Cited by 106Autism Spectrum Disorder ResearchDevelopmental and Educational NeuropsychologyChild Nutrition and Feeding Issues

Characterizing the Factor Structure of Parent Reported Executive Function in Autism Spectrum Disorders: The Impact of Cognitive Inflexibility

Open access
Granader, Yael, Wallace, Gregory L., Hardy, Kristina K., Yerys, Benjamin E., Lawson, Rachel A., Rosenthal, Michael, Wills, Meagan C., Dixon, Eunice +4 more·2014·Journal of Autism and Developmental Disorders

Abstract

Parents of children with autism spectrum disorders (ASD) consistently report executive functioning (EF) deficits. This study investigates the factor structure of the Behavior Rating Inventory of Executive Function (BRIEF) as reported by parents of children with ASD and typically developing children (TDC). BRIEFs for 411 children with ASD and 467 TDC were examined. Confirmatory factor analysis of a nine-factor model met thresholds for goodness-of-fit in TDC, but not in the ASD sample. We found globally elevated EF problems in the ASD sample, especially on the Shift scale. These findings confirm that children with ASD exhibit significant EF deficits. Further investigation is needed to understand the pervasive nature of cognitive inflexibility in children with ASD.

Integrity signals

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Crossref · 10.1007/s10803-014-2169-8

Cites

Statistics

Claims the paper makes

0 of 39 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Within the autism spectrum disorder group, there was a significant main effect of scale.

    “An additional repeated measures ANOVA within the ASD group showed a significant main effect of scale (F(5.2,2151) = 75.79, p < 0.001, ηp2=0.156).”
    Quote in the paperSubstantial claim
  • Findingown data

    The nine-factor model of the Behavior Rating Inventory of Executive Function was confirmed in the typically developing children group.

    “We confirmed the nine-factor model of the BRIEF in our TDC group (i.e., Inhibition, Shift, Emotional Control, Initiate, Working Memory, Planning and Organization, Organization of Materials, Self-Monitor, and Task-Monitor) reported previously (e.g., Roth et al. 2013)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Roth et al. 2013 source

      Not checked in the free run.

  • Findingown data

    The autism spectrum disorder group had significantly higher scores on all Behavior Rating Inventory of Executive Function scales compared to the typically developing children group.

    “Post-hoc t-tests showed that the ASD group had significantly higher scores on all BRIEF scales as compared to the TDC group (ts > 11.8, ps < 0.001).”
    Quote in the paperSubstantial claim
  • Findingown data

    There was a significant main effect of group across Behavior Rating Inventory of Executive Function scales.

    “A repeated measures ANOVA showed a significant main effect of group across BRIEF scales (F(1,876) = 484.61, p <.001, ηp2=0.356).”
    Quote in the paperSubstantial claim
  • Findingown data

    The three-factor and eight-factor models were relatively poor fits for Behavior Rating Inventory of Executive Function ratings in both autism spectrum disorder and typically developing children groups.

    “The three-factor and eight-factor models were relatively poor fits for BRIEF ratings in the ASD and TDC groups.”
    Quote in the paperSubstantial claim
  • May combine two claims. 7
  • Classified as probably not a substantial claim. 16
  • May combine two claims.

    Findingown data

    Seventy-two percent of parents rated children in the autism spectrum disorder group as having difficulty with item 8, compared to 32 percent in the typically developing children group.

    “Seventy-two percent of parents rated children in the ASD group as having difficulty with item 8, compared to 32 % in the TDC group.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The nine-factor model of the Behavior Rating Inventory of Executive Function met goodness-of-fit thresholds in typically developing children but not in children with autism spectrum disorder.

    “The CFA of the nine-factor model met thresholds for goodness-of-fit in the TDC group, but not the ASD group.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In the autism spectrum disorder group, none of the models met goodness of fit criteria, and further analysis involving attempts to free parameters and remove items continued to lead to other areas of strain in the model.

    “In the ASD group none of the models met goodness of fit criteria and further analysis that involved attempts to free parameters and remove items, continued to lead to other areas of strain in the model.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The Plan/Organize scale was significantly elevated for the autism spectrum disorder group compared to typically developing children, but it was not in the clinically significant range and was lower than several other scales in addition to Shift.

    “The Plan/Organize scale was significantly elevated for the ASD group compared to TDC, but it was not in the clinically significant range and was lower than several other scales in addition to Shift.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Recent analyses support a factor structure of nine scales with three higher-order indices for the Behavior Rating Inventory of Executive Function.

    “Recent analyses of the BRIEF in a mixed clinical sample (Gioia et al. 2002b) and with typically developing adults (Roth et al. 2013) support a factor structure of nine scales with three higher-order indices.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Gioia et al. 2002b

      Not checked in the free run.

    • cites Roth et al. 2013 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Both informant report and laboratory assessments identify executive functioning deficits in autism spectrum disorder across many domains.

    “Both informant report (Gioia et al. 2002a) and laboratory based assessments (Pennington and Ozonoff 1996) identify EF deficits in ASD across many domains and on tasks that make demands on multiple processes.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Gioia et al. 2002a

      Not checked in the free run.

    • cites Pennington and Ozonoff 1996 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    Gathering information from parents and teachers about executive functioning in everyday situations is critical.

    “This suggests that gathering information from parents and teachers about EF in everyday situations is critical, because everyday situations provide less structure, and because survey knowledgeable informants can collapse across many experiences and time to provide a more accurate assessment than might be offered by a single neuropsychological assessment (Burgess 1997).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Burgess 1997

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Executive functioning difficulties are linked to adaptive behavior difficulties in autism spectrum disorder.

    “and adaptive behavior difficulties in ASD (Gilotty et al. 2002)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gilotty et al. 2002 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Laboratory measures suggest organization and planning weaknesses in autism spectrum disorder.

    “and laboratory measures also suggest organization and planning weaknesses (Hill 2004; Kenworthy et al. 2005).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Hill 2004 source

      Not checked in the free run.

    • cites Kenworthy et al. 2005 source

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  • Classified as probably not a substantial claim.

    Premisecitation

    Impaired flexibility is reflected in core symptoms of insistence on sameness and inflexible patterns of behavior and thinking.

    “Impaired flexibility is reflected in core symptoms of insistence on sameness and inflexible patterns of behavior and thinking (D’Cruz et al. 2013; Lopez et al. 2005; Reed et al. 2013, 2011; Yerys et al. 2009a).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites D’Cruz et al. 2013

      Not checked in the free run.

    • cites Lopez et al. 2005 source

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    • cites Reed et al. 2013

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Executive functioning difficulties are linked to decreased independence and poor outcomes in adulthood.

    “and are linked to decreased independence and poor outcomes in adulthood (Hume et al. 2009).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Hume et al. 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Difficulty with flexibility, organization and planning are described as features of autism spectrum disorder in the DSM-5.

    “Difficulty with flexibility, organization and planning are specifically described as features of ASD in the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5; American Psychiatric Association 2013).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites American Psychiatric Association 2013 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Impaired planning and organizational skills are explicitly referenced in DSM-5 severity levels for autism spectrum disorder.

    “impaired planning and organizational skills are now explicitly referenced in the DSM-5 severity levels for ASD, which indicate that “problems of organization and planning hamper independence” in this population.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites American Psychiatric Association 2013 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    Because Behavior Rating Inventory of Executive Function data are ordinal, confirmatory factor analyses were conducted using polychoric correlations and asymptotic covariance matrices.

    “The data from the BRIEF are ordinal and therefore CFAs were conducted using polychoric correlations and asymptotic covariance matrices (DiStefano 2002; Flora and Curran 2004).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites DiStefano 2002

      Not checked in the free run.

    • cites Flora and Curran 2004

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    The Behavior Rating Inventory of Executive Function is sensitive to executive functioning deficits in autism spectrum disorder and identifies a unique profile emphasizing flexibility problems.

    “In addition, these data confirm that the BRIEF is sensitive to EF deficits in ASD and also identify a unique profile of EF deficits, which emphasizes problems with flexibility.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Children with autism spectrum disorder experience significant executive functioning difficulties in everyday settings, with an emphasis on cognitive flexibility.

    “The current study confirms that children with ASD experience significant EF difficulties in everyday settings—with an emphasis on cognitive flexibility.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Behavior Rating Inventory of Executive Function T-scores of 65 or higher indicate potential clinical significance.

    “T-scores ≥65 indicate “potential clinical significance” (Gioia et al. 2000, p. 14).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gioia et al. 2000

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The study relied solely on parent report of executive functioning.

    “It also relied solely on parent report of EF.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The Social Communication Questionnaire Total score shows strong correlations with the Autism Diagnostic Interview-Revised.

    “The SCQ Total score shows strong correlations with the ADI-R (r = 0.71) (Berument et al. 1999).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Berument et al. 1999

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    There were no missing data from the Behavior Rating Inventory of Executive Function reports of either the autism spectrum disorder or typically developing children groups.

    “There were no missing data from the BRIEFs of either the ASD or TDC groups.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductcitation

    Autism spectrum disorder diagnosis was established using trained and experienced clinicians applying DSM-IV-TR criteria and standardized diagnostic instruments.

    “Included participants received an ASD diagnosis from trained and experienced clinicians applying DSM-IV-TR criteria (APA 2000) and met diagnostic criteria established by the NICHD/NIDCD Collaborative Programs for Excellence in Autism (Lainhart et al. 2006) using expert clinical judgment based on all available clinical data including the Autism Diagnostic Interview/Autism Diagnostic Interview-Revis”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites APA 2000

      Not checked in the free run.

    • cites Lainhart et al. 2006 source

      Not checked in the free run.

    • cites Lord et al. 2000 source

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  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductcitation

    The exploratory analysis reveals theoretically consistent findings, which has been identified as justification for interpreting model modification indices.

    “Although this is an exploratory analysis, it reveals theoretically consistent findings, which has been previously identified as justification for interpreting the model modification indices (Schreiber et al. 2006).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Schreiber et al. 2006 source

      Not checked in the free run.

22 of 22
  • The paper relies on this without support.

    It is unknown whether the nine-factor Behavior Rating Inventory of Executive Function structure observed in typically developing children also applies to children with autism spectrum disorder.

    “It is unknown whether the nine-factor structure identified in TDC groups is also observed in children with ASD.”
  • The paper relies on this without support.

    This is the first study to examine the factor structure of executive functioning in everyday settings in both typically developing children and children with autism spectrum disorder.

    “To the best of our knowledge, this is the first study investigating the factor structure of EF in everyday settings with both TDC and children with ASD.”
  • The paper relies on this without support.

    This is the largest sample of children with autism spectrum disorder yet investigated using the Behavior Rating Inventory of Executive Function.

    “In addition, this is the largest sample of children with ASD yet investigated using the BRIEF.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • ConsistentF(1, 876) = 484.61reported p < .001 · recomputed p < .001

    “F(1,876) = 484.61, p < .001”

  • ConsistentF(5.2, 2151) = 75.79reported p < .001 · recomputed p < .001

    “F(5.2,2151) = 75.79, p < .001”

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • The same article is listed under two publication years

    Minor

    References 35 and 36 have the same authors, title, journal volume, pages, and DOI, but one assigns the article to 2011 and the other to 2013. The paper also cites the two years as though they identify separate works.

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References 59 · Cited by 106

Research works printed but not linked: 12

  1. Anderson, V., Jacobs, R., & Anderson, P. J. (2008). Executive functions and the frontal lobe. New York, NY: Taylor & Francis Group LLC.
  2. Bernstein, J., & Waber, D. P. (1990). Developmental neuropsychological assessment: The systemic approach. In A. A. Boulton, G. B. Baker, & M. Hiscock (Eds.), Neuromethods: Volume 17, neuropsychology (Vol. 17, pp. 311–371). Clifton, NJ: Humana.
  3. Burgess, P. W. (1997). Theory and methodology in executive function and research. In P. Rabbitt (Ed.), Methodology of frontal and executive function (pp. 81–116). Hove, UK: Taylor and Francis.
  4. Cannon, L., Kenworthy, L., Alexander, K., Werner, M., & Anthony, L. (2011). Unstuck and on target! An executive function curriculum to improve flexibility for children with autism spectrum disorders (research ed.). Baltimore, MD: Pail H. Brookes Publishing Co.
  5. Gioia, G. A., Isquith, P. K., Guy, S., & Kenworthy, L. (2000). BRIEF: Behavior Rating Inventory of Executive Function. Odessa, FL: Psychological Assessment Resources.
  6. Lezak, M. D. (1995). Neuropsychological assessment. New York, NY: Oxford University Press.
  7. Reed, P., Watts, H., & Truzoli, R. (2013). Flexibility in young people with autism spectrum disorders on a card sort task. Autism: The International Journal of Research and Practice, 17(2), 162–171. · DOI · Paper page
  8. Rutter, M., Bailey, A., & Lord, C. (2003). Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services.
  9. The Psychological Corporation. (1990). Differential Abilities Scales. San Antonio, TX: The Psychological Corporation.
  10. The Psychological Corporation. (1999). Wechsler Abbreviated Scale of intelligence. San Antonio, TX: The Psychological Corporation.
  11. The Psychological Corporation. (2002). Wechsler Preschool and Primary Scale of intelligence-third edition. San Antonio, TX: The Psychological Corporation.
  12. The Psychological Corporation. (2003). Wechsler Intelligence Scale for children-fourth edition. San Antonio, TX: The Psychological Corporation.

Authors
Granader, Y., Wallace, G. L., Hardy, K. K., Yerys, B. E., Lawson, R. A., Rosenthal, M., Wills, M. C., Dixon, E., Pandey, J., Penna, R., Schultz, R. T., & Kenworthy, L.
Affiliations
  • Children's National (US)
  • George Washington University (US)
  • Children's Hospital of Philadelphia (US)
  • National Institute of Mental Health (US)
Corresponding author
Granader, Yael
Venue
Journal of Autism and Developmental Disorders
Published
2014-06-28
Volume
44
Issue
12
Pages
3056-3062
ISSN
  • 0162-3257 (ISSN-L)
  • 1573-3432
OpenAlex
W2021433979
Cited by
106
References
59
Citations by year
2026: 6 · 2025: 10 · 2024: 9 · 2023: 9 · 2022: 11 · 2021: 13 · 2020: 10 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 10 · 2015: 6 · 2014: 1
FWCI
4.83
Type
journal article
Language
en
Open access
Locations
  • Journal of Autism and Developmental Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Robert Wood Johnson Foundation
  • Pfizer
  • National Institutes of Health
  • National Institute of Mental Health (RC1MH088791)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD026979)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
autism spectrum disorder, executive function, cognitive inflexibility, Behavior Rating Inventory of Executive Function, factor structure, shifts, typically developing children, children
MeSH terms
Adolescent, Child, Child Development Disorders, Pervasive, Child, Preschool, Cognition, Female, Humans, Male, Neuropsychological Tests, Parents, Personality Inventory, Executive Function

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