivity or taps into other constructs, such as sexual desire and sexual exploration.     

Neural mechanisms of language development in infancy

Understanding the neural processes underpinning individual differences in early language development is of increasing interest, as it is known to vary in typical development and to be quite heterogeneous in neurodevelopmental conditions. However, few studies to date have tested whether early brain measures are indicative of the developmental trajectory of language, as opposed to language outcomes at specific ages. We combined recordings from two longitudinal studies, including typically developing infants without a family history of autism, and infants with increased likelihood of developing autism (infant-siblings) (N = 191). Electroencephalograms (EEG) were recorded at 6 months, and behavioral assessments at 6, 12, 18, 24 and 36 months of age. Using a growth curve model, we tested whether absolute EEG spectral power at 6 months was associated with concurrent language abilities, and developmental change in language between 6 and 36 months. We found evidence of an association between 6-month alpha-band power and concurrent, but not developmental change in, expressive language ability in both infant-siblings and control infants. The observed association between 6-month alpha-band power and 6-month expressive language was not moderated by group status, suggesting some continuity in neural mechanisms.     

Empty Looks or Paying Attention? Exploring Infants' Visual Behavior during Encoding of an Elicited Imitation Task

Recently, there has been an increased interest in the relationship between looking time during encoding and subsequent memory performance in imitation tasks. Hitherto, the results have been inconclusive: one line of research supporting the link between looking time and performance and another line finding no relation. The existing studies may, however, have been restricted by using small samples, limited looking time measures, and short retention intervals. We here examined the relationship between the encoding process by means of looking time as well as pupil dilation (by means of eye‐tracking technology) in sixty‐eight 20‐month‐old infants participating in an elicited imitation task and their subsequent memory performance (at an encoding test and at a 2‐week delayed recall test). Additional twenty‐two infants provided baseline measures. Simple looking time (assessed as fixation duration) did not correlate consistently with subsequent memory measures. In some cases, however, looking time correlated negatively with imitation scores. In contrast, positive correlations were found between pupil dilation and some of the memory measures, suggesting that pupil dilation may be a more sensitive tool compared to looking time measures.