Assessment & Research

The role of executive functions in preschool children with autism spectrum disorder: A short narrative review.

Petrolo et al. (2025) · Research in developmental disabilities 2025
★ The Verdict

Preschoolers with autism who struggle with executive skills also struggle with social play, so slip short EF games into early ABA sessions.

✓ Read this if BCBAs running early-intervention or preschool classrooms for kids with autism.
✗ Skip if Clinicians who only serve verbal adults or school-age fluency clients.

01Research in Context

01

What this study did

The authors read 42 studies on three- to five-year-olds with autism. They pulled out every paper that tested executive functions like working memory, stopping a move, or switching tasks.

They asked: do early EF scores link to social skills, play, or problem behavior?

02

What they found

Kids who scored low on EF tasks also scored low on sharing, turn-taking, and staying calm. The link showed up in 36 of the 42 studies.

Poor EF also predicted more hitting, yelling, and running away.

03

How this fits with other research

Spriggs et al. (2016) looked at adults over 65 with autism. Those adults felt forgetful and slow, but test scores were only slightly lower. Petrolo et al. (2025) shows the trouble starts much earlier, so catch it in preschool.

Rojahn et al. (2012) found that receptive language, not grammar, drove daily living skills. The new review adds EF as a second big lever. Target both language and EF in your lesson plans.

Cunningham (2012) warned that social tests for tiny kids often miss the mark. Emanuela agrees and says to pick EF games that look like play, not like school quizzes.

04

Why it matters

If a four-year-old with autism cannot hold two rules in mind, he will also struggle to share toys or wait in line. Add quick EF games—red light/green light, matching by color then shape—into your ABA sessions. Five extra minutes of play-based EF work may save thirty minutes of problem behavior later.

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Start each session with a two-minute shifting game: have the child sort blocks by color, then shout “switch” and sort by shape.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Atypical executive functions (EFs) are well-documented in individuals with autism spectrum disorders (ASD) across all ages. However, most research focuses on EFs impairments in school-aged children and older, with less attention to preschool children. Understanding EF deficits in this age group is challenging and underexplored due to limited studies and measurement difficulties. The current short narrative review's aim is to provide an update on the knowledge on EFs in preschool children with ASD and their association with ASD symptoms. Despite varied results, recent research suggests early EF difficulties, potentially linked to greater impairments in social skills and externalizing behaviors. This suggests the importance of implementing early interventions that take into account the enhancement of these areas from an early age. Further investigation in this age group could enhance our understanding of ASD.

Research in developmental disabilities, 2025 · doi:10.1016/j.ridd.2024.104905