Executive functioning in children with an Autism Spectrum Disorder: can we differentiate within the spectrum?
Executive skills are weaker across autism subtypes, but the subtype label will not tell you which skill to target.
01Research in Context
What this study did
Verté et al. (2006) compared executive-function skills across three autism subtypes.
They tested kids with high-functioning autism, Asperger syndrome, and PDD-NOS.
A control group was also included to see typical performance.
What they found
All three autism groups showed weaker executive skills than the control group.
However, the differences between the autism subtypes were tiny.
In short, you can spot EF trouble, but the label does not tell you how much.
How this fits with other research
Kleinert et al. (2007) ran a near-copy study one year later and saw the same thing.
McGonigle-Chalmers et al. (2010) extended the idea by adding ADHD groups.
They found that kids with Asperger’s had special trouble with emotional control and planning, even when ADHD kids did not.
Hatton et al. (2005) looked earlier and saw only spatial working-memory deficits in autism, not other EF domains.
Together, the papers show that EF is shaky across autism, but the exact weak spot can shift with age or added diagnoses.
Why it matters
Stop trying to pick the perfect program for “Asperger” versus “HFA.”
Instead, give every child a quick EF screen such as the BRIEF.
Target the weak domains you actually see—whether that is planning, working memory, or self-control—and you will be using your time where it counts.
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02At a glance
03Original abstract
The aim of this study was to investigate whether children with high-functioning autism (HFA), Asperger's syndrome (AS), and pervasive developmental disorder not otherwise specified (PDDNOS) can be differentiated from each other and from normal controls on their neurocognitive executive functioning (EF) profile. Children with HFA and AS showed the most EF deficits. The EF profile of the PDDNOS group was more disturbed that the normal control group, but was less disturbed than the profile of the HFA and AS groups. Little difference was found between the three PDD subtypes with respect to EF. This study supports the view that executive dysfunctioning plays an important role in autism. The usefulness of a distinction between different PDD subtypes was not demonstrated.
Journal of autism and developmental disorders, 2006 · doi:10.1007/s10803-006-0074-5