Background
Previous research has suggested that atypical attention in autism might be driven by a preference for sameness over novelty. There is also evidence of slower habituation to a repeating stimulus in autism. It is not known whether slower habituation is driven by atypically slower processing of repeating information or whether it is a manifestation of an attentional bias away from novelty towards sameness.
Methods
We adapted an existing eye-tracking task and measured eye movements to two streams of stimuli presented simultaneously, one each in the left and right sides of the screen. One stimulus repeated while the second stimulus changed across trials. We manipulated the complexity of the stimuli between three conditions: a simple shapes condition, a social (smiling faces) condition and a complex non-social condition (clocks with moving parts). Using the slope of change in the longest look duration to each stimulus over trials, we measured whether autistic features were associated with slower habituation (to the repeating stimulus) and/or reduced attention to novelty (changing stimulus) over trials, and whether these effects were more pronounced in conditions with higher stimulus complexity (social and non-social complex conditions) compared with low complexity (simple shapes condition). We presented the task to two independent samples of children: 7-15 years old children and adolescents (n=103) diagnosed with Autism, ADHD or co-occurring Autism and ADHD and neurotypical children (Study 1); neurotypical children (n=64) with varying levels of subclinical traits of Autism (Study 2).
Results
Across the two studies, autistic features were associated with positive slopes of change in look durations (longer looks over time) to the repeating stimulus and negative slopes (shorter looks over time) to the changing stimulus, only in conditions with higher stimulus complexity. Negative slopes to the changing stimulus in conditions of higher stimulus complexity was associated with higher severity of social interaction difficulties (in Study 1).
Conclusions
Reduced attention to novelty in autism might partly be driven by difficulties in processing more complex information, which might contribute to the development of social interaction difficulties in autism. Replication in larger samples and longitudinal research using younger age groups are recommended.