Social Visual Attentional Engagement and Memory in Phelan-McDermid Syndrome and Autism Spectrum Disorder: An Eye-Tracking Study
The current study used eye tracking to investigate attention and recognition memory in Phelan-McDermid syndrome (PMS), a rare genetic disorder characterized by intellectual disability, motor delays, and a high likelihood of comorbid autism spectrum disorder (ASD). Social deficits represent a core feature of ASD, including decreased propensity to orient to or show preference for social stimuli. Here, we used a visual paired comparison task with both social and non-social images, assessing looking behavior to a novel image versus a previously-viewed familiar image to characterize social attention and recognition memory in PMS (n=27), idiopathic ASD (iASD, n=46), and typically-developing controls (n=29). On measures of attention, all groups spent a similar amount of time viewing the images; however, the rate of looking back-and-forth between images was lowest in iASD. Furthermore, while all groups demonstrated recognition memory when novel stimuli were initially presented, participants with PMS showed the weakest novelty preference compared to controls. Finally, the iASD, but not PMS, group showed enhanced novelty preference for non-social stimuli. Across indices, individuals with PMS and ASD performed more similarly to PMS without ASD and less similarly to the iASD group. These findings provide further evidence of differences in attention and memory for social stimuli in ASD and contrasts idiopathic autism with PMS.