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Auditory joint attention skills: Development and diagnostic differences during infancy
Journal article   Open access   Peer reviewed

Auditory joint attention skills: Development and diagnostic differences during infancy

Lauren B. Adamson, Katharine Suma, Roger Bakeman, Ashleigh Kellerman and Diana L. Robins
Infant behavior & development, v 63, 101560
May 2021
PMID: 33848771
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8172433View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Auditory Autism spectrum disorder Infants Joint attention Multimodal Skill development
•Two studies assessed auditory joint attention skills to document how toddlers respond to verbal bids and initiate bids to share sounds.•Both multimodal and auditory joint attention skills typically emerged from 12 to 30 months, but auditory ones did so far more slowly.•Toddlers with autism spectrum disorder had markedly weaker auditory joint attention skills.•Adding auditory items to traditional joint attention assessments expands our view of important variations in early social-cognitive skills. To date, joint attention skill assessments have focused on children’s responses to multimodal bids (RJA) and their initiation of bids (IJA) to multimodal spectacles. Here we gain a systematic view of auditory joint attention skills using a novel assessment that measures both auditory and multimodal RJA and IJA. In Study 1, 47 typically developing (TD) children were tested 5 times from 12 to 30 months to document auditory joint attention skill development. In Study 2, 113 toddlers (39 TD, 33 autism spectrum disorder [ASD], and 41 non-ASD developmental disorders [DD]; average age 22.4 months) were tested to discern the effects of ASD. Our findings fit well within the established depiction of joint attention skills with one important caveat: auditory items were far more difficult to execute than multimodal ones. By 24 months, TD children passed multimodal RJA items at the near-ceiling level, an accomplishment not reached even by 30 months for auditory RJA items. Intentional communicative IJA bids also emerged more slowly to auditory spectacles than to multimodal spectacles. Toddlers with DD outperformed toddlers with ASD on multimodal RJA items but toddlers in both groups rarely passed any auditory RJA items. Toddlers with ASD often monitored their partner’s attention during IJA items, albeit less often than toddlers with DD and TD toddlers, but they essentially never produced higher-level IJA bids, regardless of modality. Future studies should investigate further how variations in bids and targets affect auditory joint attention skills and probe the relation between these skills and language development.

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychology, Developmental
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