Search

Background: Effective integration of home visit interventions focused on early childhood development into existing service platforms is important for expanding access in low- and middle-income countries (LMICs). We designed and evaluated a home visit intervention integrated into community health worker (CHW) operations in South Africa. Methods and findings: We conducted a cluster-randomized controlled trial in Limpopo Province, South Africa. CHWs operating in ward-based outreach teams (WBOTs; clusters) and caregiver–child dyads they served were randomized to the intervention or control group. Group assignment was masked from all data collectors. Dyads were eligible if they resided within a participating CHW catchment area, the caregiver was at least 18 years old, and the child was born after December 15, 2017. Intervention CHWs were trained on a job aid that included content on child health, nutrition, developmental milestones, and encouragement to engage in developmentally appropriate play-based activities, for use during regular monthly home visits with caregivers of children under 2 years of age. Control CHWs provided the local standard of care. Household surveys were administered to the full study sample at baseline and endline. Data were collected on household demographics and assets; caregiver engagement; and child diet, anthropometry, and development scores. In a subsample of children, electroencephalography (EEG) and eye-tracking measures of neural function were assessed at a lab concurrent with endline and at 2 interim time points. Primary outcomes were as follows: height-for-age z-scores (HAZs) and stunting; child development scores measured using the Malawi Developmental Assessment Tool (MDAT); EEG absolute gamma and total power; relative EEG gamma power; and saccadic reaction time (SRT)—an eye-tracking measure of visual processing speed. In the main analysis, unadjusted and adjusted impacts were estimated using intention-to-treat analysis. Adjusted models included a set of demographic covariates measured at baseline. On September 1, 2017, we randomly assigned 51 clusters to intervention (26 clusters, 607 caregiver–child dyads) or control (25 clusters, 488 caregiver–child dyads). At endline (last assessment June 11, 2021), 432 dyads (71%) in 26 clusters remained in the intervention group, and 332 dyads (68%) in 25 clusters remained in the control group. In total, 316 dyads attended the first lab visit, 316 dyads the second lab visit, and 284 dyads the third lab visit. In adjusted models, the intervention had no significant impact on HAZ (adjusted mean difference (aMD) 0.11 [95% confidence interval (CI): −0.07, 0.30]; p = 0.220) or stunting (adjusted odds ratio (aOR) 0.63 [0.32, 1.25]; p = 0.184), nor did the intervention significantly impact gross motor skills (aMD 0.04 [−0.15, 0.24]; p = 0.656), fine motor skills (aMD −0.04 [−0.19, 0.11]; p = 0.610), language skills (aMD −0.02 [−0.18, 0.14]; p = 0.820), or social–emotional skills (aMD −0.02 [−0.20, 0.16]; p = 0.816). In the lab subsample, the intervention had a significant impact on SRT (aMD −7.13 [−12.69, −1.58]; p = 0.012), absolute EEG gamma power (aMD −0.14 [−0.24, −0.04]; p = 0.005), and total EEG power (aMD −0.15 [−0.23, −0.08]; p < 0.001), and no significant impact on relative gamma power (aMD 0.02 [−0.78, 0.83]; p = 0.959). While the effect on SRT was observed at the first 2 lab visits, it was no longer present at the third visit, which coincided with the overall endline assessment. At the end of the first year of the intervention period, 43% of CHWs adhered to monthly home visits. Due to the COVID-19 pandemic, we were not able to assess outcomes until 1 year after the end of the intervention period. Conclusions: While the home visit intervention did not significantly impact linear growth or skills, we found significant improvement in SRT. This study contributes to a growing literature documenting the positive effects of home visit interventions on child development in LMICs. This study also demonstrates the feasibility of collecting markers of neural function like EEG power and SRT in low-resource settings. Trial registration: PACTR 201710002683810; https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=2683; South African Clinical Trials Registry, SANCTR 4407 Peter Rockers and colleagues design and evaluate a home visit intervention integrated into community health worker operations in South Africa. Author summary: Why was this study done?: Prior studies have demonstrated that home visit interventions delivered by community health workers (CHWs) can have a positive impact on child development. We integrated a home visit intervention into existing CHW operations in South Africa to generate evidence useful for local decision-making. A key innovation of this study was the inclusion of 2 markers of neural function as primary outcomes: electroencephalography (EEG) power and saccadic reaction time (SRT), an eye-tracking measure of visual processing speed. What did the researchers do and find?: We conducted a cluster-randomized controlled trial in rural South Africa. Intervention CHWs were trained on a job aid that included content focused on improving child development, for use during regular home visits with caregivers and young children. Control CHWs provided the local standard of care. We enrolled 607 caregiver–child dyads in 26 intervention clusters and 432 dyads in 25 control clusters at the start of the study. At endline, we assessed 432 intervention dyads (71%) and 332 control dyads (68%) to evaluate impact on child development outcomes. The home visit intervention decreased child SRT by 7 milliseconds, indicating improved neural function, but did not significantly impact linear growth or skills. What do these findings mean?: Our findings contribute important new evidence to a growing literature documenting the positive effects of home visit interventions on child development. Collecting markers of neural function in low-resource settings is feasible. [ABSTRACT FROM AUTHOR]

Infants from an early age have a bias to attend more to faces than non-faces and after 5 months are particularly attentive to fearful faces. We examined the specificity of this “fear bias” in 5-, 7-, and 12-month-old infants (N = 269) and 36-month-old children (N = 191) and whether its development is associated with features of the early rearing environment, specifically maternal anxiety and depression symptoms. Attention dwell times were assessed by measuring the latencies of gaze shifts from a stimulus at fixation to a new stimulus in the visual periphery. In infancy, dwell times were shorter for non-face control stimuli vs. happy faces at all ages, and happy vs. fearful, but not angry, faces at 7 and 12 months. At 36 months, dwell times were shorter for non-faces and happy faces compared to fearful and angry faces. Individual variations in attention dwell times were not associated with mothers’ self-reported depression or anxiety symptoms at either age. The results suggest that sensitivity to fearful faces precedes a more general bias for threat-alerting stimuli in early development. We did not find evidence that the initial manifestation of these biases is related to moderate variations in maternal depression or anxiety symptoms. [ABSTRACT FROM AUTHOR]

Infants have a natural tendency to look at adults' faces, possibly to help initiate vital interactions with caregivers during sensitive periods of development. Recent studies using eye-tracking technologies have identified the mechanisms that underlie infants' capacity to orient and hold attention on faces. These studies have shown that the bias for faces is weak in young infants, but becomes more robust and resistant to distraction during the second half of the 1st year. This development is apparently related to more general changes in infants' attention and control of eye movement. As a tractable and reproducible aspect of infant behavior, the attention bias for faces can be used to examine the neural correlates of attention and may be a way to monitor early neurodevelopment in infants. [ABSTRACT FROM AUTHOR]

Humans in different cultures develop a similar capacity to recognize the emotional signals of diverse facial expressions. This capacity is mediated by a brain network that involves emotion-related brain circuits and higher-level visual-representation areas. Recent studies suggest that the key components of this network begin to emerge early in life. The studies also suggest that initial biases in emotion-related brain circuits and the early coupling of these circuits and cortical perceptual areas provide a foundation for a rapid acquisition of representations of those facial features that denote specific emotions. [ABSTRACT FROM AUTHOR]

Considerable advances have been made in understanding how emotional information is coded in the brain and used in the service of adaptive behavior, yet the developmental origins of these processes remain relatively unexamined. In this article, we review recent studies in human infants and experimental animals that have highlighted the importance of the first years of life in the development of emotion-processing capacities, particularly the ability to respond preferentially to threat-alerting stimuli. We discuss mechanisms that might govern the development of these capacities and suggest directions for further research into the nature and functional significance of infants’ early-emerging biases in the perception of emotional information. [ABSTRACT FROM PUBLISHER]

Background: Allelic variation in the promoter region of a gene that encodes tryptophan hydroxylase isoform 2 (TPH2), a rate-limiting enzyme of serotonin synthesis in the central nervous system, has been associated with variations in cognitive function and vulnerability to affective spectrum disorders. Little is known about the effects of this gene variant on cognition during development and about possible intermediate developmental steps that lead to the adult phenotype. Here, we examined the hypothesis that the TPH2 -703 may act during early stages of development and bias the acquisition of elementary cognitive processes involved in attention and emotion regulation. Methods: Seven-month-old infants ( n = 66) were genotyped for the TPH2 -703 G/T polymorphism ( rs4570625) and tested for the efficiency of attention shifts from a stimulus at fixation to a new stimulus in the visual periphery. Results: Compared to TPH2 G/G homozygotes, infants with the T-carrier genotype exhibited a significantly higher number of missing attention shifts. This genotype effect tended to be particularly pronounced when infants had to disengage from an affectively salient stimulus before shifting attention to the peripheral stimulus. The results also showed that TPH2 genotype was indirectly associated, via its effect on attention disengagement, with temperamental emotion regulation (soothability). Conclusions: Together, these results implicate serotonin system genes in early cognitive development and suggest variations in the early-emerging cognitive capacities as a potential developmental precursor of individual differences in emotion regulation and vulnerability to affective disorders. [ABSTRACT FROM AUTHOR]

Orienting of attention to emotionally negative stimuli is accompanied by rapid heart rate (HR) deceleration, reflecting enhanced attentional and sensory processing. We studied whether similar emotional modulation of cardiac responding is observed in infants. HR and eye movements were recorded from 7-month-old infants while they observed a fearful or happy face that was flanked after 700 ms by a peripheral distractor for 2000 ms. An attentional bias for fearful faces was indicated by less frequent and longer latency saccades toward the distractors during fearful than happy trials. HR deceleration was significantly larger during fearful than happy trials on which infants did not make a distractor-directed saccade. For trials with a distractor-directed saccade, no difference between fearful and happy faces emerged. Thus, the bias to attend preferentially to fearful faces is accompanied by a concomitant increase in the cardiac orienting response. [ABSTRACT FROM AUTHOR]

Categorical perception, demonstrated as reduced discrimination of within-category relative to between-category differences in stimuli, has been found in a variety of perceptual domains in adults. To examine the development of categorical perception in the domain of facial expression processing, we used behavioral and event-related potential (ERP) methods to assess discrimination of within-category (happy-happy) and between-category (happy-sad) differences in facial expressions in 7-month-old infants. Data from a visual paired-comparison test and recordings of attention-sensitive ERPs showed no discrimination of facial expressions in the within-category condition, whereas reliable discrimination was observed in the between-category condition. The results also showed that face-sensitive ERPs over occipital-temporal scalp (P400) were attenuated in the within-category condition relative to the between-category condition, suggesting a potential neural basis for the reduced within-category sensitivity. Together, these results suggest that the neural systems underlying categorical representation of facial expressions emerge during the early stages of postnatal development, before acquisition of language. [ABSTRACT FROM AUTHOR]

Abstract: Gaze direction is known to be an important factor in regulating social interaction. Recent evidence suggests that direct and averted gaze can signal the sender''s motivational tendencies of approach and avoidance, respectively. We aimed at determining whether seeing another person''s direct vs. averted gaze has an influence on the observer''s neural approach–avoidance responses. We also examined whether it would make a difference if the participants were looking at the face of a real person or a picture. Measurements of hemispheric asymmetry in the frontal electroencephalographic activity indicated that another person''s direct gaze elicited a relative left-sided frontal EEG activation (indicative of a tendency to approach), whereas averted gaze activated right-sided asymmetry (indicative of avoidance). Skin conductance responses were larger to faces than to control objects and to direct relative to averted gaze, indicating that faces, in general, and faces with direct gaze, in particular, elicited more intense autonomic activation and strength of the motivational tendencies than did control stimuli. Gaze direction also influenced subjective ratings of emotional arousal and valence. However, all these effects were observed only when participants were facing a real person, not when looking at a picture of a face. This finding was suggested to be due to the motivational responses to gaze direction being activated in the context of enhanced self-awareness by the presence of another person. The present results, thus, provide direct evidence that eye contact and gaze aversion between two persons influence the neural mechanisms regulating basic motivational–emotional responses and differentially activate the motivational approach–avoidance brain systems. [Copyright &y& Elsevier]

Abstract: Orienting of visual attention can be automatically triggered not only by illumination changes occurring in the visual periphery but also by centrally presented gaze and arrow cues. We investigated whether the automatic shifts of visuospatial attention triggered by centrally displayed gaze and arrow cues rely on the same neural systems. To this end we measured event-related potentials (ERPs) time-locked to the cue and target onsets while the participants (n =17) performed a spatial cuing task. In the task, the participants detected and responded to laterally presented targets preceded by centrally presented, non-predictive, gaze or arrow cues. Manual reaction times and target-triggered ERP data showed that both gaze and arrow cues automatically oriented attention and facilitated subsequent processing of target stimuli. However, the cue-triggered electrophysiological data indicated that the ERPs elicited by the gaze and arrow cues were different at lateral parietal and fronto-central electrode sites. Most notably, for the arrows, we found a typical early attention direction negativity (EDAN) effect occurring 220–260 ms after the cue onset. The ERPs were shifted in the negative direction when the arrows pointed to a direction which was contralateral to the recorded hemisphere as compared to arrows with ipsilateral direction. This effect was not observed for the gaze stimuli. These results provide further support for earlier behavioral and neuroimaging studies indicating that automatic orienting of attention by arrow cues and gaze cues are based on different neural mechanisms. [Copyright &y& Elsevier]

We investigated whether emotional information from facial expression and hand movement quality was integrated when identifying the expression of a compound stimulus showing a static facial expression combined with emotionally expressive dynamic manual actions. The emotions (happiness, neutrality, and anger) expressed by the face and hands were either congruent or incongruent. In Experiment 1, the participants judged whether the stimulus person was happy, neutral, or angry. Judgments were mainly based on the facial expressions, but were affected by manual expressions to some extent. In Experiment 2, the participants were instructed to base their judgment on the facial expression only. An effect of hand movement expressive quality was observed for happy facial expressions. The results conform with the proposal that perception of facial expressions of emotions can be affected by the expressive qualities of hand movements. [ABSTRACT FROM AUTHOR]

Abstract: Several event-related potential (ERP) studies have demonstrated a negative shift in ERPs for fearful relative to neutral facial expressions ∼170–300ms post-stimulus over occipital-temporal scalp. In the present study, three experiments were conducted to examine the importance of the eye region for this ERP differentiation. ERPs and behavioral discrimination responses were measured to fearful and neutral expressions when only the eye region of the expression was visible (the eyes and eyebrows or the eyes alone) and when the eye region (the eyes and eyebrows or the eyes alone) was covered by dark glasses. The results showed a negative shift in ERPs for fearful relative to neutral expressions over lateral temporal sites, starting ∼160–210ms post-stimulus. The visibility of the eye region but not the eyes per se was critical for these ERP differences to occur. There were, however, indications that information in the eyes is also coded and used in the categorization of facial expressions. [Copyright &y& Elsevier]

Abstract: The present study in an African Xhosa sample examined whether familial vulnerability to schizophrenia is associated with deficits in facial affect recognition. Healthy comparison subjects, unaffected siblings of schizophrenia patients, and schizophrenia patients were tested with a task requiring rapid recognition of matched positive (happy), negative (angry), and neutral facial expressions. Siblings and patients demonstrated impaired recognition of negative relative to positive facial expressions whereas comparison subjects recognized negative and positive expressions at an equal level of accuracy. These results suggest that deficits in the processing negative affect from social cues are transmitted in families and may represent a heritable endophenotype of schizophrenia. [Copyright &y& Elsevier]

The present study investigated whether facial expressions modulate visual attention in 7-month-old infants. First, infants’ looking duration to individually presented fearful, happy, and novel facial expressions was compared to looking duration to a control stimulus (scrambled face). The face with a novel expression was included to examine the hypothesis that the earlier findings of greater allocation of attention to fearful as compared to happy faces could be due to the novelty of fearful faces in infants’ rearing environment. The infants looked longer at the fearful face than at the control stimulus, whereas no such difference was found between the other expressions and the control stimulus. Second, a gap/overlap paradigm was used to determine whether facial expressions affect the infants’ ability to disengage their fixation from a centrally presented face and shift attention to a peripheral target. It was found that infants disengaged their fixation significantly less frequently from fearful faces than from control stimuli and happy faces. Novel facial expressions did not have a similar effect on attention disengagement. Thus, it seems that adult-like modulation of the disengagement of attention by threat-related stimuli can be observed early in life, and that the influence of emotionally salient (fearful) faces on visual attention is not simply attributable to the novelty of these expressions in infants’ rearing environment. [ABSTRACT FROM AUTHOR]

Abstract: Previous studies have shown differential event-related potentials (ERPs) to fearful and happy/neutral facial expressions. To investigate whether the brain systems underlying these ERP differences are sensitive to the intensity of fear and happiness, behavioral recognition accuracy and reaction times as well as ERPs were measured while observers categorized low-intensity (50%), prototypical (100%), and caricatured (150%) fearful and happy facial expressions. The speed and accuracy of emotion categorization improved with increasing levels of expression intensity, and 100% and 150% expressions were consistently classified as expressions of the intended emotions. Comparison of ERPs to 100% and 150% expressions revealed a differential pattern of ERPs to 100% and 150% fear expressions over occipital–temporal electrodes 190–290 ms post-stimulus (a negative shift in ERP activity for high-intensity fearful expressions). Similar ERP differences were not observed for 100% and 150% happy expressions, ruling out the possibility that the ERPs to high-intensity fear reflected a response to increased expression intensity per se. Together, these results suggest that differential electrocortical responses to fearful facial expressions over posterior electrodes are generated by a neural system that responds to the intensity of negative but not positive emotional expressions. [Copyright &y& Elsevier]

To examine the ontogeny of emotional face processing, event-related potentials (ERPs) were recorded from adults and 7-month-old infants while viewing pictures of fearful, happy, and neutral faces. Face-sensitive ERPs at occipital-temporal scalp regions differentiated between fearful and neutral/happy faces in both adults (N170 was larger for fear) and infants (P400 was larger for fear). Behavioral measures showed no overt attentional bias toward fearful faces in adults, but in infants, the duration of the first fixation was longer for fearful than happy faces. Together, these results suggest that the neural systems underlying the differential processing of fearful and happy/neutral faces are functional early in life, and that affective factors may play an important role in modulating infants' face processing. [ABSTRACT FROM AUTHOR]

Functional abnormalities in emotion-related brain systems have been implicated in depression, and depressed patients may therefore attribute emotional valence to stimuli that are normally interpreted as emotionally neutral. The present study examined this hypothesis by comparing recognition of different facial expressions in patients with moderate to severe depression. Eighteen depressed patients and 18 matched healthy controls made a forced-choice response to briefly presented neutral, happy, and sad faces. Recognition accuracy and response time were measured. Twelve patients were retested after showing signs of symptom remission. Depressed patients and controls were equally accurate at recognizing happy and sad faces. Controls also recognized neutral faces as accurately as happy and sad faces, but depressed patients recognized neutral faces less accurately than either happy or sad faces. Depressed patients were also particularly slow to recognize neutral faces. The impairment in processing of neutral faces was still evident after symptom remission. Error analyses showed that depressed patients attributed not only sadness, but also happiness (in remission), to neutral faces. These results suggest that, unlike healthy subjects, depression-prone individuals do not seem to perceive neutral faces as unambiguous signals of emotional neutrality. [Copyright &y& Elsevier]

This study investigated whether people can decode emotion (happiness, neutrality, and anger) communicated via hand movements in Finnish sign language when these emotions are expressed in semantically neutral sentences. Twenty volunteer participants without any knowledge of sign language took part in the experiment. The results indicated that the subjects were able to reliably decode anger and neutrality from the quality of hand movements. For happy hand expressions, the responses of happiness and neutrality were confused. Thus, the study showed that emotion-related information can be encoded in the quality of hand movements during signing and that this information can be decoded without previous experience with this particular mode of communication. [ABSTRACT FROM AUTHOR]

In 6 experiments, the authors investigated whether attention orienting by gaze direction is modulated by the emotional expression (neutral, happy, angry, or fearful) on the face. The results showed a clear spatial cuing effect by gaze direction but no effect by facial expression. In addition, it was shown that the cuing effect was stronger with schematic faces than with real faces, that gaze cuing could be achieved at very short stimulus onset asynchronies (14 ms), and that there was no evidence for a difference in the strength of cuing triggered by static gaze cues and by cues involving apparent motion of the pupils. In sum, the results suggest that in normal, healthy adults, eye direction processing for attention shifts is independent of facial expression analysis. [ABSTRACT FROM AUTHOR]

Investigates emotion recognition accuracy in children. Relation between emotion recognition accuracy and social adjustment; Comparison on the relationship between gender; Important socio-cognitive ability for school-aged girls.

• Children's ERP and behavioral responses to facial expressions converge on an enhanced response to threat-related (i.e., fearful and angry) faces at 3 years of age. • A support vector machine learning model using ERP responses to threat reliably predicts overt attentional dwell time for threat-related faces. • There is little within-subject correlation between threat-bias attention in infancy and at 3 years of age. Electrophysiological studies on adults suggest that humans are efficient at detecting threat from facial information and tend to grant these signals a priority in access to attention, awareness, and action. The developmental origins of this bias are poorly understood, partly because few studies have examined the emergence of a generalized neural and behavioral response to distinct categories of threat in early childhood. We used event-related potential (ERP) and eye-tracking measures to examine children's early visual responses and overt attentional biases towards multiple exemplars of angry and fearful vs. other (e.g., happy and neutral) faces. A large group of children was assessed longitudinally in infancy (5, 7, or 12 months) and at 3 years of age. The final ERP dataset included 148 infants and 132 3-year-old children; and the final eye-tracking dataset included 272 infants and 334 3-year-olds. We demonstrate that 1) neural and behavioral responses to facial expressions converge on an enhanced response to fearful and angry faces at 3 years of age, with no differentiation between or bias towards one or the other of these expressions, and 2) a support vector machine learning model using data on the early-stage neural responses to threat reliably predicts the duration of overt attentional dwell time for threat-related faces at 3 years. However, we found little within-subject correlation between threat-bias attention in infancy and at 3 years of age. These results provide unique evidence for the early development of a rapid, unified response to two distinct categories of facial expressions with different physical characteristics, but shared threat-related meaning. [ABSTRACT FROM AUTHOR]

TPH2, the rate-limiting enzyme in the synthesis of serotonin, has been connected to several psychiatric outcomes. Its allelic variant, rs4570625, has been found to relate to individual differences in cognitive and emotion regulation during infancy with T-carriers of rs4570625 showing a relatively heightened attention bias for fearful faces. A significant gene-environment interaction was also reported with the T-carriers of mothers with depressive symptoms showing the highest fear bias. We investigated these associations in a sample of 8-month old infants (N = 330), whose mothers were prescreened for low/high levels of prenatal depressive and/or anxiety symptoms. Attention disengagement from emotional faces (neutral, happy, fearful, and phase-scrambled control faces) to distractors was assessed with eye tracking and an overlap paradigm. Maternal depressive symptoms were assessed at several time points during pregnancy and postpartum. The mean levels of symptoms at six months postpartum and the trajectories of symptoms from early pregnancy until six months postpartum were used in the analyses (N = 274). No main effect of the rs4570625 genotype on attention disengagement was found. The difference in fear bias between the genotypes was significant but in an opposite direction compared to a previous study. The results regarding the interaction of the genotype and maternal depression were not in accordance with the previous studies. These results show inconsistencies in the effects of the rs4570625 genotype on attention biases in separate samples of infants from the same population with only slight differences in age. [ABSTRACT FROM AUTHOR]

We examined how infants' attentional disengagement from happy, fearful, neutral, and phase-scrambled faces at 8 months, as assessed by eye tracking, is associated with trajectories of maternal depressive symptoms from early pregnancy to 6 months postpartum (decreasing n = 48, increasing n = 34, and consistently low symptom levels n = 280). The sample (mother-infant dyads belonging to a larger FinnBrain Birth Cohort Study) was collected between 5/2013-6/2016. The overall disengagement probability from faces to distractors was not related to maternal depressive symptoms, but fear bias was heightened in infants whose mothers reported decreasing or increasing depressive symptoms. Exacerbated attention to fearful faces in infants of mothers with depressive symptoms may be independent of the timing of the symptoms in the pre- and postnatal stages. [ABSTRACT FROM AUTHOR]

This study examined approach-motivation related brain activity (frontal electroencephalogram [EEG] asymmetry) in response to direct and averted gaze in 3- to 6-year-old typically developing (TD) children, children with autism spectrum disorder (ASD), and those with intellectual disability (ID). We found that, in TD children, direct gaze elicited greater approach-related frontal EEG activity than did downcast gaze. This pattern of activity was in contrast to that observed in children with ASD, who showed greater approach-related activity in response to downcast gaze than to direct gaze. ID children did not differ in their responses to different gaze conditions. These findings indicate that another person's direct gaze does not elicit approach-motivation related brain activity in young children with ASD. [ABSTRACT FROM AUTHOR]

Most infants exhibit an attentional bias for faces and fearful facial expressions. These biases reduce toward the third year of life, but little is known about the development of the biases beyond early childhood. We used the same methodology longitudinally to assess attention disengagement patterns from nonface control pictures and faces (neutral, happy, and fearful expressions) in a large sample of children at 8, 30, and 60 months (N = 389/393/492, respectively; N = 72 for data in all three assessment; girls > 45.3% in each assessment). "Face bias" was measured as a difference in disengagement probability (DP) from faces (neutral/happy) versus nonface patterns. "Fear bias" was calculated as a difference in DP for fearful versus happy/neutral faces. At group level, DPs followed a nonlinear longitudinal trajectory in all face conditions, being lowest at 8 months, highest at 30 months, and intermediate at 60 months. Face bias declined between 8 and 30 months, but did not change between 30 and 60 months. Fear bias declined linearly from 8 to 60 months. Individual differences in disengagement were generally not stable across age, but weak correlations were found in face bias between 8- and 60-month, and in DPs between 30- and 60-month (rs = .22-.41). The results suggest that prioritized attention to faces--that is, a hallmark of infant cognition and a key aspect of human social behavior--follows a nonlinear trajectory in early childhood and may have only weak continuity from infancy to mid childhood. [ABSTRACT FROM AUTHOR]

Several recent studies have begun to examine the neurocognitive mechanisms involved in perceiving and responding to eye contact, a salient social signal of interest and readiness for interaction. Laboratory experiments measuring observers' responses to pictorial instead of live eye gaze cues may, however, only vaguely approximate the real-life affective significance of gaze direction cues. To take this into account, we measured event-related brain potentials and subjective affective responses in healthy adults while viewing live faces with a neutral expression through an electronic shutter and faces as pictures on a computer screen. Direct gaze elicited greater face-sensitive N170 amplitudes and early posterior negativity potentials than averted gaze or closed eyes, but only in the live condition. The results show that early-stage processing of facial information is enhanced by another person's direct gaze when the person is faced live. We propose that seeing a live face with a direct gaze is processed more intensely than a face with averted gaze or closed eyes, as the direct gaze is capable of intensifying the feeling of being the target of the other's interest and intentions. These results may have implications for the use of pictorial stimuli in the social cognition studies. [ABSTRACT FROM PUBLISHER]

Aflatoxin B1 (AFB1), a common dietary contaminant, is a major risk factor of hepatocellular carcinoma (HCC). Early onset of HCC in some countries in Africa and South-East Asia indicates the importance of early life exposure. Placenta is the primary route for various compounds, both nutrients and toxins, from the mother to the fetal circulation. Furthermore, placenta contains enzymes for xenobiotic metabolism. AFB1, AFB1-metabolites, and AFB1-albumin adducts have been detected in cord blood of babies after maternal exposure during pregnancy. However, the role that the placenta plays in the transfer and metabolism of AFB1 is not clear. In this study, placental transfer and metabolism of AFB1 were investigated in human placental perfusions and in in vitro studies. Eight human placentas were perfused with 0.5 or 5μM AFB1 for 2–4 h. In vitro incubations with placental microsomal and cytosolic proteins from eight additional placentas were also conducted. Our results from placental perfusions provide the first direct evidence of the actual transfer of AFB1 and its metabolism to aflatoxicol (AFL) by human placenta. In vitro incubations with placental cytosolic fraction confirmed the capacity of human placenta to form AFL. AFL was the only metabolite detected in both perfusions and in vitro incubations. Since AFL is less mutagenic, but putatively as carcinogenic as AFB1, the formation of AFL may not protect the fetus from the toxicity of AFB1. [ABSTRACT FROM PUBLISHER]

Maternal responses to infant facial expressions were examined in two socioeconomically diverse samples of South African mothers (Study I, N = 111; and Study II, N = 214; age: 17–44 years) using pupil and gaze tracking. Study I showed increased pupil response to infant distress expressions in groups recruited from private as compared to public maternity clinics, possibly reflecting underlying differences in socioeconomic status (SES) across the groups. Study II, sampling uniformly low‐SES neighborhoods, found increased pupil dilation and faster orientation to expressions of infant distress, but only in the highest income group. These results are consistent with maternal physiological and attentional sensitivity to infant distress cues but challenge the universality of this sensitivity across socioeconomic diversity. [ABSTRACT FROM AUTHOR]

Theoretical and empirical considerations suggest that individual differences in infant visual attention correlate with variations in cognitive skills later in childhood. Here we tested this hypothesis in infants from rural Malawi (n = 198–377, depending on analysis), who were assessed with eye tracking tests of visual orienting, anticipatory looks, and attention to faces at 9 months, and more conventional tests of cognitive control (A-not-B), motor, language, and socioemotional development at 18 months. The results showed no associations between measures of infant attention at 9 months and cognitive skills at 18 months, either in analyses linking infant visual orienting with broad cognitive outcomes or analyses linking specific constructs between the two time points (i.e., switching of anticipatory looks and manual reaching responses), as correlations varied between -0.08 and 0.14. Measures of physical growth, and family socioeconomic characteristics were also not correlated with cognitive outcomes at 18 months in the current sample (correlations between -0.10 and 0.19). The results do not support the use of the current tests of infant visual attention as a predictive tool for 18-month-old infants' cognitive skills in the Malawian setting. The results are discussed in light of the potential limitations of the employed infant tests as well as potentially unique characteristics of early cognitive development in low-resource settings. [ABSTRACT FROM AUTHOR]

Infants have a strong tendency to look at faces. We examined individual variations in this attentional bias in 7‐month‐old infants by using a face‐distractor competition paradigm and tested in a longitudinal sample whether these variations were associated with outcomes reflecting social behavior at 24 and 48 months of age (i.e., spontaneous helping, emotion understanding, mentalizing, and callous‐unemotional traits; N = 100–138). The results showed a robust and distinct attention bias to faces at 7 months, particularly when faces were displaying a fearful expression. This bias declined between 7 and 24 months and there were no significant correlations in attention dwell times between 7 and 24 months of age. Variations in attention to faces at 7 months were not associated with emotion understanding or mentalizing abilities at 48 months of age, but increased attention to faces at 7 months (regardless of facial expression) was related to more frequent helping responses at 24 months and reduced callous‐unemotional traits at 48 months of age. Thus, while the results fail to associate infants' face bias with later‐emerging emotion understanding and mentalizing capacities, they are consistent with a model whereby increased attention to faces in infancy is linked with the development of affective empathy and responsivity to others' needs. At 7 months, infants showed a robust attention bias to faces, particularly fearful faces, but this bias declined markedly from 7 to 24 months of age. Individual differences in attention to faces at 7 months were associated with spontaneous helping at 24 months and callous‐unemotional traits at 48 months of age, suggesting that increased attention to faces in infancy is related to the development of affective empathy and responsivity to others' needs. [ABSTRACT FROM AUTHOR]

Background: Human parental care relies heavily on the ability to monitor and respond to a child's affective states. The current study examined pupil diameter as a potential physiological index of mothers' affective response to infant facial expressions. Methods: Pupillary time-series were measured from 86 mothers of young infants in response to an array of photographic infant faces falling into four emotive categories based on valence (positive vs. negative) and arousal (mild vs. strong). Results: Pupil dilation was highly sensitive to the valence of facial expressions, being larger for negative vs. positive facial expressions. A separate control experiment with luminance-matched non-face stimuli indicated that the valence effect was specific to facial expressions and cannot be explained by luminance confounds. Pupil response was not sensitive to the arousal level of facial expressions. Conclusions: The results show the feasibility of using pupil diameter as a marker of mothers' affective responses to ecologically valid infant stimuli and point to a particularly prompt maternal response to infant distress cues. [ABSTRACT FROM AUTHOR]

Introduction Prenatal antiepileptic drug (AED) exposure is associated with an increased risk of cognitive impairment and autism spectrum disorders detected mainly at the age of two to six years. We examined whether the developmental aberrations associated with prenatal AED exposure could be detected already in infancy and whether effects on visual attention can be observed at this early age. Material and methods We compared a prospective cohort of infants with in utero exposure to AED (n = 56) with infants without drug exposures (n = 62). The assessments performed at the age of seven months included standardized neurodevelopmental scores (Griffiths Mental Developmental Scale and Hammersmith Infant Neurological Examination) as well as a novel eye-tracking-based test for visual attention and orienting to faces. Background information included prospective collection of AED exposure data, pregnancy outcome, neuropsychological evaluation of the mothers, and information on maternal epilepsy type. Results Carbamazepine, oxcarbazepine, and valproate, but not lamotrigine or levetiracetam, were associated with impaired early language abilities at the age of seven months. The general speed of visuospatial orienting or attentional bias for faces measured by eye-tracker-based tests did not differ between AED-exposed and control infants. Discussion Our findings support the idea that prenatal AED exposure may impair verbal abilities, and this effect may be detected already in infancy. In contrast, the early development of attention to faces was spared after in utero AED exposure. [ABSTRACT FROM AUTHOR]

To investigate potential infant-related antecedents characterizing later attachment security, this study tested whether attention to facial expressions, assessed with an eye-tracking paradigm at 7 months of age (N = 73), predicted infant-mother attachment in the Strange Situation Procedure at 14 months. Attention to fearful faces at 7 months predicted attachment security, with a smaller attentional bias to fearful expressions associated with insecure attachment. Attachment disorganization in particular was linked to an absence of the age-typical attentional bias to fear. These data provide the first evidence linking infants' attentional bias to negative facial expressions with attachment formation and suggest reduced sensitivity to facial expressions of negative emotion as a testable trait that could link attachment disorganization with later behavioral outcomes. [ABSTRACT FROM AUTHOR]

To investigate potential infant-related antecedents characterizing later attachment security, this study tested whether attention to facial expressions, assessed with an eye-tracking paradigm at 7 months of age ( N = 73), predicted infant-mother attachment in the Strange Situation Procedure at 14 months. Attention to fearful faces at 7 months predicted attachment security, with a smaller attentional bias to fearful expressions associated with insecure attachment. Attachment disorganization in particular was linked to an absence of the age-typical attentional bias to fear. These data provide the first evidence linking infants' attentional bias to negative facial expressions with attachment formation and suggest reduced sensitivity to facial expressions of negative emotion as a testable trait that could link attachment disorganization with later behavioral outcomes. [ABSTRACT FROM AUTHOR]

Background: Cross-species evidence suggests that genetic and experiential factors act early in development to establish individual emotional traits, but little is known about the mechanisms that emerge during this period to mediate long-term outcomes. Here, we tested the hypothesis that known genetic and environmental risk conditions may heighten infants' natural tendency to attend to threat-alerting stimuli, resulting in a cognitive bias that may contribute to emotional vulnerability. Methods: Data from two samples of 5-7-month-old infants (N = 139) were used to examine whether established candidate variations in the serotonin-system genes, i.e., TPH2 SNP rs4570625 (-703 G/T) and HTR1A SNP rs6295 (-1019 G/C), and early rearing condition (maternal stress and depressive symptoms) are associated with alterations in infants' attention to facial expressions. Infants were tested with a paradigm that assesses the ability to disengage attention from a centrally presented stimulus (a nonface control stimulus or a neutral, happy, or fearful facial expression) toward the location of a new stimulus in the visual periphery (a geometric shape). Results: TPH2 -703 T-carrier genotype (i.e., TT homozygotes and heterozygotes), presence of maternal stress and depressive symptoms, and a combination of the T-carrier genotype and maternal depressive symptoms were associated with a relatively greater difficulty disengaging attention from fearful facial expressions. No associations were found with infants' temperamental traits. Conclusions: Alterations in infants' natural attentional bias toward fearful facial expressions may emerge prior to the manifestation of emotional and social behaviors and provide a sensitive marker of early emotional development. [ABSTRACT FROM AUTHOR]

Biases in attention towards facial cues during infancy may have an important role in the development of social brain networks. The current study used a longitudinal design to examine the stability of infants' attentional biases towards facial expressions and to elucidate how these biases relate to emerging cortical sensitivity to facial expressions. Event-related potential (ERP) and attention disengagement data were acquired in response to the presentation of fearful, happy, neutral, and phase-scrambled face stimuli from the same infants at 5 and 7 months of age. The tendency to disengage from faces was highly consistent across both ages. However, the modulation of this behavior by fearful facial expressions was uncorrelated between 5 and 7 months. In the ERP data, fear-sensitive activity was observed over posterior scalp regions, starting at the latency of the N290 wave. The scalp distribution of this sensitivity to fear in ERPs was dissociable from the topography of face-sensitive modulation within the same latency range. While attentional bias scores were independent of co-registered ERPs, attention bias towards fearful faces at 5 months of age predicted the fear-sensitivity in ERPs at 7 months of age. The current results suggest that the attention bias towards fear could be involved in the developmental tuning of cortical networks for social signals of emotion. [ABSTRACT FROM AUTHOR]

Objective: To develop new standardized eye tracking based measures and metrics for infants’ gaze dynamics in the face-distractor competition paradigm. Method: Eye tracking data were collected from two samples of healthy 7-month-old (total n = 45), as well as one sample of 5-month-old infants (n = 22) in a paradigm with a picture of a face or a non-face pattern as a central stimulus, and a geometric shape as a lateral stimulus. The data were analyzed by using conventional measures of infants’ initial disengagement from the central to the lateral stimulus (i.e., saccadic reaction time and probability) and, additionally, novel measures reflecting infants gaze dynamics after the initial disengagement (i.e., cumulative allocation of attention to the central vs. peripheral stimulus). Results: The results showed that the initial saccade away from the centrally presented stimulus is followed by a rapid re-engagement of attention with the central stimulus, leading to cumulative preference for the central stimulus over the lateral stimulus over time. This pattern tended to be stronger for salient facial expressions as compared to non-face patterns, was replicable across two independent samples of 7-month-old infants, and differentiated between 7 and 5 month-old infants. Conclusion: The results suggest that eye tracking based assessments of infants’ cumulative preference for faces over time can be readily parameterized and standardized, and may provide valuable techniques for future studies examining normative developmental changes in preference for social signals. Significance: Standardized measures of early developing face preferences may have potential to become surrogate biomarkers of neurocognitive and social development. [ABSTRACT FROM AUTHOR]

Several studies have shown that at 7 months of age, infants display an attentional bias toward fearful facial expressions. In this study, we analyzed visual attention and heart rate data from a cross-sectional study with 5-, 7-, 9-, and 11-month-old infants (Experiment 1) and visual attention from a longitudinal study with 5- and 7-month-old infants (Experiment 2) to examine the emergence and stability of the attentional bias to fearful facial expressions. In both experiments, the attentional bias to fearful faces appeared to emerge between 5 and 7 months of age: 5-month-olds did not show a difference in disengaging attention from fearful and nonfearful faces, whereas 7- and 9-month-old infants had a lower probability of disengaging attention from fearful than nonfearful faces. Across the age groups, heart rate (HR) data (Experiment 1) showed a more pronounced and longer-lasting HR deceleration to fearful than nonfearful expressions. The results are discussed in relation to the development of the perception and experience of fear and the interaction between emotional and attentional processes. [ABSTRACT FROM AUTHOR]

Infants are slower to disengage from faces than non-face patterns when distracted by novel competing stimuli. While this perceptual predilection for faces is well documented, its universality and mechanisms in relation to other aspects of attention are poorly understood. We analysed attention disengagement times for faces and non-face patterns in a large sample of 6-to 9-month-old infants (N = 637), pooled from eye tracking studies in socioculturally diverse settings (Finland, Malawi, South Africa). Disengagement times were classified into distinct groups of quick and delayed/censored responses by unsupervised clustering. Delayed disengagement was frequent for faces (52.1% of trials), but almost negligible for patterns (3.9% of trials) in all populations. The magnitude of this attentional bias varied by individuals, whereas the impact of situational factors and facial expression was small. Individual variations in disengagement from faces were moderately stable within testing sessions and independent from variations in disengagement times for patterns. These results point to a fundamental dissociation of face and pattern processing in infants and demonstrate that the bias for faces can be robust against distractors and habituation. The results raise the possibility that attention to faces varies as an independent, early-emerging social trait in populations. [ABSTRACT FROM AUTHOR]

Eye tracking research has shown that infants develop a repertoire of attentional capacities during the first year. The majority of studies examining the early development of attention comes from Western, high‐resource countries. We examined visual attention in a heterogeneous sample of infants in rural Malawi (N = 312–376, depending on analysis). Infants were assessed with eye‐tracking‐based tests that targeted visual orienting, anticipatory looking, and attention to faces at 7 and 9 months. Consistent with prior research, infants exhibited active visual search for salient visual targets, anticipatory saccades to predictable events, and a robust attentional bias for happy and fearful faces. Individual variations in these processes had low to moderate odd‐even split‐half and test‐retest reliability. There were no consistent associations between attention measures and gestational age, nutritional status, or characteristics of the rearing environment (i.e., maternal cognition, psychosocial well‐being, socioeconomic status, and care practices). The results replicate infants' early attentional biases in a large, unique sample, and suggest that some of these biases (e.g., bias for faces) are pronounced in low‐resource settings. The results provided no evidence that the initial manifestation of infants' attentional capacities is associated with risk factors that are common in low‐resource environments. [ABSTRACT FROM AUTHOR]

Background: It is unclear why children with autism spectrum disorders (ASD) tend to be inattentive to, or even avoid eye contact. The goal of this study was to investigate affective-motivational brain responses to direct gaze in children with ASD. To this end, we combined two measurements: skin conductance responses (SCR), a robust arousal measure, and asymmetry in frontal electroencephalography (EEG) activity which is associated with motivational approach and avoidance tendencies. We also explored whether degree of eye openness and face familiarity modulated these responses. Methods: Skin conductance responses and frontal EEG activity were recorded from 14 children with ASD and 15 typically developing children whilst they looked at familiar and unfamiliar faces with eyes shut, normally open or wide-open. Stimuli were presented in such a way that they appeared to be looming towards the children. Results: In typically developing children, there were no significant differences in SCRs between the different eye conditions, whereas in the ASD group the SCRs were attenuated to faces with closed eyes and increased as a function of the degree of eye openness. In both groups, familiar faces elicited marginally greater SCRs than unfamiliar faces. In typically developing children, normally open eyes elicited greater relative left-sided frontal EEG activity (associated with motivational approach) than shut eyes and wide-open eyes. In the ASD group, there were no significant differences between the gaze conditions in frontal EEG activity. Conclusions: Collectively, the results replicate previous finding in showing atypical modulation of arousal in response to direct gaze in children with ASD but do not support the assumption that this response is associated with an avoidant motivational tendency. Instead, children with ASD may lack normative approach-related motivational response to eye contact. [ABSTRACT FROM AUTHOR]