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Updated: Apr 20, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Increasing adaptive behavior skill deficits from childhood to adolescence in autism spectrum disorder: role of
Cara E Pugliese1, Laura Anthony, John F Strang
1Division of Neuropsychology, Center for Autism Spectrum Disorders, Children's National Health System, Rockville, MD, USA, CPuglies@childrensnational.org.
Abstract:
Almost half of all children with autism spectrum disorder have average cognitive abilities, yet outcome remains poor. Because outcome in HFASD is more related to adaptive behavior skills than cognitive level it is important to identify predictors of adaptive behavior. This study examines cognitive and demographic factors related to adaptive behavior, with specific attention to the role of executive function (EF) in youth with HFASD aged 4-23. There was a negative relationship between age and adaptive behavior and the discrepancy between IQ and adaptive behavior increased with age. EF problems contributed to lower adaptive behavior scores across domains. As such, it is important to target adaptive skills, and the EF problems that may contribute to them, in youth with HFASD.
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