Early executive functioning predicts externalizing problems in neurodiverse preschoolers
Katherine All1, Katarzyna Chawarska1, Suzanne L Macari1
1Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA.
Summary
Early executive functioning deficits predict externalizing problems in young autistic children. However, this link weakens as autism symptom severity increases, highlighting the need for tailored interventions.
Area of Science:
- Neurodevelopmental Disorders
- Child Psychology
- Autism Spectrum Disorder Research
Background:
- Externalizing problems in children with autism spectrum disorder (ASD) are linked to anxiety, depression, peer rejection, and parental stress.
- Early identification of predictors for externalizing behaviors in ASD is crucial for timely interventions.
- While executive functioning, social functioning, and temperament predict externalizing problems in the general population, their role in neurodiverse children, especially in early preschool years, is less understood.
Purpose of the Study:
- To investigate the relationship between executive functioning, social functioning, and temperament at age 3 and externalizing problems at age 5 in neurodiverse children.
- To identify early predictors of externalizing behaviors in children with ASD and other neurodevelopmental disorders.
Main Methods:
- Assessed executive functioning, social functioning, and temperament in a sample of neurodiverse children at age 3.
- Evaluated externalizing problems in the same children at age 5.
- Analyzed the predictive relationship between early functioning measures and later externalizing problems, considering autism symptom severity.
Main Results:
- Severity of executive functioning impairment at age 3 significantly predicted increased externalizing problems at age 5.
- The relationship between executive functioning and externalizing problems was moderated by the severity of social autism symptoms.
- The predictive effect of executive functioning on externalizing problems diminished as the severity of autism symptoms increased.
Conclusions:
- Executive functioning is a key target for early identification and intervention strategies for externalizing problems in neurodiverse children.
- The severity of autism symptoms must be considered when examining the development of externalizing problems in children with neurodevelopmental disorders.
- Findings underscore the importance of a nuanced approach to understanding and addressing behavioral challenges in children with ASD.
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