Neurocognitive functioning in adolescents with autism spectrum disorder.
Higher-functioning ASD teens talk well yet stumble on auditory attention, facial memory, and visuomotor tasks—screen all three.
01Research in Context
What this study did
Reinvall et al. (2013) gave a full neurocognitive battery to higher-functioning teens with autism and to matched controls.
They tested verbal IQ, auditory attention, facial memory, and visuomotor speed.
What they found
The ASD teens scored higher on verbal reasoning but lower on auditory attention, facial memory, and visuomotor skills.
Strength in one area did not protect against weakness in others.
How this fits with other research
Kenny et al. (2022) extends the story: when executive-function tasks are open-ended, the gap between ASD and control teens widens.
Goulardins et al. (2013) conceptually replicates the facial weakness using eye-tracking and brain waves, showing less neural emotion discrimination.
Wojcik et al. (2014) seems to contradict the target by finding intact metacognition in similar teens. The clash fades when you see the tasks tap different EF sub-skills: planning vs. self-monitoring.
Why it matters
Do not trust strong verbal scores to mean “all is fine.” Add quick checks for auditory attention, facial memory, and visuomotor speed to every teen ASD assessment. These weak spots are easy to miss and can masquerade as “not listening” or “poor eye contact.”
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02At a glance
03Original abstract
There is a paucity of research studying comprehensive neurocognitive profiles of adolescents with higher functioning autism spectrum disorders (ASD). This study compared the neurocognitive profiles of higher functioning adolescents with ASD (n = 30, mean age 13.5) with that of typically developing adolescents (n = 30; mean age 13.7). Adolescents with ASD demonstrated a significantly higher mean Verbal Intelligence Quotient compared to the standardized mean. However, the ASD group had significantly lower scores than the control group on the subtests Auditory Attention and Response Set, Memory for Faces, Visuomotor Precision, and Design Copying. Thus, particular strengths were seen in verbal reasoning, while weaknesses were observed in auditory attention, facial recognition memory, and visuomotor functions in adolescents with ASD.
Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1692-8