Understanding attention, memory and social biases in fragile X syndrome: Going below the surface with a multi-method approach.

Fragile X syndrome (FXS) is characterised by atypical social behaviours, such as gaze aversion. However, it remains unclear whether, or if so how, these behaviours affect cognitive processing and influence memory. We asked children with FXS (N = 16) and typically developing children (TD; N = 46) to explore naturalistic scenes containing social and non-social salient items unrelated to their task at hand (searching for a simple target object). We also assessed children's memory for target locations. We complemented behavioural responses with eye-tracking data for the subset of participants who managed to comply with calibration and the demands of the experimental testing session (6 children with FXS and 43 TD children). Children with FXS performed well at the experimental task, and showed similar accuracy and speed in locating targets in natural scenes to children of equivalent verbal abilities. They also learned target locations over blocks, but their memory of target locations was not as precise as that of comparison children. In addition, children with FXS initially directed few first looks to salient social items within the scenes, but these looks increased over blocks. Like TD children, children with FXS also dwelled gaze upon social items while recalling target locations from memory. Individual differences in everyday social characteristics also related to gaze and behavioural measures. In conclusion, experimental approaches can highlight cognitive underpinnings of atypical social behaviour in FXS, pinpointing both similarities and differences to TD individuals.

Disentangling autism spectrum and attention-deficit/hyperactivity symptoms over development in fragile X syndrome.

Even genetic disorders associated with monogenic aetiologies are characterized by complex and variable risk for poor outcomes, highlighting the need to follow trajectories longitudinally. Here, we investigated the longitudinal relationships between attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) symptoms in a population at high risk for both: boys with fragile X syndrome. 59 boys with fragile X syndrome aged 3-10 years old at entry participated in this study, and were followed up one and two years after their first visit. As expected, we found strong relationships over three timepoints for ADHD symptoms (as measured by the parent-rated Conners scale) and ASD symptoms (as measured by the Social Communication Questionnaire [SCQ]). In addition, using structural equation modeling (SEM) we found that ADHD symptoms at time 2 predicted ASD symptoms at time 3, suggestive of a causal relationship. Importantly, these relationships hold when including chronological age at entry to the study, as well as when including severity of impairment as measured by IQ, and their effects on both ASD and ADHD symptoms do not reach significance. This result highlights the need to study outcomes longitudinally and it informs the comorbidity of the two symptom domains in FXS as well as their potential directionality, both of which have been little researched. In addition, our findings may suggest a future need to study how ADHD symptoms and their treatment impact individuals with ASD.

The functional consequences of social attention on memory precision and on memory-guided orienting in development.

Adults are slower at locating targets in naturalistic scenes containing a social distractor compared to an equally salient non-social distractor, and their subsequent memory for targets in social scenes is poorer. Therefore, adults' social biases affect not only attention, but also their memory. Six-to-ten year-old children and young adults took part in the current study, employing a combination of behavioural and eye-tracking measures. Social stimuli in naturalistic scenes distracted both children and adults during visual search, as demonstrated by their gaze behavior and search times. In addition, eye-tracking revealed even greater attentional capture by social distractors for children. Memory for targets was worse in social compared to non-social scenes. Intriguingly, children demonstrated overall better memory precision than adults. Finally, when participants detected previously learnt targets within visual scenes, adults were slower for targets appearing at unexpected (invalid) locations within social scenes compared to non-social scenes, but this was not the case for children. In their entirety, these findings suggest that the interplay between social attentional biases, memory and memory-guided attention is complex and modulated by age-related differences. Complementary methodologies in developmental cognitive neuroscience shed light on the mechanisms through which social attention and memory interact over development.

The Functional Consequences of Social Attention for Memory-guided Attention Orienting and Anticipatory Neural Dynamics.

Social attention when viewing natural social (compared with nonsocial) images has functional consequences on contextual memory in healthy human adults. In addition to attention affecting memory performance, strong evidence suggests that memory, in turn, affects attentional orienting. Here, we ask whether the effects of social processing on memory alter subsequent memory-guided attention orienting and corresponding anticipatory dynamics of 8-12 Hz alpha-band oscillations as measured with EEG. Eighteen young adults searched for targets in scenes that contained either social or nonsocial distracters and their memory precision tested. Subsequently, RT was measured as participants oriented to targets appearing in those scenes at either valid (previously learned) locations or invalid (different) locations. Memory precision was poorer for target locations in social scenes. In addition, distractor type moderated the validity effect during memory-guided attentional orienting, with a larger cost in RT when targets appeared at invalid (different) locations within scenes with social distractors. The poorer memory performance was also marked by reduced anticipatory dynamics of spatially lateralized 8-12 Hz alpha-band oscillations for scenes with social distractors. The functional consequences of a social attention bias therefore extend from memory to memory-guided attention orienting, a bidirectional chain that may further reinforce attentional biases.

The functional consequences of social distraction: Attention and memory for complex scenes.

Cognitive scientists have long proposed that social stimuli attract visual attention even when task irrelevant, but the consequences of this privileged status for memory are unknown. To address this, we combined computational approaches, eye-tracking methodology, and individual-differences measures. Participants searched for targets in scenes containing social or non-social distractors equated for low-level visual salience. Subsequent memory precision for target locations was tested. Individual differences in autistic traits and social anxiety were also measured. Eye-tracking revealed significantly more attentional capture to social compared to non-social distractors. Critically, memory precision for target locations was poorer for social scenes. This effect was moderated by social anxiety, with anxious individuals remembering target locations better under conditions of social distraction. These findings shed further light onto the privileged attentional status of social stimuli and its functional consequences on memory across individuals.