Evidence map›Paper›PMID 36153629›Full record

ArticleMolecular autism2022

Atypical gaze patterns in autistic adults are heterogeneous across but reliable within individuals.

Umit Keles, Dorit Kliemann, Lisa Byrge, Heini Saarimäki, Lynn K Paul, Daniel P Kennedy, Ralph Adolphs

Open access · goldAbstract read
In one paragraph

Article in Molecular autism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Conceptual priorities shape individual gaze patterns during naturalistic visual attention.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Cerebral topographies of perceived and felt emotions.Imaging neuroscience (Cambridge, Mass.) · 2025
    Article
  8. Idiosyncratic pupil regulation in autistic children.Autism research : official journal of the International Society for Autism Research · 2024
    Article
  9. Article
  10. Idiosyncratic pupil regulation in autistic children.bioRxiv : the preprint server for biology · 2024
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Umit KelesDivision of the Humanities and Social Sciences, California Institute of Technology, Pasadena, USA. ukeles@caltech.edu.
Dorit KliemannDivision of the Humanities and Social Sciences, California Institute of Technology, Pasadena, USA.
Lisa ByrgeDepartment of Psychology, University of North Florida, Jacksonville, USA.
Heini SaarimäkiFaculty of Social Sciences, Tampere University, Tampere, Finland.
Lynn K PaulDivision of the Humanities and Social Sciences, California Institute of Technology, Pasadena, USA.
Daniel P Kennedy *Department of Psychological and Brain Sciences, Indiana University, Bloomington, USA.
Ralph Adolphs *Division of the Humanities and Social Sciences, California Institute of Technology, Pasadena, USA.
California Institute of Technology · USIndiana University Bloomington · USTampere University · FIUniversity of Iowa · USUniversity of North Florida · US

Funding

University of Iowa Hawkeye Intellectual and Developmental Disabilities Research Center (Hawk-IDDRC)P50HD103556 · NICHD · UNIVERSITY OF IOWA · PI Lane Strathearn · 2021 to 2026
$8.5M
Using complex video stimuli to elucidate atypical brain functioning in ASDR01MH110630 · NIMH · TRUSTEES OF INDIANA UNIVERSITY · PI Daniel Patrick Kennedy · 2017 to 2026
$5.6M
NICHD NIH HHS P50 HD103556NIMH NIH HHS R01 MH110630
6 · The paper itself

Abstract

backgroundAcross behavioral studies, autistic individuals show greater variability than typically developing individuals. However, it remains unknown to what extent this variability arises from heterogeneity across individuals, or from unreliability within individuals. Here, we focus on eye tracking, which provides rich dependent measures that have been used extensively in studies of autism. Autistic individuals have an atypical gaze onto both static visual images and dynamic videos that could be leveraged for diagnostic purposes if the above open question could be addressed.

methodsWe tested three competing hypotheses: (1) that gaze patterns of autistic individuals are less reliable or noisier than those of controls, (2) that atypical gaze patterns are individually reliable but heterogeneous across autistic individuals, or (3) that atypical gaze patterns are individually reliable and also homogeneous among autistic individuals. We collected desktop-based eye tracking data from two different full-length television sitcom episodes, at two independent sites (Caltech and Indiana University), in a total of over 150 adult participants (N = 48 autistic individuals with IQ in the normal range, 105 controls) and quantified gaze onto features of the videos using automated computer vision-based feature extraction.

resultsWe found support for the second of these hypotheses. Autistic people and controls showed equivalently reliable gaze onto specific features of videos, such as faces, so much so that individuals could be identified significantly above chance using a fingerprinting approach from video epochs as short as 2 min. However, classification of participants into diagnostic groups based on their eye tracking data failed to produce clear group classifications, due to heterogeneity in the autistic group. LIMITATIONS: Three limitations are the relatively small sample size, assessment across only two videos (from the same television series), and the absence of other dependent measures (e.g., neuroimaging or genetics) that might have revealed individual-level variability that was not evident with eye tracking. Future studies should expand to larger samples across longer longitudinal epochs, an aim that is now becoming feasible with Internet- and phone-based eye tracking.

conclusionsThese findings pave the way for the investigation of autism subtypes, and for elucidating the specific visual features that best discriminate gaze patterns-directions that will also combine with and inform neuroimaging and genetic studies of this complex disorder.

Indexed as

Autism Spectrum DisorderAutistic DisorderAdultFixation, OcularHumansAutismEye trackingHeterogeneityIndividual differencesVideos

Identifiers

PMID36153629
PMCPMC9508778
OpenAlexW4297186130

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.