Autism & Developmental

Gender Difference in the Association Between Executive Function and Autistic Traits in Typically Developing Children.

Dai et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Even in typical kids, the way executive function links to autism traits is gender-specific, so our tools should be too.

✓ Read this if BCBAs who assess or design interventions for autistic or autism-traits kids in clinic or schools.
✗ Skip if Practitioners working only with severe adult IDD where sex-specific norms are already set.

01Research in Context

01

What this study did

Dai et al. (2019) looked at 413 typical 6- to 9-year-olds. They tested how each child’s executive function related to their level of autistic traits. Then they split the data by gender to see if the link looked the same for boys and girls.

02

What they found

The team found that executive function predicted autistic traits differently for boys and girls. In plain words, the same EF score meant something different depending on the child’s sex. This hints that even in typical kids, the EF-autism link is gender-tuned.

03

How this fits with other research

Amore et al. (2011) saw the same pattern inside autism: only girls with ASD showed a clear stop-signal delay, while boys with ASD looked like typical peers. Meixia’s 2019 data now show the split starts in neurotypical kids, not just in ASD.

Menezes et al. (2025) pushed the idea further into adults. They found sensory hyporeactivity—not hyper—predicts EF trouble, and again the numbers land differently for men and women. The gender-EF link seems to ride the lifespan.

Harrop et al. (2018) used eye-tracking and showed ASD girls kept typical face-looking, while ASD boys did not. Meixia adds a cognitive angle: EF also paints a sex-specific picture, so both social attention and executive control diverge by gender.

04

Why it matters

If the same EF score carries a different autism-risk message for boys and girls, one-size assessment forms will miss girls. You can adjust intake by adding sex-specific EF questions or lowering trait cut-offs for females. Try it next time you screen a bright but anxious girl who “doesn’t look autistic.”

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Add one EF probe scored separately for boys and girls during your next social-skills intake.

02At a glance

Intervention
not applicable
Design
other
Sample size
413
Population
neurotypical
Finding
not reported

03Original abstract

Autistic traits and executive function (EF) were assessed in 413 typically developing children aged 6-9 years. The children were divided into the high- autistic-trait (HAT) and low-autistic-trait (LAT) groups based on their total autistic traits. Results suggested that there were gender differences in specific autistic traits in children with LAT. There were gender-specific associations between EF and autistic traits in children with HAT: the set shifting of EF predicted difficulties in social awareness in boys; whereas all the EF components predicted difficulties in social communication and social cognition in girls. These findings may have implications for developing customized interventions that are targeted at specific autistic deficits in males and females.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3813-5