Longitudinal Examination of Adaptive Behavior in Autism Spectrum Disorders: Influence of Executive Function
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This study characterizes longitudinal change in adaptive behavior in 64 children and adolescents with autism spectrum disorder (ASD) without intellectual disability evaluated on multiple occasions, and examines whether prior estimate of executive function (EF) problems predicts future adaptive behavior scores. Compared to standardized estimates for their developmental stage, adaptive behavior in most participants was impaired and did not improve over time. Prior EF predicted later adaptive behavior in daily living skills and socialization domains after controlling for age and IQ. Self-monitoring behaviors robustly predicted later adaptive behavior in all domains (d = 0.60-0.94). Results support targeting treatment of adaptive skills in ASD, as well as the importance of assessing for EF problems that may contribute to adaptive behavior difficulties.
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Longitudinal studies demonstrate that executive function skills in childhood predict variance in autistic individuals' adaptive behavior later in life.
“Longitudinal studies demonstrate that EF skills in childhood predict variance in autistic individuals’ adaptive behavior later in life (80,81).”
From Brain Mechanisms Supporting Flexible Cognition and Behavior in Adolescents With Autism Spectrum Disorder (2021) · cites this paper as [80]
Variation in executive function relates to autistic features, including both restrictive repetitive behaviors and social communication difficulties, as well as everyday adaptive behavior.
“Similarly, variation in EF has been consistently shown to relate to autistic features, including both restrictive, repetitive behaviors (Kenworthy et al. 2009;Lopez et al. 2005;South et al. 2007;Turner 1997) and social communication difficulties (McEvoy et al. 1993; though see Jones et al. 2018, andTager-Flusberg 2003), as well as everyday adaptive behavior (Gilotty et al. 2002;Pugliese et al. 201”
From Childhood Executive Function Predicts Later Autistic Features and Adaptive Behavior in Young Autistic People: a 12-Year Prospective Study (2019) · cites this paper as Pugliese et al. 2016
Executive function, particularly cognitive flexibility, is a significant prognostic marker for everyday adaptive behavior in adulthood, as measured by the Vineland Adaptive Behavior Scales, over 3 years and longer periods, including up to 27 years after intake.
“Similarly, EF, particularly cognitive flexibility, has been shown to be Ba significant prognostic marker^for everyday adaptive behavior in adulthood, as measured by the Vineland Adaptive Behavior Scales (Sparrow et al. 1984)over 3-years (Berger et al. 2003) and much longer periods (Pugliese et al. 2016), including up to 27 years after intake (Szatmari et al. 1989).”
From Childhood Executive Function Predicts Later Autistic Features and Adaptive Behavior in Young Autistic People: a 12-Year Prospective Study (2019) · cites this paper as Pugliese et al. 2016
The current findings support and extend existing longitudinal work demonstrating significant links between early executive function skills and later behavior in cognitively able autistic people.
“The current findings support and extend existing longitudinal work demonstrating significant links between early EF skills and later behavior in cognitively-able autistic people (Berger et al. 2003;Pellicano 2013;Pugliese et al. 2016;Szatmari et al. 1989)”
From Childhood Executive Function Predicts Later Autistic Features and Adaptive Behavior in Young Autistic People: a 12-Year Prospective Study (2019) · cites this paper as Pugliese et al. 2016
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- Authors
- Pugliese, C. E., Anthony, L. G., Strang, J. F., Dudley, K., Wallace, G. L., Naiman, D. Q., & Kenworthy, L.
- Affiliations
- Children's National (US)
- George Washington University (US)
- Johns Hopkins University (US)
- Corresponding author
- Pugliese, Cara E.
- ORCID
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2015-09-09
- Volume
- 46
- Issue
- 2
- Pages
- 467-477
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC4726475
- OpenAlex
- W1433440055
- Cited by
- 218
- References
- 46
- Citations by year
- 2026: 21 · 2025: 12 · 2024: 28 · 2023: 24 · 2022: 27 · 2021: 32 · 2020: 23 · 2019: 15 · 2018: 15 · 2017: 17 · 2016: 4
- FWCI
- 7.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (T32 HD046388-01A2)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- autism spectrum disorder, adaptive behavior, executive function, self-monitoring, daily living skills, socialization, longitudinal change, children and adolescents, treatment targeting
- MeSH terms
- Autism Spectrum Disorder, Self-Control, Activities of Daily Living, Adaptation, Psychological, Adolescent, Child, Female, Humans, Longitudinal Studies, Male, Socialization, Executive Function
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