Assessment & Research

Neurocognitive functioning in adolescents with autism spectrum disorder.

Reinvall et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Higher-functioning ASD teens talk well yet stumble on auditory attention, facial memory, and visuomotor tasks—screen all three.

✓ Read this if BCBAs assessing higher-functioning teens with autism in clinic or school.
✗ Skip if Practitioners working only with adults or non-verbal children.

01Research in Context

01

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.

02

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.

03

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.

04

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

Intervention
not applicable
Design
quasi experimental
Sample size
60
Population
autism spectrum disorder, neurotypical
Finding
mixed

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