Cited by 218Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesBehavioral and Psychological Studies

Longitudinal Examination of Adaptive Behavior in Autism Spectrum Disorders: Influence of Executive Function

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Pugliese, Cara E., Anthony, Laura Gutermuth, Strang, John F., Dudley, Katerina, Wallace, Gregory L., Naiman, Daniel Q., Kenworthy, Lauren·2016·Journal of Autism and Developmental Disorders

Abstract

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).”
  • 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”
  • 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).”
  • 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)”

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Research works printed but not linked: 2

  1. Sparrow S Cicchetti D Balla DA Vineland Adaptive Behavior Scales Second Edition:Survey Forms Manual. 2005 2005 Pearson Minneapolis, MN
  2. Wechsler D Wechsler Intelligence Scale for Children-Fourth Edition, administration and scoring manual 2003 Harcourt Assessment, Inc San Antonio, TX

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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.
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
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
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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