There is growing evidence that preterm children are at an increased risk of poor executive functioning, which underlies behavioural and attention problems. Previous studies have suggested that early cognitive flexibility is a possible predictor of later executive function; however, how it develops in infancy and relates to the later neurobehavioural outcomes is still unclear in the preterm population. Here, we conducted a longitudinal study to investigate oculomotor response shifting in 27 preterm and 25 term infants at 12 months and its relationship with general cognitive development and effortful control, which is a temperamental aspect closely associated with executive function, at 18 months. We found that moderate to late preterm and term infants significantly inhibited previously rewarded look responses, while very preterm infants did not show significant inhibition of perseverative looking at 12 months. Moreover, lower inhibition of perseverative looking was significantly associated with lower general cognitive development and attentional shifting at 18 months. These findings suggest that the early atypical patterns of oculomotor response shifting may be a behavioural marker for predicting a higher risk of negative neurobehavioural outcomes, including attention-related problems in preterm children.

Interoception, that is, the perception of visceral stimuli, is the basis of socio-emotional development. However, no studies have demonstrated the relationship between the two in infants. This study aimed to elucidate the relationship between interoception and social behavior in infants and mothers. Visual preference for cardio-visual synchronous and asynchronous stimuli was assessed using a preferential-looking paradigm in 6-month infants and their mothers. The infant–mother interaction was also measured to assess social behavior, such as eye contact and positive facial expressions. The results showed that infants looked at asynchronous cardio-visual stimuli longer than synchronous cardio-visual stimuli, whereas mothers looked at synchronous cardio-visual stimuli longer than asynchronous cardio-visual stimuli. The proportion of looking time toward asynchronous cardio-visual stimuli in infants was positively correlated with infant–mother gaze and affect (positive facial expression) synchrony. Furthermore, mediation analyses showed that the relationship between infants’ interoception and eye contact behavior is attributable to mother’s positive facial expression. Our findings suggest that in infant–mother interactions, infants’ interoception may play a role in eye contact behavior through the mother's positive facial expression, highlighting the importance of infants’ interoception on social cognitive development.

Interoception (perception of one’s own physiological state) has been suggested to underpin social cognition, although the mechanisms underlying this association remain unclear. The current study aimed to elucidate the relationship between interoception and two factors underlying social cognition: self-other boundary and sensitivity to social cues. We measured performance in a heartbeat perception task as an index of interoceptive accuracy (IAc), the frequency of spontaneous facial mimicry (SFM) as an index of self-other boundary, and the degree of the effect of eye contact on SFM (difference in SFM between conditions in which models’ eyes were directed to and averted from participants) as an index of social-cue sensitivity, and tested correlations among these measures. The results revealed that IAc and SFM were positively correlated only in the direct gaze condition. The extent of the effect of eye contact on SFM (difference in frequency between direct vs. averted conditions) was positively correlated with IAc. These overall findings were also observed in separate analyses of male and female participant groups, supporting the robustness of the findings. The results suggest that interoception is related to sensitivity to social cues, and may also be related to the self-other boundary with modulation by social context.