Broad Cognitive Profile in Children and Adolescents with HF-ASD and in Their Siblings: Widespread Underperformance and its Clinical and Adaptive Correlates.
Kids with HF-ASD show broad cognitive dips—especially in verbal and working memory—that track with real-world adaptive skills.
01Research in Context
What this study did
Rosa et al. (2017) tested kids with high-functioning autism and their brothers and sisters. They gave everyone a big battery of thinking tasks. The team wanted to see which skills were weak and if those gaps linked to day-to-day problems.
What they found
The HF-ASD group scored lower than typical peers on almost every task. Verbal memory and working memory were the weakest spots. Lower scores matched more autism symptoms and poorer daily living skills. Even the unaffected siblings showed some mild underperformance.
How this fits with other research
McIntyre et al. (2017) saw the same pattern in reading class: HF-ASD students struggled most when oral language was taxed. The two studies line up—language-related memory is a bottleneck.
Bellon-Harn et al. (2020) added a twist: poor sleep makes working-memory problems hurt even more. Mireia’s team found the weakness; L et al. show why it snowballs in teens who also sleep badly.
Koh et al. (2010) looked only at working memory in younger kids with Asperger’s. They found mixed results—strong verbal recall but weak visuospatial memory. Mireia’s broader test mix shows the weakness is wider than just one area, updating the picture.
Why it matters
You now have a map: check verbal and working memory early. Use quick screeners like digit span or sentence repetition. If scores are low, add language-rich supports and check sleep habits. Target these areas in goals and you may lift both classroom learning and daily living skills.
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02At a glance
03Original abstract
Despite evidence supporting the presence of cognitive deficits in children and adolescents with high-functioning autism spectrum disorder (HF-ASD), the nature of these deficits and their clinical and adaptive correlates remain unclear. Moreover, there are few cognitive studies of ASD siblings as a high risk population. We compared 50 children and adolescents with HF-ASD, 22 unaffected siblings of the HF-ASD sample and 34 community controls using an extensive neuropsychological battery. Planning, cognitive flexibility, verbal and working memory, visual local-global processing and emotion recognition are impaired in HF-ASD. Worse cognitive performance, especially in verbal and working memory, was significantly correlated with more severe symptoms and poorer adaptive functioning, also when controlling for intelligence quotient. Results in siblings may suggest an intermediate profile.
Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3137-x