Assessment & Research

Autism Spectrum Traits Linked with Reduced Performance on Self-Report Behavioural Measures of Cognitive Flexibility.

Albein-Urios et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Self-report flexibility scales reveal autism-linked rigidity that neat lab tasks overlook in young adults.

✓ Read this if BCBAs writing adult or teen assessments who want cheap, sensitive flexibility screens.
✗ Skip if Clinicians only serving young children or those who already rely on caregiver reports.

01Research in Context

01

What this study did

Albein-Urios et al. (2018) asked college-age adults without an autism diagnosis to fill out two questionnaires. One measured autism traits. The other measured everyday cognitive flexibility.

Then the team ran short lab games that also test flexibility. They wanted to see if people with more autism traits scored worse on either measure.

02

What they found

People with higher autism-trait scores said they had more trouble switching plans, coping with change, and coming up with new ideas.

Yet those same people did fine on the quick lab games. The paper shows self-report tools catch problems that five-minute computer tasks miss.

03

How this fits with other research

Karaca et al. (2026) pooled 42 studies and found flexibility is the weakest executive skill in autistic adults. Natalia’s work lines up: flexibility flags show up even in non-autistic people who simply have more autism traits.

Lacroix et al. (2022) also saw flexibility gaps only when rule shifts were hidden and emotional. Together these papers warn that sterile, predictable lab tasks can hide real-life rigidity.

Strang et al. (2017) built the Flexibility Scale used here. Natalia’s team proves the scale works beyond clinical kids; it picks up subtle trait differences in typical young adults.

04

Why it matters

If you assess teens or adults for flexibility, add a short self-report scale to your battery. Quick computer tests may look normal and still miss the daily rigidity clients and families complain about. Pair both measures and you will have a fuller picture for goal setting and intervention planning.

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Hand the 20-item Flexibility Scale to your next adult client before session and compare the score with their Stroop or WCST results.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
neurotypical
Finding
negative
Magnitude
small

03Original abstract

Deficits in cognitive flexibility are thought to underpin the core symptom of repetitive and restricted patterns of behaviour in autism spectrum disorder (ASD). Studies investigating this relationship, however, report inconsistent results. This is partly due to the variable nature of measures used to assess the construct of flexibility. The main purpose of this study was to investigate whether ASD traits differentially predict cognitive flexibility performance on lab-based neurocognitive measures relative to behavioural self-reports in a non-clinical sample of young adults. Our results indicate that ASD traits exclusively predict performance on behavioural self-reports of cognitive flexibility. These findings highlight the possibility that behavioural self-reports are a better index than lab-based neurocognitive measures to capture cognitive flexibility impairments in individuals with ASD.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-018-3503-3