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Adaptive skills and executive function in autism spectrum disorders
Lisa Gilotty1, Lauren Kenworthy, Lisa Sirian
1Department of Pediatrics, Division of Psychology, Children's National Medical Center, Washington, DC 20009, USA. lgilotty@cnmc.org
Summary
Executive dysfunction in autism spectrum disorder (ASD) is linked to challenges in daily life. Impaired executive abilities, like initiation and working memory, correlate with difficulties in adaptive behavior for children with ASD.
Area of Science:
- Neurodevelopmental Disorders
- Cognitive Psychology
Background:
- Executive dysfunction is a debated characteristic of autism spectrum disorder (ASD).
- Previous research has not consistently linked executive function deficits to everyday behavioral impairments in ASD.
Purpose of the Study:
- To investigate the relationship between executive abilities and adaptive behavior in children with ASD.
- To determine if specific executive function deficits correlate with daily functioning challenges.
Main Methods:
- Utilized parent-reported data from 35 children diagnosed with ASD.
- Employed the Vineland Adaptive Behavior Scales (VABS) and the Behavior Rating Inventory of Executive Function (BRIEF) to assess functioning.
- Analyzed correlations between executive functioning domains and adaptive behavior domains.
Main Results:
- Negative correlations were found between the Initiation and Working Memory domains of executive function and most adaptive behavior domains.
- Communication and Socialization domains of the VABS showed negative correlations with several executive functioning areas.
- Executive ability impairments are strongly associated with deficits in communication, play, and social relationships in children with autism.
Conclusions:
- Executive function deficits, particularly in initiation and working memory, significantly impact adaptive behavior in children with ASD.
- Impaired executive abilities are closely linked to core ASD challenges in communication and social interaction.
- Findings highlight the importance of addressing executive function in interventions for ASD to improve daily living skills.