Autism & Developmental

Theory of mind and executive function in preschoolers with typical development versus intellectually able preschoolers with autism spectrum disorder.

Kimhi et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

In preschoolers with ASD and normal IQ, stronger planning and set-shifting skills go hand in hand with better theory-of-mind scores.

✓ Read this if BCBAs running early-intervention or preschool classrooms for verbally fluent kids with ASD.
✗ Skip if Clinicians serving older or non-speaking clients where IQ or language is below average.

01Research in Context

01

What this study did

Granader et al. (2014) compared the preschoolers with autism and average IQ to 40 typical peers. They gave each child six theory-of-mind tasks and five executive-function games.

The team also tested verbal IQ so they could see if language skill, not EF, explained any gaps.

02

What they found

Typical kids passed more false-belief and deception tasks than the autistic group. Planning and cognitive-shifting scores, plus verbal IQ, predicted how well a child did on theory-of-mind tests.

In plain words: if a child could plan a route or switch rules in a card game, they were also better at guessing what another person thinks.

03

How this fits with other research

Fisher et al. (2005) tried to train these skills. They gave autistic children short daily ToM lessons. ToM scores rose, but EF scores stayed flat. The new study flips the lens: instead of training, it shows that strong EF still links to better ToM.

Terroux et al. (2025) asked parents about everyday EF. Parents saw the same inhibition and working-memory problems that Yael caught in lab tasks. The two papers match: lab scores and real-life reports point to the same weak spots.

Goldfarb et al. (2024) followed older kids and found that EF plus ToM together explain most social-skill variance. The 2014 preschool data now look like the first step in a longer pathway: early EF → early ToM → later social success.

04

Why it matters

If you work with bright preschoolers on the spectrum, don’t wait for false-belief tasks to improve on their own. Embed planning and set-shifting practice into play. Simple board games, rule-switch card games, or treasure hunts that require a plan may spill over into better perspective-taking later.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Open your next play session with a three-step treasure hunt: child picks the route, switches rules at each station, then tells you where a puppet will look for the prize.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
59
Population
autism spectrum disorder, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

Children with autism spectrum disorder (ASD) have difficulties in theory of mind (ToM) and executive function (EF), which may be linked because one domain (EF) affects the other (ToM). Group differences (ASD vs. typical development) were examined in both cognitive domains, as well as EF's associations and regressions with ToM. Participants included 29 intellectually able preschoolers with ASD and 30 typical preschoolers, aged 3-6 years. EF tasks included planning and cognitive shifting measures. ToM tasks included predicting and explaining affective and location false-belief tasks. The novelty of this study lies in its in-depth examination of ToM explanation abilities in ASD alongside the role of verbal abilities (VIQ). Significant group differences emerged on most EF and ToM measures, in favor of typically developing children. Overall in the study group, EF-planning skills, EF-cognitive shifting and VIQ significantly contributed to the explained variance of ToM measures. Implications are discussed regarding the social-cognitive deficit in ASD.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-014-2104-z