Silvia Annunziata , Gabriele Fassina , Michelle Brivio , Laura Santos , Emilia Ambrosini , Paolo Meriggi , Paola Molina , Alessandra Pedrocchi , Anna Cavallini
{"title":"Are social robots more interesting than humans? Quantitative assessment of Joint Attention in autistic and typically developing children","authors":"Silvia Annunziata , Gabriele Fassina , Michelle Brivio , Laura Santos , Emilia Ambrosini , Paolo Meriggi , Paola Molina , Alessandra Pedrocchi , Anna Cavallini","doi":"10.1016/j.ajp.2025.104796","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Autism Spectrum Disorder (ASD) is characterized by deficits in social interaction and communication, including joint attention (JA) impairment. This observational case-control study explores quantitative JA metrics in ASD preschool-aged children and typically-developing (TD) toddlers, interacting with both a human agent and a social robot.</div></div><div><h3>Material and methods</h3><div>Ten ASD and sixteen Typically Developing (TD) children, matched for developmental age, participated completing two JA tasks of the “Échelle par la Communication Sociale Precoce”(ECSP)-Gaze Following and Object Spectacle-administered by both a human (ECSP-H) and a social robot NAO (ECSP-R). A Kinect Azure Camera was used to track children's gaze and five performance indicators were defined to quantify JA-related behaviors: Number of Responses to JA, Time Latency to response and Fixation Time, both towards robot and human agent.</div></div><div><h3>Results</h3><div>Significant group differences emerged in responsiveness to social cues, particularly in the Gaze Following task. TD children responded more consistently to human prompts (p = 0.01) and showed greater visual interest in the human agent in both ECSP-H (p < 0.01) and ECSP-R (p = 0.02) conditions. In contrast, percentage of fixations on the robot was comparable across groups.</div></div><div><h3>Discussion</h3><div>This study introduces unobtrusive, gaze-based quantitative measures to assess joint attention in ASD. Significant differences between ASD and TD groups suggest that children with ASD exhibited greater attentional preference to the robot agent, giving potential for these metrics in distinguishing attentional patterns in these two populations. This feature may nonetheless be clinically relevant, as it may be leveraged to facilitate attention, promote participation, and support robot-assisted therapeutic interventions.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104796"},"PeriodicalIF":4.9000,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian journal of psychiatry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876201825004393","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/12/24 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction
Autism Spectrum Disorder (ASD) is characterized by deficits in social interaction and communication, including joint attention (JA) impairment. This observational case-control study explores quantitative JA metrics in ASD preschool-aged children and typically-developing (TD) toddlers, interacting with both a human agent and a social robot.
Material and methods
Ten ASD and sixteen Typically Developing (TD) children, matched for developmental age, participated completing two JA tasks of the “Échelle par la Communication Sociale Precoce”(ECSP)-Gaze Following and Object Spectacle-administered by both a human (ECSP-H) and a social robot NAO (ECSP-R). A Kinect Azure Camera was used to track children's gaze and five performance indicators were defined to quantify JA-related behaviors: Number of Responses to JA, Time Latency to response and Fixation Time, both towards robot and human agent.
Results
Significant group differences emerged in responsiveness to social cues, particularly in the Gaze Following task. TD children responded more consistently to human prompts (p = 0.01) and showed greater visual interest in the human agent in both ECSP-H (p < 0.01) and ECSP-R (p = 0.02) conditions. In contrast, percentage of fixations on the robot was comparable across groups.
Discussion
This study introduces unobtrusive, gaze-based quantitative measures to assess joint attention in ASD. Significant differences between ASD and TD groups suggest that children with ASD exhibited greater attentional preference to the robot agent, giving potential for these metrics in distinguishing attentional patterns in these two populations. This feature may nonetheless be clinically relevant, as it may be leveraged to facilitate attention, promote participation, and support robot-assisted therapeutic interventions.
自闭症谱系障碍(Autism Spectrum Disorder, ASD)以社会互动和沟通缺陷为特征,包括共同注意缺陷(joint attention, JA)。这项观察性病例对照研究探讨了ASD学龄前儿童和典型发育(TD)幼儿与人类代理人和社交机器人互动的定量JA指标。材料和方法:10名ASD儿童和16名正常发育儿童(TD),符合发育年龄,参与完成“Échelle par la Communication social Precoce”(ECSP)的两个JA任务-凝视跟随和物体观察-由人类(ECSP- h)和社交机器人NAO (ECSP- r)管理。使用Kinect Azure摄像头跟踪儿童的目光,并定义了五个性能指标来量化与JA相关的行为:对JA的反应次数,反应的时间延迟和注视时间,包括机器人和人类代理。结果:在对社会线索的反应上出现了显著的组间差异,特别是在凝视跟随任务中。TD儿童对人类提示的反应更一致(p = 0.01),并且在ECSP-H中对人类媒介表现出更大的视觉兴趣(p )。讨论:本研究引入了不引人注目的、基于凝视的定量测量来评估ASD的联合注意力。ASD和TD组之间的显著差异表明,ASD儿童对机器人代理表现出更大的注意力偏好,这为区分这两个人群的注意力模式提供了这些指标的潜力。尽管如此,这一特征可能具有临床相关性,因为它可以用来促进注意力,促进参与,并支持机器人辅助的治疗干预。
期刊介绍:
The Asian Journal of Psychiatry serves as a comprehensive resource for psychiatrists, mental health clinicians, neurologists, physicians, mental health students, and policymakers. Its goal is to facilitate the exchange of research findings and clinical practices between Asia and the global community. The journal focuses on psychiatric research relevant to Asia, covering preclinical, clinical, service system, and policy development topics. It also highlights the socio-cultural diversity of the region in relation to mental health.