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Executive Functioning and Language in a Pediatric Population with Autism Spectrum Disorders and Epilepsy: A
Alejandro Cano-Villagrasa1,2, Nadia Porcar-Gozalbo1, Isabel López-Chicheri2
1Facultad de Ciencias de la Salud, Universidad Internacional de Valencia, 46002 Valencia, Spain.
Children (Basel, Switzerland)
|March 28, 2024
Summary
Children with autism spectrum disorder (ASD) and epilepsy show significant deficits in executive functions and language skills. This comorbidity negatively impacts development and daily living compared to ASD or epilepsy alone.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatric Neurology
Background:
- Comorbidity of Autism Spectrum Disorder (ASD) and epilepsy is rising in children.
- Children with co-occurring ASD and epilepsy experience more severe executive function and language impairments.
- These deficits hinder development and daily functioning.
Purpose of the Study:
- To compare executive functioning and language skills in children with ASD only, epilepsy only, and co-occurring ASD and epilepsy.
- To investigate the impact of epilepsy on executive and linguistic abilities in children with ASD.
Main Methods:
- Assessed 150 participants across three groups: ASD only, epilepsy only, and co-occurring ASD and epilepsy.
- Utilized Behavior Rating Inventory of Executive Function (BRIEF-2) and ENFEN for executive functions.
- Employed Clinical Evaluation of Language Fundamentals 5 (CELF-5) for language skills.
Main Results:
- Participants with both ASD and epilepsy demonstrated lower executive functioning and language scores than those with only ASD or epilepsy.
- Epilepsy significantly exacerbated executive and linguistic impairments in children with ASD.
Conclusions:
- The comorbidity of ASD and epilepsy presents a significant challenge, leading to greater deficits in executive functions and language.
- Epilepsy negatively affects language acquisition, functionality, and independence in children with ASD.
- Early intervention addressing both conditions is crucial for improving developmental outcomes.
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