Assessment & Research

Positive Affect Processing and Joint Attention in Infants at High Risk for Autism: An Exploratory Study.

Key et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Weak brain reactions to quiet smiles at nine months hint that a baby may struggle with shared attention later.

✓ Read this if BCBAs who screen infants with an older autistic sibling.
✗ Skip if Clinicians only serving verbal school-age clients.

01Research in Context

01

What this study did

The team measured brain waves in babies who have an older sibling with autism. These high-risk infants watched happy faces while wearing a soft EEG cap at nine months old. The researchers also tracked how well each baby later shared attention with an adult at 12 months.

02

What they found

Babies who later showed poor joint attention had weaker brain responses to subtle smiles. The difference appeared only for quiet, not broad, happy faces. The result is exploratory but points to early emotion processing as a red flag.

03

How this fits with other research

Lifshitz et al. (2014) saw the same risk group smile less during shared play. Their study used live toys, while P et al. used faces on a screen. The two papers agree: less positive affect in infancy links to later social trouble.

Lin et al. (2026) went further. They watched real-time parent-baby games and found low affective synchrony beat gaze alone at predicting autism. Their work widens the lens from single faces to whole social dances.

van Noordt et al. (2022) also recorded infant EEG, but they tracked theta rhythm consistency. Both labs show atypical brain reactions to faces forecast diagnosis, strengthening the neural marker idea.

04

Why it matters

You can’t give a nine-month-old an autism test, but you can watch how they react to a smile. If the baby seems uninterested, flag the file and schedule extra social games. Pair this check with parent coaching on joyful turn-taking. Early joy builds joint attention, and joint attention builds language.

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Show a gentle happy face during play and watch for the baby’s quick smile-back; if absent twice, note it and weave more affect-rich turn-taking into parent training.

02At a glance

Intervention
not applicable
Design
other
Sample size
31
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Few behavioral indices of risk for autism spectrum disorders (ASD) are present before 12 months, and potential biomarkers remain largely unexamined. This prospective study of infant siblings of children with ASD (n = 16) and low-risk comparison infants (n = 15) examined group differences in event-related potentials (ERPs) indexing processing of facial positive affect (N290/P400, Nc) at 9 months and their relation to joint attention at 15 months. Group differences were most pronounced for subtle facial expressions, in that the low-risk group exhibited relatively longer processing (P400 latency) and greater attention resource allocation (Nc amplitude). Exploratory analyses found associations between ERP responses and later joint attention, suggesting that attention to positive affect cues may support the development of other social competencies.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-014-2191-x