Parent Reports of Executive Function Associated with Functional Communication and Conversational Skills Among School Age Children With and Without Autism Spectrum Disorder.
Parent-rated executive-function struggles line up with real-world communication hurdles in school-age kids with autism.
01Research in Context
What this study did
Heald et al. (2020) asked parents to rate executive function, functional communication, and everyday conversation skills in school-age children with and without autism.
The team used only parent reports. No direct testing or classroom observation was included.
What they found
Parents said kids with autism who had more executive-function trouble also had more trouble starting and keeping conversations.
The link was strongest for metacognition (planning and self-monitoring) and inhibition (stopping impulses).
How this fits with other research
Pellicano (2013) already showed that early executive function predicts later social communication in autism. Heald et al. (2020) now show the same pattern still matters in middle childhood.
Gillespie-Lynch et al. (2019) pooled 133 studies and found the executive-to-social link is real but small. Heald et al. (2020) match that size, so the new data are a close replication, not a contradiction.
Iarocci et al. (2017) looked at bilingual kids with autism and saw slightly better parent-rated communication and executive scores. Their positive finding sits beside M et al.'s neutral direction, but the methods differ: Grace compared bilingual to monolingual groups, while M et al. looked at how executive scores predict communication within each child.
Why it matters
If a parent checklist shows planning or impulse-control problems, expect conversation goals to be harder. Build in extra visual schedules, turn-taking cues, and self-monitoring breaks. Target executive skills and communication together instead of in separate silos.
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02At a glance
03Original abstract
Despite average or above cognitive and verbal abilities, many children with autism spectrum disorder (ASD) experience difficulties in functional and social communication. Executive functioning (EF) may be the cognitive and regulatory mechanism that underlies these difficulties. Parents rated 92 children with ASD as demonstrating significantly more challenges than 94 typically developing children on measures of EF (Behavior Rating Inventory of Executive Function; BRIEF), functional communication (FC), and verbal conversation (VC) skills. For both groups, the BRIEF metacognition scale emerged as a strong predictor of FC, while the BRIEF behavior regulation and the inhibit scale were predictive of VC skills. These findings suggest that targeting EF domains specifically may improve FC and VC skills in children with ASD.
Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-03958-6