Executive functioning in children with autism and Tourette syndrome
Open accessAbstract
The main aims of this study were to investigate if children with high-functioning autism (HFA) and children with Tourette syndrome (TS) can be differentiated in their executive functioning (EF) profile compared to normal controls (NCs) and compared to each other and to investigate whether children with HFA or children with TS and a comorbid group of children with both disorders are distinct conditions in terms of EF. Four groups of children participated in this study: HFA, TS, comorbid HFA + TS, and a NC group. All children were in the age range of 6 to 13 years. The groups were compared on five major domains of EF: inhibition, visual working memory, planning, cognitive flexibility, and verbal fluency. Children with HFA scored lower than NC children on all the EFs measured. Children with TS and NC children showed the same EF profile. The HFA group scored lower than the TS group for inhibition of a prepotent response and cognitive flexibility. Children with HFA performed poorer than children with comorbid HFA + TS on all functions, with the exception of inhibiting an ongoing response, interference control, and verbal fluency. Children with TS and children with comorbid HFA + TS could not be differentiated from one another in terms of EF. This study indicates that EF deficits are highly characteristic of children with HFA in comparison to children with TS and NC. The results suggest that for the comparison between HFA and TS groups, it is important to take into account comorbidity. A reevaluation of the EF hypothesis in children with TS is suggested. We thank the children and parents without whose participation this research would not have been possible.
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- Findingown data
Children with Tourette syndrome and children with comorbid high-functioning autism and Tourette syndrome were indistinguishable from each other in executive functioning.
“Children with TS and children with comorbid HFA ϩ TS could not be differentiated from one another in terms of EF.”
Quote in the paperSubstantial claim - Findingown data
Children with high-functioning autism scored lower than normal controls on every executive function domain measured.
“Children with HFA scored lower than NC children on all the EFs measured.”
Quote in the paperSubstantial claim - Findingown data
Children with high-functioning autism performed worse than children with comorbid high-functioning autism and Tourette syndrome on every function except ongoing-response inhibition, interference control, and verbal fluency.
“Children with HFA performed poorer than children with comorbid HFA ϩ TS on all functions, with the exception of inhibiting an ongoing response, interference control, and verbal fluency.”
Quote in the paperSubstantial claim - Findingown data
Children with Tourette syndrome and normal controls had the same executive functioning profile.
“Children with TS and NC children showed the same EF profile.”
Quote in the paperSubstantial claim - Findingown data
The HFA group had faster decision times than the NC and HFA+TS groups.
“The HFA group had faster decision times than the NC ~p ϭ .002! and HFA ϩ TS groups ~p ϭ .01!.”
Quote in the paperNot a substantial claim
- Findingown data
The HFA group was significantly slower than the NC, TS, and HFA+TS groups on change MRT.
“The HFA group was significantly slower than the NC ~p , .001!, TS ~p ϭ .001!, and HFA ϩ TS groups ~p ϭ .002!.”
Quote in the paperSubstantial claim - Findingown data
There was a significant group effect for time used on the circle drawing task, F(3,141)=4.56, p=.004, eta squared=.09.
“There was a significant effect of group in the time used on the circle drawing task, F ~3, 141! ϭ 4.56, p ϭ .004,h 2 ϭ .09.”
Quote in the paperSubstantial claim - Findingown data
The TS group did not exhibit problems in inhibition compared to the NC group.
“Contrary to predictions, the TS group did not exhibit problems in inhibition compared to NC ~contrast 2!.”
Quote in the paperSubstantial claim - Findingown data
After controlling for age and FSIQ, only the HFA versus NC distinction remained for the three planning dependent variables.
“After controlling for age and FSIQ, only the distinction between the HFA and NC groups remained for the three dependent variables.”
Quote in the paperSubstantial claim - Findingown data
The HFA group required more time to complete the ToL task than the NC and HFA+TS groups.
“Furthermore, the HFA group required more time to complete the task than the other two groups ~p , .001 and p ϭ .01,respectively!.”
Quote in the paperSubstantial claim - Findingown data
There was a significant group effect for the time difference on the TEA-Ch, F(3,144)=3.46, p=.01, eta squared=.07.
“There was a significant group effect for the time difference on the TEA-Ch, F ~3, 144! ϭ 3.46, p ϭ .01,h 2 ϭ .07.”
Quote in the paperSubstantial claim - Findingown data
Children with HFA had slower SSRTs than the NC, TS, and HFA+TS groups.
“Children with HFA had slower SSRTs than the NC ~p , .001,contrast 1!, the TS ~p ϭ .001,contrast 3!, and the comorbid HFA ϩ TS groups ~p ϭ .005,contrast 4!.”
Quote in the paperSubstantial claim - Findingown data
The TS and HFA+TS groups could not be differentiated from one another on SSRT.
“Furthermore, the TS and HFA ϩ TS groups could not be differentiated from one another ~contrast 5!.”
Quote in the paperSubstantial claim - Findingown data
The HFA group scored lower than the NC and HFA+TS groups on the ToL score.
“The HFA group scored lower than the NC ~p , .001! and HFAϩ TS groups ~p ϭ .003!.”
Quote in the paperSubstantial claim - Findingown data
The pattern of correlations did not unambiguously reveal that the EF and non-EF domains are independent, because the mean correlation between the EF and non-EF measures was not significantly different from the mean correlation among the EF measures themselves.
“However, the pattern of correlations did not unambiguously reveal that the EF and non-EF domains are independent, because the mean correlation between the EF and non-EF measures was not significantly different from the mean correlation among the EF measures themselves.”
Quote in the paperSubstantial claim - Findingown data
Only the HFA versus NC contrast on SoP errors survived after controlling for age and FSIQ.
“Only the first contrast, comparing the HFA and NC groups, survived after controlling for age and FSIQ.”
Quote in the paperSubstantial claim - Findingown data
On the WCST, there was a significant effect of group for the percentage of perseverative responses, F(3,141)=9.06, p<.001, eta squared=.16.
“On the second measure of cognitive flexibility, the WCST, there was a significant effect of group for the percentage of perseverative responses, F ~3, 141! ϭ 9.06, p , .001,h 2 ϭ .16.”
Quote in the paperSubstantial claim - Findingown data
The clinical groups did not differ on the behavior disorders section of the DISC-IV.
“The clinical groups did not differ on the behavior disorders section ~ADHD, ODD, and CD! of the DISC-IV.”
Quote in the paperSubstantial claim - Findingown data
There was a significant group effect for the SoP number of errors, F(3,144)=7.94, p<.001, eta squared=.14.
“There was a significant group effect for the SoP number of errors, F ~3, 144! ϭ 7.94, p , .001,h 2 ϭ .14.”
Quote in the paperSubstantial claim - Findingown data
The TS group was rated to have more obsessions and compulsions than the HFA group on the OCD Scale of the DISC-IV.
“The TS group was rated to have more obsessions and compulsions than the HFA group on the OCD Scale of the DISC-IV.”
Quote in the paperNot a substantial claim - Findingown data
Teacher ratings indicated that the HFA group had significantly lower CCC scores than the TS group.
“The HFA group had significantly lower scores than the TS group, as rated by teachers.”
Quote in the paperNot a substantial claim - Findingown data
The TS and HFA+TS groups showed significantly more tic symptoms than the HFA group on the TS scale of the DISC-IV.
“However, the TS and comorbid HFA ϩ TS groups showed significantly more tic symptoms than the HFA group on the TS scale of the DISC-IV.”
Quote in the paperNot a substantial claim - Findingown data
After controlling for age and FSIQ, the HFA versus NC contrast on the circle drawing task was no longer significant.
“After controlling for age and FSIQ, this contrast was no longer significant.”
Quote in the paperNot a substantial claim - Findingown data
After controlling for age and FSIQ, only the HFA versus NC contrast remained significant for both change task variables.
“After controlling for age and FSIQ, only contrast 1, comparing the HFA and NC groups, remained significant for both variables.”
Quote in the paperSubstantial claim - Findingown data
The TS group showed more tic symptoms on the TSSL than the HFA group according to both parents and teachers.
“As expected, the TS group showed more tic symptoms on the TSSL than the HFA group, according to both parents and teachers.”
Quote in the paperNot a substantial claim - Findingown data
The mean correlation between the dependent variables of the non-EF tasks was moderate, with a mean r of .43 and a range from .256 to .756.
“The mean correlation between the dependent variables of the non-EF tasks was moderate ~r ϭ .43,range r ϭ 6.256-6.756!.”
Quote in the paperSubstantial claim - Findingown data
The HFA group made more errors than the other three groups on the change task.
“The HFA group also made more errors than the other three groups ~p ϭ .01 for contrast 1, p ϭ .01 for contrast 3, and p ϭ .006for contrast 4!.”
Quote in the paperSubstantial claim - Findingown data
The clinical groups could not be differentiated on the LOI-PV.
“The clinical groups could not be differentiated on the LOI-PV.”
Quote in the paperNot a substantial claim - Findingown data
There was a main effect of group for SSRT, F(3,139)=9.37, p<.001, eta squared=.17.
“There was a main effect of group for SSRT, F ~3, 139! ϭ 9.37, p , .001,h 2 ϭ .17.”
Quote in the paperSubstantial claim - Findingown data
The increase in the number of errors with the four levels of difficulty was greater for the HFA than for the NC group.
“The contrast analyses indicated that the increase in the number of errors with the four levels of difficulty was greater for the HFA than for the NC group ~p ϭ .001!.”
Quote in the paperSubstantial claim - Findingown data
The correlation between the dependent variables of the EF tasks was moderate, with a mean r of .33 and a range from .016 to .626.
“The correlation between the dependent variables of the EF tasks was moderate ~r ϭ .33,range r ϭ 6.016-6.626!.”
Quote in the paperSubstantial claim - Findingown data
There was a significant interaction between group and increasing difficulty for SoP errors, F(9,346)=3.00, p=.002, eta squared=.06.
“Furthermore, a significant interaction between group and increasing difficulty was found, F ~9, 346! ϭ 3.00, p ϭ .002,h 2 ϭ .06.”
Quote in the paperNot a substantial claim - Findingown data
The four groups did not differ in gender distribution.
“The groups did not differ with respect to gender, x 2 ~3! ϭ 5.10, ns”
Quote in the paperNot a substantial claim - Findingown data
There was a significant group effect for the ToL score, F(3,140)=7.07, p<.001, eta squared=.13.
“A significant group effect was found for the ToL score, F ~3, 140! ϭ 7.07, p , .001,h 2 ϭ .13.”
Quote in the paperSubstantial claim - Findingown data
The groups differed significantly on a combination of the three planning measures, Wilks' L=.76, F(9,336)=4.57, p<.001, eta squared=.09.
“The groups differed significantly on a combination of the three planning measures ~ToL score, decision time, and execution time!, Wilks' L ϭ .76,F ~9, 336! ϭ 4.57, p , .001,h 2 ϭ .09.”
Quote in the paperSubstantial claim - Findingown data
The HFA group had significantly more errors than the NC and HFA+TS groups on the SoP.
“The HFA group had significantly more errors than the NC ~p , .001!, and the HFA ϩ TS groups ~p ϭ .002!.”
Quote in the paperSubstantial claim - Findingown data
The HFA versus NC contrast on the TEA-Ch remained significant after controlling for age and FSIQ.
“This contrast remained significant after controlling for age and FSIQ.”
Quote in the paperSubstantial claim - Findingown data
The same planning effects remained robust after covariance for age and FSIQ.
“The same effects remained robust after covariance for age and FSIQ.”
Quote in the paperSubstantial claim - Findingown data
None of the four other contrasts on the TEA-Ch were statistically significant.
“None of the four other contrasts were statistically significant.”
Quote in the paperSubstantial claim - Findingown data
The mean correlation between FSIQ and the non-EF variables was low, with a mean r of .27 and a range from .126 to .456.
“This was also the case between FSIQ and the non-EF variables ~r ϭ .27,range r ϭ 6.126-6.456!.”
Quote in the paperNot a substantial claim - Findingown data
The four groups did not differ in age.
“or age, F ~3, 145! ϭ 2.70, ns, h 2 ϭ .04”
Quote in the paperNot a substantial claim - Findingown data
The groups differed significantly on a combination of the two cognitive flexibility measures of the change task, Wilks' L=.83, F(6,272)=4.43, p<.001, eta squared=.09.
“The groups differed significantly on a combination of the two cognitive flexibility measures of the change task ~MRT and errors!, Wilks' L ϭ .83,F ~6, 272! ϭ 4.43, p , .001,h 2 ϭ .09.”
Quote in the paperSubstantial claim - Findingown data
Parent ratings indicated that the HFA and HFA+TS groups scored significantly lower, indicating more impairment, on the pragmatic composite score of the CCC than the TS group.
“Parent ratings indicated that the HFA and comorbid HFA ϩ TS groups scored significantly lower, indicating more impairment, on the pragmatic composite score of the CCC than the TS group.”
Quote in the paperSubstantial claim - Findingown data
The regression equation with comorbidities for visual working memory was also significant.
“The regression equation with the comorbidities ADHD and OCD was also significant.”
Quote in the paperSubstantial claim - Findingown data
The regression equation with comorbidity for verbal fluency was also significant.
“The regression equation with comorbidity was also significant.”
Quote in the paperNot a substantial claim - Findingown data
The multiple regression with three predictors for TS cognitive flexibility was not significant.
“The multiple regression with the three predictors was not significant.”
Quote in the paperSubstantial claim - Findingown data
No significant effect of group was found for the Beery standard score, F(3,144)=2.20, ns, eta squared=.04.
“No significant effect of group was found for the Beery standard score, F ~3, 144! ϭ 2.20, ns, h 2 ϭ .04.”
Quote in the paperNot a substantial claim - Findingown data
The HFA group was more perseverative than the NC and TS groups on the WCST.
“The HFA group was more perseverative than both the NC ~p , .001! and TS groups ~p ϭ .002!.”
Quote in the paperSubstantial claim - Findingown data
When the contribution of comorbidity was specified, only ADHD was related to non-EF in TS.
“When the contribution of comorbidity was specified, only ADHD was related to non-EF.”
Quote in the paperSubstantial claim - Findingown data
The multiple regression with three predictors for verbal fluency was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperNot a substantial claim - Findingown data
The multiple regression with three predictors for planning was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperSubstantial claim - Findingown data
The other short-term memory contrasts survived.
“The other contrasts survived.”
Quote in the paperNot a substantial claim - Findingown data
The multiple regression with three predictors for cognitive flexibility was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperSubstantial claim - Findingown data
The HFA group gave fewer correct responses than the NC and TS groups on the categorization task.
“The HFA group gave fewer correct responses than the NC ~p , .001! and TS groups ~p ϭ .01!.”
Quote in the paperNot a substantial claim - Findingown data
The groups did not differ on response execution MRT, F(3,138)=1.24, ns, eta squared=.03.
“Groups did not differ on response execution MRT, F ~3, 138! ϭ 1.24, ns, h 2 ϭ .03.”
Quote in the paperNot a substantial claim - Findingown data
When the contribution of comorbidity was specified, only ADHD was related to visual working memory in TS.
“When the contribution of comorbidity was specified, only ADHD was related to visual working memory.”
Quote in the paperSubstantial claim - Findingown data
When the contribution of comorbidity was specified, only ADHD was related to planning.
“When the contribution of comorbidity was specified, only ADHD was related to planning.”
Quote in the paperSubstantial claim - Findingown data
There was a significant effect of group for the number of correct responses on the categorization task of the SON-R, F(3,148)=5.70, p=.001, eta squared=.11.
“A significant effect of group was found for the number of correct responses on the categorization task of the SON-R, F ~3, 148! ϭ 5.70, p ϭ .001,h 2 ϭ .11.”
Quote in the paperNot a substantial claim - Findingown data
There was a significant group effect for a combination of the three response execution measures, Wilks' L=.86, F(9,331)=2.37, p=.01, eta squared=.05.
“There was a significant group effect for a combination of the three response execution measures ~MRT, response variability, and errors!, Wilks' L ϭ .86,F ~9, 331! ϭ 2.37, p ϭ .01,h 2 ϭ .05.”
Quote in the paperNot a substantial claim - Findingown data
None of the categorization contrasts were significant after controlling for age and FSIQ.
“None of the contrasts were still significant after controlling for age and FSIQ.”
Quote in the paperNot a substantial claim - Findingown data
The regression equation with HFA for cognitive flexibility was significant.
“The regression equation with HFA for cognitive flexibility was significant.”
Quote in the paperSubstantial claim - Findingown data
The same WCST contrasts survived after controlling for age and FSIQ.
“The same contrasts survived after controlling for age and FSIQ.”
Quote in the paperSubstantial claim - Findingown data
The multiple regression with three predictors for visual working memory was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperSubstantial claim - Findingown data
The multiple regression with all three predictors for inhibition was significant.
“Next, a multiple regression was conducted with all three predictors.This analysis was significant.”
Quote in the paperSubstantial claim - Findingown data
The regression equation with TS for cognitive flexibility was not significant.
“The regression equation with TS for cognitive flexibility was not significant.”
Quote in the paperSubstantial claim - Findingown data
After controlling for age and FSIQ, the same response execution contrasts remained robust.
“After controlling for age and FSIQ, the same contrasts remained robust.”
Quote in the paperNot a substantial claim - Findingown data
The regression equation with comorbidity for cognitive flexibility was also significant.
“The regression equation with comorbidity was also significant.”
Quote in the paperSubstantial claim - Findingown data
The regression equation with TS for verbal fluency was significant.
“The regression equation with TS for verbal fluency was significant.”
Quote in the paperSubstantial claim - Findingown data
The regression equation with comorbidity for visual working memory was also significant.
“The regression equation with comorbidity was also significant.”
Quote in the paperSubstantial claim - Findingown data
The multiple regression with three predictors for TS planning was not significant.
“The multiple regression with the three predictors was not significant.”
Quote in the paperNot a substantial claim - Findingown data
The regression equation with TS for visual working memory was significant.
“The regression equation with TS for visual working memory was significant.”
Quote in the paperSubstantial claim - Findingown data
The HFA and TS groups could not be differentiated on the BVRT when age and FSIQ were taken into account.
“The HFA and TS groups could not be differentiated from each other on the BVRT when age and FSIQ were taken into account.”
Quote in the paperNot a substantial claim - Findingown data
The regression equation with HFA for verbal fluency was significant.
“The regression equation with HFA for verbal fluency was significant.”
Quote in the paperSubstantial claim - Findingown data
When the contribution of comorbidity was specified, only ADHD was related to verbal fluency in TS.
“When the contribution of comorbidity was specified, only ADHD was related to verbal fluency.”
Quote in the paperSubstantial claim - Findingown data
There was a significant group effect for a combination of the two verbal fluency measures, Wilks' L=.86, F(6,284)=3.76, p=.001, eta squared=.07.
“There was a significant group effect for a combination of the two verbal fluency measures ~semantic and letter categories!, Wilks' L ϭ .86,F ~6, 284! ϭ 3.76, p ϭ .001,h 2 ϭ .07.”
Quote in the paperSubstantial claim - Findingown data
The verbal fluency results did not alter after controlling for age and FSIQ.
“The results did not alter after controlling for age and FSIQ.”
Quote in the paperSubstantial claim - Findingown data
The regression equation with HFA for non-EF was significant.
“The regression equation with HFA for non-EF was significant.”
Quote in the paperNot a substantial claim - Findingown data
The regression equation with HFA for visual working memory was significant.
“The regression equation with HFA for visual working memory was significant.”
Quote in the paperSubstantial claim - Findingown data
The regression equation with comorbidities for cognitive flexibility was also not significant.
“The regression equation with the comorbidities ADHD and OCD was also not significant.”
Quote in the paperSubstantial claim - Findingown data
When the contribution of comorbidity was specified, only ADHD was related to cognitive flexibility in TS.
“When the contribution of comorbidity was specified, only ADHD was related to cognitive flexibility.”
Quote in the paperSubstantial claim - Findingown data
There was a unique contribution of ADHD for all the EF domains, including inhibition, as well as the non-EF domain in TS.
“However, there was a unique contribution of ADHD for all the EF domains, inclusive inhibition, as well as the non-EF domain.”
Quote in the paperSubstantial claim - Findingown data
For each comparison, the HFA group performed significantly poorer than the TS group.
“For each comparison, the HFA group performed significantly poorer than the TS group.”
Quote in the paperSubstantial claim - Findingown data
Deficits in visual working memory and planning (ToL decision time) for the HFA group were reflected in the repeated-measure analyses.
“Deficits in visual working memory and planning ~ToL decision time! for the HFA group were also reflected in the repeated-measure analyses.”
Quote in the paperSubstantial claim - Findingown data
The mean correlation for teachers between the 12 EF measures and the CCC pragmatic score was r=.32, with a range from .19 to .38.
“and for the teachers the mean correlation was r ϭ .32~range r ϭ 6.196-6.386!”
Quote in the paperSubstantial claim - Findingown data
The TS and NC groups could not be differentiated from each other on any of the EF domains.
“Both groups could not be differentiated from each other on any of the EF domains.”
Quote in the paperSubstantial claim - Findingown data
In contrast to Ozonoff et al. (1998), the present study found no unique contribution of OCD characteristics in individuals with TS.
“In contrast to Ozonoff et al. ~1998!, the present study found no unique contribution of OCD characteristics in individuals with TS.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Ozonoff et al., 1998
Not checked in the free run.
- Findingown data
When the effects of covarying for age and IQ separately were examined, the loss of significant differences was due more to age than to IQ.
“However, when we looked at the effects of covarying for age and IQ separately, the loss of significant differences was due more to age than to IQ”
Quote in the paperSubstantial claim - Findingown data
There was no unique contribution of OCD.
“There was no unique contribution of OCD.”
Quote in the paperSubstantial claim - Findingown data
When children with HFA and TS were compared, they differed on inhibition of a prepotent response and cognitive flexibility.
“When children with HFA and TS were compared with each other, they differed on inhibition of a prepotent response and cognitive flexibility.”
Quote in the paperSubstantial claim - Findingnone given
Only for some of the children was comorbidity also clinically ascertained.
“Overall, it should be noted that only for some of the children comorbidity was also clinically ascertained.”
Quote in the paperSubstantial claim - Findingown data
Correcting for additive effects of IQ and age did not change the majority of these significant differences.
“Correcting for additive effects of IQ and age did not change the majority of these significant differences.”
Quote in the paperSubstantial claim - Findingown data
The present study did not indicate a deviant EF profile in the HFA+TS group.
“The present study did not indicate a deviant EF profile in the HFA ϩ TS group.”
Quote in the paperSubstantial claim - Findingown data
The HFA group also encountered difficulties in the non-EF domain.
“The HFA group also encountered difficulties in the non-EF domain.”
Quote in the paperNot a substantial claim - Findingown data
In the current study, 34% of the children with an autism spectrum disorder also met criteria for ADHD.
“In the current study, 34% of the children with an autism spectrum disorder also met the criteria for ADHD.”
Quote in the paperSubstantial claim - Findingown data
Children with TS and children with comorbid HFA+TS could not be differentiated at all in terms of EF.
“Children with TS and children with comorbid HFA ϩ TS could not be differentiated at all in terms of EF.”
Quote in the paperSubstantial claim - Findingown data
Only two interactions between diagnostic group and age on executive function measures were found: for Circle time difference and for Tower of London decision time.
“However, only two interaction effects between diagnostic group and age on the EF measures were found ~i.e., for Circle time difference, and for ToL decision time; results of these analyses can be obtained from the first author!.”
Quote in the paperSubstantial claim - Findingown data
Age played a major role in the disappearance of significant group differences in this study.
“and that age played an important role in the disappearance of significant group differences.”
Quote in the paperSubstantial claim - Findingown data
In this study, performance on executive function tasks improved with increasing age.
“In the present study, it was evident that performance on the EF tasks improved with age”
Quote in the paperSubstantial claim - Interpretationown data
Comorbidity needs to be considered when high-functioning autism and Tourette syndrome groups are compared.
“The results suggest that for the comparison between HFA and TS groups, it is important to take into account comorbidity.”
Quote in the paperSubstantial claim- Rests on an assumption: Before this study, no direct comparison had been made among autism, Tourette syndrome, and a comorbid group with both conditions.
- Interpretationown data
Executive-function deficits strongly characterize high-functioning autism relative to Tourette syndrome and normal controls.
“This study indicates that EF deficits are highly characteristic of children with HFA in comparison to children with TS and NC.”
Quote in the paperSubstantial claim - Study design and conductcitation
Tower of London performance depends strongly on frontal-cortex function, particularly on the left side.
“Several studies suggest that ToL performance relies heavily on frontal cortex functioning, especially the left frontal cortex ~e.g., Baker, Rogers, Owen, Frith, Dolan, Frackowiak, & Robbins, 1996;Dagher, Owen, Boecker, & Brooks, 1999;Levin, Mendelsohn, Lilly, & Fletcher, 1994;Rowe et al., 2001!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Baker et al., 1996
Not checked in the free run.
- cites Dagher et al., 1999
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- cites Levin et al., 1994
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- Premisecitation
Inhibition is usually not impaired in children with autism.
“In contrast, children with autism have usually no difficulty with inhibition ~Ozonoff, 1997; but see Geurts, Verté, Oosterlaan, Roeyers, & Sergeant, 2004!.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Ozonoff, 1997
Not checked in the free run.
- cites Geurts, Verté, Oosterlaan, Roeyers, & Sergeant, 2004
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- Study design and conductcitation
The Self-Ordered Pointing Task is a validated, relatively selective index of frontal-cortex function, particularly mid-dorsolateral frontal cortex.
“The SoP is one of the rare tests that have been validated as a relative selective frontal cortex measure, especially the middorsolat-eral frontal cortex ~Petrides, Alivisatos, Evans, & Meyer, 1993!.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Petrides, Alivisatos, Evans, & Meyer, 1993
Not checked in the free run.
- Premisecitation
Prior to this work, a single research group had published comparisons of children with autism and Tourette syndrome.
“Until now, only one research group has re-ported comparisons between children with autism and TS ~Ozonoff & Jensen, 1999;Ozonoff & Strayer, 1997;Ozonoff, Strayer, McMahon, & Filloux, 1994!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Ozonoff & Jensen, 1999
Not checked in the free run.
- cites Ozonoff & Strayer, 1997
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- cites Ozonoff, Strayer, McMahon, & Filloux, 1994
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- Premisecitation
Executive-function deficits have been implicated in ADHD and OCD.
“Unlike most previous research, we controlled for the presence of ADHD or OCD, because they are behavioral dimensions in which EF deficits have been implicated ~Sergeant et al., 2002!.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Sergeant et al., 2002
Not checked in the free run.
- Premisecitation
Research on executive functioning in Tourette syndrome is inconsistent, with some studies reporting deficits and others finding none.
“Although deficits have been found, studies reveal inconsistent findings: some find evidence of EF deficits ~De Groot, Yeates, Baker, & Bornstein, 1997;Harris, Schuerholz, Singer, & Reader, 1995;Mahone, Koth, Cutting, Singer, & Denckla, 2001!, while others do not ~Cirino, Chapieski, & Massman, 2000;Ozonoff & Jensen, 1999!.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites De Groot et al., 1997
Not checked in the free run.
- cites Harris et al., 1995
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- cites Mahone et al., 2001
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- Premisecitation
Several other developmental conditions-ADHD, conduct disorder, obsessive-compulsive disorder, and Tourette syndrome-have been associated with executive-function deficiencies.
“However, deficiencies in EF have been linked to several other developmental disorders, including attention-deficit0hyperactivity disorder ~ADHD!, conduct disorder, obsessivecompulsive disorder ~OCD!, and Tourette syndrome ~TS; for a review, see Ozonoff, 1997;Pennington & Ozonoff, 1996;Sergeant et al., 2002!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Ozonoff, 1997
Not checked in the free run.
- cites Pennington & Ozonoff, 1996
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- cites Sergeant et al., 2002
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- Premisecitation
ADHD and OCD are frequently found in both autism and Tourette syndrome.
“Examination of the contribution of ADHD and OCD as dimensions in disorders such as autism and TS is also important, because they are fre-quently found in both disorders ~Brown & Ivers, 1999;Fombonne, 1998;Golden, 1990;Jankovic, 2001;Kadesjoe & Gillberg, 2000;Leckman & Cohen, 1999;McDougle, Kresch, Goodman, Naylor, Volkmar, Cohen, & Price, 1995;Sheppard, Bradshaw, Purcell, & Pantelis, 1999;Spencer,”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Brown & Ivers, 1999
Not checked in the free run.
- cites Fombonne, 1998
Not checked in the free run.
- cites Golden, 1990
Not checked in the free run.
- Interpretationown data
Tasks within an EF domain shared some variance.
“This implies that tasks within an EF domain shared some variance.”
Quote in the paperNot a substantial claim - Interpretationown data
The HFA group had the greatest difficulty inhibiting a prepotent response.
“Contrary to expectations, the HFA group had the greatest difficulty in inhibiting a prepotent response.”
Quote in the paperSubstantial claim - Interpretationown data
The clinical groups were clearly distinguishable from the NC group on the questionnaires.
“Overall, we may conclude that the clinical groups were clearly distinguishable from the NC group on the basis of the questionnaires.”
Quote in the paperSubstantial claim - Interpretationown data
Disruptive behavior problems were approximately the same for all clinical groups.
“We conclude that disruptive behavior problems were approximately the same for all clinical groups.”
Quote in the paperSubstantial claim - Premisecitation
Most executive-function tasks do not measure only one executive-function domain.
“Because EF tasks are seldom pure measures of a single EF domain ~e.g., Ozonoff, 1997!”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Ozonoff, 1997
Not checked in the free run.
- Interpretationown data
It was possible to distinguish to some degree between the EF and non-EF tasks.
“indicating that it was possible to distinguish to some degree between the EF and the non-EF tasks.”
Quote in the paperSubstantial claim - Interpretationown data
The non-EF variables had common variance.
“This indicates common variance between the non-EF variables.”
Quote in the paperNot a substantial claim - Interpretationown data
Comorbidity appears to be a better predictor of non-EF than TS.
“Comorbidity appears to be a better predictor of non-EF than TS.”
Quote in the paperSubstantial claim - Interpretationown data
The three predictors provide a contribution to inhibition.
“Hence, the three predictors provide a contribution to inhibition.”
Quote in the paperSubstantial claim - Interpretationown data
The results suggest that verbal fluency is most strongly related to HFA.
“These results suggest that verbal fluency is most strongly related to HFA.”
Quote in the paperSubstantial claim - Interpretationown data
HFA appears to offer little additional predictive power beyond comorbidity for inhibition.
“HFA appears to offer little additional predictive power beyond that contributed by comorbidity.”
Quote in the paperSubstantial claim - Interpretationown data
Comorbidity appears to be a better predictor of planning than TS.
“Comorbidity appears to be a better predictor of planning than TS.”
Quote in the paperSubstantial claim - Interpretationown data
The results suggest that HFA had the most predictive power for visual working memory.
“The results suggest that HFA had the most predictive power for visual working memory.”
Quote in the paperSubstantial claim - Interpretationown data
Comorbidity appears to be a better predictor of inhibition than HFA.
“Comorbidity appears to be a better predictor of inhibition than HFA.”
Quote in the paperSubstantial claim - Interpretationown data
Comorbidity appears to be a better predictor of inhibition than TS.
“Comorbidity appears to be a better predictor of inhibition than TS.”
Quote in the paperSubstantial claim - Interpretationown data
Comorbidity appears to be a better predictor of planning than HFA.
“Hence, comorbidity appears to be a better predictor of planning than HFA.”
Quote in the paperSubstantial claim - Interpretationown data
The findings for the HFA group were in line with the first explanation of the specificity problem, namely a more disturbed EF profile in autism than in TS.
“The findings for the HFA group were in line with the first explanation of the specificity problem ~i.e., a more disturbed EF profile in autism than in TS!.”
Quote in the paperSubstantial claim - Interpretationown data
The results suggest that cognitive flexibility is most strongly related to HFA.
“The results suggest that cognitive flexibility is most strongly related to HFA.”
Quote in the paperSubstantial claim - Interpretationown data
In contrast to the TS group, children with HFA encountered problems across all EF domains.
“In contrast to the TS group, children with HFA encountered prob-lems across all EF domains.”
Quote in the paperSubstantial claim - Interpretationown data
TS appears to have little additional predictive power beyond comorbidity for visual working memory.
“TS appears to have little additional predictive power beyond that contributed by comorbidity.”
Quote in the paperSubstantial claim - Interpretationown data
EF deficits in the HFA group are not simply due to components of IQ or age.
“This suggests that EF deficits in the HFA group are not simply due to components of IQ or age.”
Quote in the paperSubstantial claim - Interpretationown data
It cannot be excluded that the incomplete clinical ascertainment of comorbidity may have affected the current results.
“Hence, we cannot exclude that this may have affected the current results.”
Quote in the paperNot a substantial claim - Interpretationown data
Because the children with TS did not show any EF difficulties, the hypothesis of a double dissociation between autism and TS could not be established.
“Because the children with TS in this study did not show any EF difficulties, the hypothesis of a double dissociation between autism and TS could not be established.”
Quote in the paperSubstantial claim - Study design and conductnone given
This study improved on earlier work by adding non-executive-function measures to control for general cognitive impairment.
“The current study improved previous studies by the inclusion of non-EF measures to control for generalized cognitive impairment.”
Quote in the paperSubstantial claim- Rests on an assumption: The non-executive-function measures included in this study control for generalized cognitive impairment.
- Premisecitation
Executive function tasks cannot be treated as pure measures of one specific executive function domain.
“although the tasks included in this study are assigned to a specific domain, we are aware that EF tasks cannot be considered pure measures of a single EF domain”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Denckla, 1996
Not checked in the free run.
- cites Ozonoff, 1997
Not checked in the free run.
- Interpretationcitation
EF deficits provide an explanation of many behavioral characteristics found in children with autism, such as rigid and inflexible behavior, problems with minor changes in the environment, a focus on details, and a deficiency in inhibiting familiar or overlearned responses.
“EF deficits provide an explanation of many behavioral characteristics found in children with autism, such as rigid and inflexible behavior, problems with minor changes in the environment, a focus on details, and a deficiency in the ability to inhibit familiar or overlearned responses ~Hughes, Plumet, & Leboyer, 1999;Ozonoff, Pennington, & Rogers, 1991;Ozonoff et al., 1994!.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Hughes, Plumet, & Leboyer, 1999
Not checked in the free run.
- cites Ozonoff, Pennington, & Rogers, 1991
Not checked in the free run.
- cites Ozonoff et al., 1994
Not checked in the free run.
- Interpretationown data
Overall, EF is moderately related to social/communication disability.
“We conclude that, overall, EF is moderately related to social0 communication disability.”
Quote in the paperSubstantial claim - Premisecitation
Information-processing tasks are less susceptible to subjective judgment.
“and they are less prone to subjectivity ~Ozonoff, 1997; Rapport, Chung, Shore, Denney, & Isaacs, 2000!.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Ozonoff, 1997
Not checked in the free run.
- cites Rapport, Chung, Shore, Denney, & Isaacs, 2000
Not checked in the free run.
- Interpretationreasoning
Low power might have affected the results for the HFA+TS group, with power ranging from .05 to .53.
“Hence, low power might have affected the results for this group here ~ranging ϭ .05-.53!.”
Quote in the paperNot a substantial claim - Premisecitation
The parts of the frontostriatal network that are disrupted may differ between autism and Tourette syndrome.
“Other parts of the network may be disrupted in autism than in TS ~Bradshaw, 2001!.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bradshaw, 2001
Not checked in the free run.
- Interpretationown data
There is little indication that the children in the HFA group who had lower IQs drove the EF deficits.
“Hence, there is little indication that the children in the HFA group who had lower IQs have driven the EF deficits.”
Quote in the paperSubstantial claim - Interpretationown data
When the impact of ADHD and OCD characteristics was analyzed for TS, the authors concluded that TS had some predictive power for inhibition.
“When the impact of ADHD and OCD characteristics was analyzed for TS, we reached the conclusion that TS had some predictive power for inhibition.”
Quote in the paperSubstantial claim - Premisecitation
Information-processing tasks yield precise latency and accuracy data.
“They collect precise latency and accuracy data”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Ozonoff, 1997
Not checked in the free run.
- cites Rapport, Chung, Shore, Denney, & Isaacs, 2000
Not checked in the free run.
- Interpretationown data
Problems with planning in the HFA group are mainly reflected in the ToL decision time.
“problems with planning in the HFA group are mainly reflected in the ToL decision time”
Quote in the paperNot a substantial claim - Interpretationown data
The authors tentatively conclude that there seems to be a positive influence of comorbid TS in autism.
“We tentatively conclude that there seems to be a positive influence of comorbid TS in autism ~see also Burd, Fisher, Kerbeshian, & Arnold, 1987!.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Burd, Fisher, Kerbeshian, & Arnold, 1987
Not checked in the free run.
- Interpretationown data
The TS group showed the same EF profile as the NC group.
“The TS group showed the same EF profile as the NC group.”
Quote in the paperSubstantial claim - Interpretationown data
This comorbidity may be a cause of inconsistency between EF studies in autism.
“This comorbidity may be a cause of inconsistency between EF studies in autism.”
Quote in the paperSubstantial claim - Interpretationown data
The findings for the TS group were in line with the third explanation of the specificity problem, namely that EF deficits found in earlier studies with children with TS are due to comorbidity with another diagnosis.
“The findings for the TS group were in line with the third explanation of the specificity problem ~i.e., EF deficits found in earlier studies with children with TS are due to the comorbidity of that diagnosis with another diagnosis!.”
Quote in the paperSubstantial claim - Interpretationreasoning
Some of the EF problems in the HFA group may be partly due to these non-EF problems.
“We conclude that some of the EF problems in the HFA group may be partly due to these non-EF problems.”
Quote in the paperSubstantial claim - Interpretationreasoning
The HFA group seemed to be more generally impaired.
“Hence, the HFA group seemed to be more generally impaired.”
Quote in the paperNot a substantial claim - Interpretationown data
These children seem to resemble more a TS group than an HFA group.
“These children seem to resemble more a TS group, than a HFA group.”
Quote in the paperSubstantial claim - Interpretationown data
These results add further support to the view that executive dysfunctioning plays an important role in autism.
“These results add further support to the view that executive dysfunctioning plays an important role in autism ~Pennington & Ozonoff, 1996;Russell, 1997!.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Pennington & Ozonoff, 1996
Not checked in the free run.
- cites Russell, 1997
Not checked in the free run.
- Interpretationcitation
The present findings replicate previous studies that also failed to find evidence of dysfunction in TS.
“The present findings replicate previous studies that also failed to find evidence of dysfunction in TS ~Channon, Flynn, & Robertson, 1992;Ozonoff & Jensen, 1999;Silverstein, Como, Palumbo, West, & Osborn, 1995!.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Channon, Flynn, & Robertson, 1992
Not checked in the free run.
- cites Ozonoff & Jensen, 1999
Not checked in the free run.
- cites Silverstein, Como, Palumbo, West, & Osborn, 1995
Not checked in the free run.
- Study design and conductcitation
The IQ estimated from the four WISC-R subtests correlates highly (r = .93 to .95) with full-scale IQ.
“The IQ estimated on the basis of these subtests has high correlations ~r ϭ .93 to r ϭ .95! with full-scale IQ ~FSIQ; Groth-Marnat, 1997!.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Groth-Marnat, 1997
Not checked in the free run.
- Premisenone given
The findings from studies examining the frontostriatal network together with executive function are inconclusive.
“Overall, findings of these studies are inconclusive and more research is needed about the frontostriatal network in combination with EF.”
Quote in the paperSubstantial claim - Premisecitation
Tourette syndrome appears to be linked to dysfunction in the dorsolateral prefrontal cortex, lateral orbitofrontal cortex, anterior cingulate, and basal ganglia.
“TS seems to be associated with the dorsolateral prefrontal and lateral orbitofrontal cortex as well as the anterior cingulate and basal ganglia”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Bradshaw & Sheppard, 2000
Not checked in the free run.
- cites Brown & Ivers, 1999
Not checked in the free run.
- cites Casey, Tottenham, & Fossella, 2002
Not checked in the free run.
- May combine two claims. 79
- The quote only partly states this claim. 12
- Classified as probably not a substantial claim. 34
May combine two claims.
Findingown dataThe high-functioning autism group scored lower than the Tourette syndrome group on prepotent-response inhibition and on cognitive flexibility.
“The HFA group scored lower than the TS group for inhibition of a prepotent response and cognitive flexibility.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe HFA group used less time than the NC group on the circle drawing task, indicating more problems inhibiting an ongoing response.
“Contrary to predictions, the HFA group used less time than the NC group ~p ϭ.001!, and thus had more problems in inhibiting an ongoing response.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSignificant group differences were obtained for decision time, F(3,140)=4.17, p=.007, eta squared=.08, and execution time, F(3,140)=5.75, p=.001, eta squared=.11.
“Significant group differences were obtained for the two temporal measures: F ~3, 140! ϭ 4.17, p ϭ .007,h 2 ϭ .08 for decision time and F ~3, 140! ϭ 5.75, p ϭ .001,h 2 ϭ .11for execution time.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe NC group showed significantly fewer problems on all rating scale scores than the three clinical groups, except on the CD scale of the DBD where parent and teacher ratings could not distinguish the NC and TS groups.
“In general, the NC group showed significantly less problems on all rating scale scores in comparison to the three clinical groups.The only exception was for the CD scale of the DBD.Parent and teacher ratings on this scale could not distinguish between the NC and TS groups.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe groups differed in full-scale IQ, and the HFA group had lower IQ than the NC group.
“The groups differed with respect to FSIQ, F ~3, 145! ϭ 6.97, p , .001,h 2 ϭ .14; the HFA group had lower IQs than the NC group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe mean correlation between FSIQ and the EF variables was low, with a mean r of .26 and a range from .106 to .436.
“The mean correlation between FSIQ and the EF variables was low ~r ϭ .26,range r ϭ 6.106-6.436!.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataWithin-group correlations of FSIQ and EF variables had mean r values of .16 for HFA, .26 for TS, .26 for HFA+TS, and .32 for NC.
“mean r ϭ .16~range r ϭ 6.066-6.426! for the HFA group; mean r ϭ .26~range r ϭ 6.026-6.616! for the TS group; mean r ϭ .26~range r ϭ 6.036-6.546! for the HFA ϩ TS group; and mean r ϭ .32~range r ϭ 6.056-6.686! for the NC group.”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataThe HFA versus NC difficulty interaction contrast on SoP errors remained significant after controlling for age and FSIQ.
“This contrast remained significant after controlling for age and FSIQ.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAfter covarying for age and FSIQ, only contrasts 1 and 3 remained significant, and the HFA group remained slower than the NC and TS groups.
“After covarying for both age and FSIQ, only contrasts 1 and 3 were still statistically significant.The HFA group remained significantly slower than the NC and TS groups.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was a significant effect for change MRT, F(3,137)=7.69, p<.001, eta squared=.14, and for the number of errors in the change task, F(3,137)=4.33, p=.006, eta squared=.09.
“There was a significant effect for change MRT, F ~3, 137! ϭ 7.69, p , .001,h 2 ϭ .14, as well as for the number of errors in the change task, F ~3, 137! ϭ 4.33, p ϭ .006,h 2 ϭ .09.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNo correlations between FSIQ and non-EF variables were significant for the HFA group, one for the TS and HFA+TS groups, and five for the NC group.
“No correlations were significant for the HFA group, one correlation was significant for the TS and HFA ϩ TS groups, while five correlations were significant for the NC group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataOnly three correlations between FSIQ and EF variables were significant for the HFA group, two for the TS and HFA+TS groups, and six for the NC group.
“Only three correlations were significant for the HFA group, two correlations were significant for the TS and HFA ϩ TS groups, while six correlations were significant for the NC group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe HFA group had a greater time difference than the NC group on the TEA-Ch, indicating more problems with interference control.
“The HFA group had a greater time difference than the NC group ~p ϭ .003!, and thus had more problems with interference control.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe mean correlation between the EF variables and non-EF variables was low, with a mean r of .26 and a range from .066 to .666.
“The mean correlation between the EF variables and non-EF variables was low ~r ϭ .26,range r ϭ 6.066-6.666!”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was a significant interaction between group and ToL decision time, F(6,276)=3.97, p=.001, eta squared=.08, but not for ToL score or ToL execution time.
“When the difficulty level was taken into account, a significant interaction effect emerged between group and ToL decision time, F ~6, 276! ϭ 3.97, p ϭ .001,h 2 ϭ .08,but not ToL score, F ~6, 286! ϭ 2.12, ns, h 2 ϭ .04,and ToL execution time, F ~6, 278! ϭ 1.53, ns, h 2 ϭ .03.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe clinical groups could not be differentiated on any parent or teacher DBD subscales, except that parents rated the TS group as exhibiting less CD symptoms than the HFA group.
“The clinical groups could not be differentiated on any of the parent or teacher DBD subscales, with one exception: according to parents, the TS group exhibited less CD symptoms than the HFA group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe HFA and HFA+TS groups showed significantly more autism symptoms than the TS group on the ADI-R, and the HFA and HFA+TS groups did not differ.
“In line with expectations, the HFA and HFA ϩ TS groups showed significantly more symptoms of autism than the TS group on the ADI-R.The HFA and HFA ϩ TS groups did not differ.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAs difficulty increased, differences in decision time became larger between the HFA group and the NC group, and between the HFA group and the HFA+TS group.
“As difficulty increased, differences in decision time became larger between the HFA group in comparison to the NC ~p ϭ .003! and HFA ϩ TS ~p , .001! groups.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe other contrasts on the circle drawing task were not significant.
“The other contrasts were not significant.”
Quote in the paperNot a substantial claimMay combine two claims. The quote only partly states this claim.
Findingown dataComorbidity predicted significantly over and above HFA, but HFA did not predict significantly over and above comorbidity for planning.
“Comorbidity predicted significantly over and above HFA, but HFA did not predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe regression equation with TS for non-EF tasks was not significant, while the regression equation with the comorbidities ADHD and OCD was significant.
“The regression equation with TS for non-EF tasks was not significant, while in contrast the regression equation with the comorbidities ADHD and OCD was significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was a significant effect for the standard deviation of reaction times, F(3,138)=5.11, p=.002, eta squared=.10, and for the number of errors, F(3,138)=5.38, p=.001, eta squared=.11.
“There was a significant effect for the standard deviation of reaction times ~response variability!, F ~3, 138! ϭ 5.11, p ϭ .002,h 2 ϭ .10,and for the number of errors, F ~3, 138! ϭ 5.38, p ϭ .001,h 2 ϭ .11.”
Quote in the paperNot a substantial claimMay combine two claims. The quote only partly states this claim.
Findingown dataComorbidity predicted significantly over and above TS, but TS did not predict significantly over and above comorbidity for verbal fluency.
“Comorbidity predicted significantly over and above TS, but TS did not predict significantly over and above comorbidity.”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataThe multiple regression with three predictors for TS visual working memory was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataComorbidity predicted significantly over and above HFA, but HFA did not predict significantly over and above comorbidity for inhibition.
“Comorbidity predicted significantly over and above HFA, but HFA did not predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAlthough the regression with three predictors was not significant, the beta weight for ADHD reached significance for TS planning.
“However, although the regression analysis with three predictors was not significant, the beta weight for ADHD did reach significance.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataComorbidity did not predict significantly over and above HFA, but HFA did predict significantly over and above comorbidity for visual working memory.
“Comorbidity did not predict significantly over and above HFA, but HFA did pre- dict significantly over and above comorbidity.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataThe multiple regression with three predictors for non-EF was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe HFA group demonstrated greater variability in speed of responding and committed more errors than the NC group.
“The HFA group demonstrated greater variability in speed of responding ~p , .001! and committed more errors ~p , .001! than the NC group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe HFA group had fewer correct responses for both semantic and letter categories than the NC group.
“The HFA group had fewer correct responses for both categories than the NC group ~p , .001 for both categories!.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe HFA group had lower scores than the NC, TS, and HFA+TS groups on the Corsi and BVRT.
“The HFA group had lower scores than the NC ~Corsi, p , .001;BVRT, p , .001!, TS ~Corsi, p , .001;BVRT, p ϭ .007!, and HFAϩ TS groups ~Corsi, p , .001;BVRT, p , .001!.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe regression equation with HFA for inhibition was not significant, while the regression equation with the comorbidities ADHD and OCD was significant.
“The regression equation with HFA for inhibition was not significant, while the regression equation with the comorbidities ADHD and OCD was significant.”
Quote in the paperSubstantial claimMay combine two claims. The quote only partly states this claim.
Findingown dataComorbidity did not predict significantly over and above HFA, and HFA did not predict significantly over and above comorbidity for non-EF.
“Comorbidity did not predict significantly over and above HFA, and HFA did not predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataComorbidity predicted significantly over and above TS, but TS did not predict significantly over and above comorbidity for cognitive flexibility.
“Comorbidity predicted significantly over and above TS, but TS did not predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimMay combine two claims. The quote only partly states this claim.
Findingown dataComorbidity did not predict significantly over and above HFA, but HFA did predict significantly over and above comorbidity for verbal fluency.
“Comorbidity did not predict significantly over and above HFA, but HFA did predict significantly over and above comorbidity.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing), S4 (based). The quote only partly states this claim.
Findingown dataThe multiple regression with three predictors for TS verbal fluency was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataComorbidity did predict significantly over and above TS, but TS did not predict significantly over and above comorbidity for non-EF.
“Comorbidity did predict significantly over and above TS, but TS did not predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataThe multiple regression with three predictors for TS non-EF was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe groups differed significantly for the semantic category, F(3,143)=6.96, p<.001, eta squared=.13, and the letter category, F(3,143)=4.54, p=.004, eta squared=.09.
“The groups differed significantly for the semantic category, F ~3, 143! ϭ 6.96, p , .001,h 2 ϭ .13,as well as the letter category, F ~3, 143! ϭ 4.54, p ϭ .004,h 2 ϭ .09.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataThe regression equation with comorbidity for non-EF was also significant.
“The regression equation with comorbidity was also significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere were significant group differences on both measures of visual short-term memory: the Corsi, F(3,143)=13.05, p<.001, eta squared=.22, and the BVRT, F(3,145)=12.29, p<.001, eta squared=.20.
“There were significant group differences on both measures of visual short-term memory: the Corsi, F ~3, 143! ϭ 13.05, p , .001,h 2 ϭ .22,and the BVRT, F ~3, 145! ϭ 12.29, p , .001,h 2 ϭ .20.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataThe multiple regression with three predictors for TS inhibition was significant.
“The multiple regression with the three predictors was significant.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataWhen the contribution of comorbidity was specified, ADHD but not OCD was related to inhibition.
“When the contribution of comorbidity was specified, ADHD, but not OCD, was related to inhibition.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWhen the contribution of comorbidity was specified, ADHD but not OCD was related to inhibition in TS.
“When the contribution of comorbidity was specified, ADHD, but not OCD was related to inhibition.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe regression equation with HFA for planning was not significant, while the regression equation with comorbidity was significant.
“The regression equation with HFA for planning was not significant, while the regression equation with comorbidity was significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataComorbidity did not predict significantly over and above HFA, but HFA did predict significantly over and above comorbidity for cognitive flexibility.
“Comorbidity did not predict significantly over and above HFA, but HFA did predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataComorbidity predicted significantly over and above TS, and TS predicted significantly over and above comorbidity for inhibition.
“Comorbidity predicted significantly over and above TS, and TS predicted significantly over and above comorbidity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataComorbidity did not predict significantly over and above TS, and TS did not predict significantly over and above comorbidity for planning.
“Comorbidity did not predict significantly over and above TS, and TS did not predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing), S4 (based).
Findingown dataThe regression equation with comorbidities for verbal fluency was also significant.
“The regression equation with the comorbidities ADHD and OCD was also significant.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataComorbidity predicted significantly over and above TS, but TS did not predict significantly over and above comorbidity for visual working memory.
“Comorbidity predicted significantly over and above TS, but TS did not predict significantly over and above comorbidity.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe regression equation with TS for inhibition was not significant, while the regression equation with the comorbidities ADHD and OCD was significant.
“The regression equation with TS for inhibition was not significant, while the regression equation with the comorbidities ADHD and OCD was significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe regression equation with TS for planning was not significant, while the regression equation with the comorbidities ADHD and OCD was significant.
“The regression equation with TS with respect to planning was not significant, while the regression equation with the comorbidities ADHD and OCD was significant.”
Quote in the paperSubstantial claimMay combine two claims. The quote only partly states this claim.
Findingown dataThe mean correlation for parents between the 12 EF measures and the CCC pragmatic score was r=.30, with a range from .12 to .39.
“The mean correlation for the parents was r ϭ .30~range r ϭ 6.126-6.396!”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAll correlations between EF measures and the CCC pragmatic score were significant, except the correlations between the parent pragmatic score and ToL decision and execution times, and Change task errors.
“All the correlations were significant, with the exception of the correlations between the parent pragmatic score with ToL decision and execution times, and Change task errors.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe HFA+TS group had a slightly but not significantly higher IQ than the HFA group.
“The HFA ϩ TS group had a slightly, but not significantly, higher IQ than the HFA group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataOnly three significant within-group correlations of IQ and EF measures, and only two significant interactions between diagnostic group and IQ on the EF measures, were found.
“Only three significant within group correlations of IQ and EF measures, and only two significant interactions between diagnostic group and IQ on the EF measures were found”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe HFA group scored lower than the NC group on visual working memory, cognitive flexibility, planning, and verbal fluency.
“The HFA group scored lower than the NC group on visual working memory, cognitive flexibility, planning, and verbal fluency.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe HFA children showed more response variability and committed more errors than the NC group in the response execution domain.
“These children showed more response variability and committed more errors than the NC group in the response execution domain.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataContrary to predictions, the HFA group had difficulties inhibiting a prepotent and ongoing response, as well as with interference control.
“Contrary to predictions, the HFA group had difficulties in inhibiting a prepotent and ongoing response, as well as with interference control.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataChildren with HFA scored lower than children comorbid for HFA and TS on all functions, with the exception of inhibition of an ongoing response, interference control, and verbal fluency.
“Children with HFA scored lower than children comorbid for HFA and TS on all functions, with the exception of inhibition of an ongoing response, interference control, and verbal fluency.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDespite the clinical groups not differing in age and IQ, most significant differences between the HFA and HFA+TS groups disappeared while controlling for age and IQ, which was not the case for differences between HFA and NC or between HFA and TS.
“Despite the fact that the clinical groups did not differ with respect to age and IQ, it was striking that most of the significant differences between the HFA and HFA ϩ TS groups disappeared, while controlling for age and IQ, which was not the case for the differences between the HFA and NC groups or between the HFA and TS groups.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe HFA children exhibited difficulties in short-term memory (Corsi and BVRT) and categorization.
“Further, they exhibited difficulties in shortterm memory ~i.e., Corsi and BVRT!, and categorization.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSeveral prior studies reported executive-function deficits among individuals with autism.
“Multiple studies have identified executive functioning ~EF! deficits in autism ~Ozonoff, 1997; Russell, 1997; Sergeant, Geurts, & Oosterlaan, 2002!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Ozonoff, 1997
Not checked in the free run.
- cites Russell, 1997
Not checked in the free run.
- cites Sergeant, Geurts, & Oosterlaan, 2002
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe ADI-R is regarded as the leading diagnostic tool for autism spectrum disorders.
“The ADI-R is currently considered as the”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Filipek et al., 1999
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
Study design and conductreasoningADI-R administration served to confirm autism spectrum diagnosis in high-functioning autism groups and rule it out in the Tourette syndrome group.
“The ADI-R was administered to confirm the autism spectrum diagnosis in the HFA groups and to exclude an autism spectrum disorder in the TS group.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductcitationMethylphenidate was stopped at least 20 hours before testing to permit full washout.
“Twelve children from the HFA group were on methylphenidate, but discontinued medication at least 20 hr before testing ~Barkley, Du-Paul, & Connor, 1999! allowing for a complete washout ~Greenhill, 1998!.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Barkley, Du-Paul, & Connor, 1999
Not checked in the free run.
- cites Greenhill, 1998
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductreasoningHigh-functioning autism was diagnosed when all three ADI-R domain scores met their cutoffs.
“A diagnosis of HFA was made if the scores on the ADI-R reached the cutoffs for all three domains.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationAutism and Tourette syndrome are both neurodevelopmental disorders involving frontostriatal circuits.
“Furthermore, according to Bradshaw ~2001!, both autism and TS are frontostriatal neurodevelopmental disorders.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bradshaw, 2001
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Wisconsin Card Sorting Test depends on right dorsolateral frontal cortex function.
“Several studies have found that WCST performance relies on the right dorsolateral frontal cortex ~e.g., Berman, Ostrem, Randolph, Gold, Goldberg, Coppola, Carson, Herscovitch, & Weinberger, 1995;Lombardi, Andreason, Sirocco, Rio, Gross, Umhau, & Hommer, 1999;Riehemann et al., 2001!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Berman et al., 1995
Not checked in the free run.
- cites Lombardi et al., 1999
Not checked in the free run.
- cites Riehemann et al., 2001
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataFull-scale IQ was included as a covariate because the groups differed significantly on it.
“FSIQ was controlled for because there were significant group differences for FSIQ.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductown dataChildren were included only if they were medication-free or could stop their medication.
“children who did not use medication ~or used medication that could be discontinued, e.g., methylphenidate!participated in the study.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductreasoningThe TSSL verified DSM-IV-TR tic criteria in every Tourette syndrome participant: two or more motor tics and one or more vocal tics.
“The TSSL was included to verify the presence of at least two motor tics and at least one vocal tic for all subjects with TS, as required by DSM-IV-TR criteria.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductreasoningExecutive-function comparisons adjusted for full-scale IQ and age.
“Second, groups were compared on the EF measures, while controlling for FSIQ and age.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationTourette syndrome can co-occur with ADHD or OCD.
“Furthermore, comorbidity of TS and ADHD or OCD is possible ~APA, 2000!.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites APA, 2000
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductnone givenParticipation required a clinical diagnosis established through multidisciplinary assessment.
“Only children with a clinical diagnosis based on a multidisciplinary assessment”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataFor the high-functioning autism group, ADHD and hyperactivity were distributed comparably to other groups, whereas inattention and OCD were not.
“The distribution of HFA versus the other disorders was comparable for ADHD, x 2 ~1! ϭ .58,ns, and hyperactivity, x 2 ~1! ϭ .23,ns, but not for inattention, x 2 ~1! ϭ 6.53, p ϭ .01,and OCD, x 2 ~1! ϭ 5.90, p ϭ .02.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductcitationSome executive-function domains were assessed with multiple tasks so that coverage was adequate and deficits could not be attributed to a single task.
“Because EF tasks are seldom pure measures of a single EF domain ~e.g., Ozonoff, 1997!, more than one task was included for some domains ~e.g., inhibition, cognitive flexibility, and verbal fluency! to ensure that the domain was adequately covered, and that possible deficits are not due to the task chosen.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationLeft prefrontal function is generally linked to verbal fluency.
“Several studies have shown that verbal fluency tends to be associated with left prefrontal functioning ~e.g., Frith, Friston, Liddle, & Frackowiak, 1991;Gaillard et al., 2000;Phelps, Hyder, Blamire, & Shulman, 1997;Schlosser, Aoyagi, Fulbright, Gore, & McCarthy, 1998!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Frith et al., 1991
Not checked in the free run.
- cites Gaillard et al., 2000
Not checked in the free run.
- cites Phelps et al., 1997
Not checked in the free run.
May combine two claims.
Study design and conductown dataFor the Tourette syndrome group, ADHD, inattention, and hyperactivity were distributed comparably to other groups, whereas OCD was not.
“The distribution of TS versus the other disorders was comparable for ADHD, x 2 ~1! ϭ .63,ns, inattention, x 2 ~1! ϭ 3.03, ns, and hyperactivity, x 2 ~1! ϭ .07,ns, but not for OCD, x 2 ~1! ϭ 9.29, p ϭ .002.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataOn each comparison, the increase in decision time was least for the HFA group, indicating deficits in planning.
“On each comparison, the increase in decision time was least for the HFA group, indicating deficits in planning.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductreasoningADHD and OCD traits were adjusted for because they often accompany high-functioning autism and Tourette syndrome and were unevenly distributed across groups.
“Third, ADHD and OCD characteristics were controlled for because these characteristics are frequently associated with HFA and TS.Furthermore, in this study both characteristics were not always equally divided within the groups ~i.e., inattentivity and OCD!.”
Quote in the paperSubstantial claim- Rests on an assumption: Many earlier developmental-psychopathology studies of executive functioning overlooked comorbidity.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataTechnical problems caused missing data for some children.
“Data was missing for some children because of technical reasons.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductreasoningAge was adjusted for because executive functions continue to develop across the studied age range and could affect results even though groups did not differ in age.
“Age was controlled for because EFs are still developing in the age range in this study, and this might influence the outcome despite the fact that there were no group differences for age.”
Quote in the paperSubstantial claim- Rests on an assumption: Executive-function deficits become more prominent with age.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataOutlying scores were detected and excluded from analysis.
“For each group and for each dependent measure, children with extreme scores were identified and removed from the analyses.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataTS had additional predictive power beyond comorbidity, and vice versa, for inhibition.
“TS had additional predictive power beyond that contributed by comorbidity, and vice versa.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataTS and comorbidity are poor predictors of cognitive flexibility.
“TS as well as comorbidity are poor predictors of cognitive flexibility.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataTS and comorbidity are good predictors of visual working memory.
“TS as well as comorbidity are good predictors of visual working memory.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataHFA and comorbidity are good predictors of verbal fluency.
“HFA as well as comorbidity are good predictors of verbal fluency.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataTS and comorbidity are good predictors of verbal fluency.
“TS as well as comorbidity are good predictors of verbal fluency.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataHFA and comorbidity are good predictors of cognitive flexibility.
“HFA as well as comorbidity are good predictors of cognitive flexibility.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataHFA and comorbidity are good predictors of non-EF.
“HFA as well as comorbidity are good predictors of non-EF.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataHFA and comorbidity are good predictors of visual working memory.
“HFAas well as comorbidity are good predictors of visual working memory.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationAutism and Tourette syndrome are both frontostriatal neurodevelopmental disorders.
“According to Bradshaw ~2001!, both autism and TS are frontostriatal neurodevelopmental disorders.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bradshaw, 2001
Not checked in the free run.
May combine two claims.
PremisecitationAutism appears to be linked to dysfunction in the dorsolateral prefrontal cortex, lateral orbitofrontal cortex, and cerebellum.
“Autism seems to be associated with the dorsolateral prefrontal and lateral orbitofrontal cortex as well as with cerebellar dysfunction ~Bailey, Phillips, & Rutter, 1996;Bradshaw & Sheppard, 2000;Chugani, 2000;Eliez & Reiss, 2000!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Bailey, Phillips, & Rutter, 1996
Not checked in the free run.
- cites Bradshaw & Sheppard, 2000
Not checked in the free run.
- cites Chugani, 2000
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataA final explanation for the current results is that they are due to a smaller number of subjects in the comorbid group.
“A final explanation for the current results is that they are due to a smaller number of subjects in the comorbid group.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataHierarchical regression analyses suggest that HFA had greater predictive power for cognitive flexibility, visual working memory, and verbal fluency, while ADHD had the most predictive power for inhibition and planning.
“These analyses suggest that HFA had greater predictive power for cognitive flexibility, visual working memory, and verbal fluency, while ADHD had the most predictive power for inhibition and planning.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationcitationBecause cognitive functions change rapidly in childhood, validating executive function tasks within a developmental framework is difficult.
“Hence, it is difficult to validate tasks within a developmental framework.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationSome of the non-executive-function tasks used, specifically the Benton and Corsi tasks, also tap executive processes.
“However, it may be argued that some of these tasks reflect EF processes as well ~i.e., the Benton and the Corsi; Baddeley, Della Sala, Gray, Papagno, & Spinnler, 1997!.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Baddeley, Della Sala, Gray, Papagno, & Spinnler, 1997
Not checked in the free run.
May combine two claims.
Interpretationown dataAlthough the importance of comorbidity could not be confirmed in the variance analyses, the regression analyses clearly showed the importance of comorbid ADHD.
“Although we could not confirm the importance of comorbidity in the variance analyses, the regression analyses clearly showed the importance of comorbid ADHD.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationnone givenThe off-medication selection criterion might have biased the sample somewhat toward less affected children with TS.
“Overall, it should be noted that the”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCognitive functions develop rapidly during childhood.
“Anderson ~2002!argued that cognitive functions develop rapidly in childhood.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Anderson, 2002
Not checked in the free run.
May combine two claims.
PremisereasoningInformation-processing tasks, unlike classical tasks, measure specific component processes and permit experimental manipulations.
“Contrary to classical tasks, these kinds of tasks measure specific component processes and make experimental manipulations possible.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningConsidering the moderate correlation and the finding that EF deficits become more prominent with age, the possibility cannot be completely ruled out that EF problems in children with autism are a secondary outcome of another central process rather than a primary cause.
“Considering this moderate correlation together with the finding that EF deficits become more prominent with age, we cannot completely rule out the possibility that EF problems in children with autism are a secondary outcome of another central process, rather than a primary cause ~e.g., Zelazo & Müller, 2002!.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Zelazo & Müller, 2002
Not checked in the free run.
May combine two claims.
Study design and conductreasoningThe study included tasks with overlapping executive function demands to ensure each domain was adequately covered and that any deficits found were not an artifact of the specific task used.
“To deal with this measurement problem for some domains, tasks that overlap in their EF demands were included to ensure that the domain was adequately covered, and that possible deficits are not due to the task chosen.”
Quote in the paperSubstantial claim- Rests on an assumption: Including tasks that overlap in their executive function demands ensures that each executive function domain is adequately covered.
Classified as probably not a substantial claim.
Study design and conductcitationDiagnoses for children in the clinical groups were verified with the Autism Diagnostic Interview-Revised and the Diagnostic Interview Schedule for Children for DSM-IV.
“At the third stage, diagnoses of the children in the clinical groups were verified using the Autism Diagnostic Interview-Revised ~ADI-R; Lord, Rutter, & Le Couteur, 1994! and the Diagnostic Interview Scale for Children for DSM-IV ~DISC-IV; Shaffer, Fisher, Lucas, Dulcan, & Schwab-Stone, 2000; Dutch translation, Ferdinand, Van der Ende, & Mesman, 1998!.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Lord, Rutter, & Le Couteur, 1994
Not checked in the free run.
- cites Shaffer, Fisher, Lucas, Dulcan, & Schwab-Stone, 2000
Not checked in the free run.
May combine two claims.
PremisecitationThe largest increases in executive function occur between ages 7 and 9 and again between ages 11 and 12.
“It can be found in the literature that the greatest increments in EF are between the ages of 7 and 9 and again between 11 and 12 years”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Anderson, Anderson, & Lajoie, 1996
Not checked in the free run.
- cites Bradshaw, 2001
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Disruptive Behavior Disorder rating scale has adequate psychometric properties.
“Adequate psychometric properties have been reported ~Oosterlaan et al., 2000!.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Oosterlaan et al., 2000
Not checked in the free run.
Classified as probably not a substantial claim.
InterpretationreasoningWhen comparing high-functioning autism and Tourette syndrome groups, comorbidity-especially attention-deficit/hyperactivity disorder characteristics-should be taken into account.
“The results also suggest that for the comparison between HFA and TS groups, it is important to take into account comorbidity, especially comorbidity with ADHD characteristics.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Children's Communication Checklist pragmatic composite score is considered a promising tool for identifying children with autism spectrum disorder.
“Adequate psychometric properties have been reported and the pragmatic composite score is seen as a promising measure for the detection of children with an autism spectrum disorder ~Bishop, 1998; Bishop & Baird, 2001!.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Bishop, 1998
Not checked in the free run.
- cites Bishop & Baird, 2001
Not checked in the free run.
May combine two claims.
Interpretationown dataExecutive function deficits are not a central feature of the cognitive phenotype in Tourette syndrome, unlike in autism.
“Because EF deficits are not a central part of the cognitive phenotype of TS as they are for autism, a reevaluation of the EF hypothesis in TS is warranted.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationAdequate reliability and validity have been reported for precursors of the Diagnostic Interview Schedule for Children for DSM-IV.
“Adequate reliability and validity have been reported for precursors of the DISC-IV ~Schwab-Stone et al., 1996!.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Schwab-Stone et al., 1996
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPerformance on the stop signal task, a variant of the change task, is associated with functioning of the right prefrontal cortex.
“Several studies have found that performance on the stop signal task ~Logan, 1994!, a variant of the change task, is associated with right prefrontal cortex functioning ~e.g., Rubia, Overmeyer, Taylor, Brammer, Williams, Simmons, & Bullmore, 1999!.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Logan, 1994
Not checked in the free run.
- cites Rubia et al., 1999
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductreasoningA larger inhibition time on the Circle Drawing Task indicates a better ability to inhibit the continuous tracing response.
“The greater the inhibition time, the better a participant was able to inhibit ~slow down! the continuous tracing response.”
Quote in the paperSubstantial claim- Rests on an assumption: The inhibition time measured by the Circle Drawing Task reflects the ability to inhibit an ongoing response.
May combine two claims.
InterpretationreasoningThe present study provides further support that autism, but not Tourette syndrome, is associated with impaired executive function.
“In conclusion, this study adds further support to the view that autism, but not TS, is associated with impaired EF.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningChildren with high-functioning autism show executive function deficits relative to other groups, yet they improve with age without reaching normal levels of functioning.
“This means that although children with HFA have EF deficits in comparison to the other groups, they also make progression in EF with increasing age, but they do not reach normal functioning levels.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe child version of the Leyton Obsessional Inventory-Parent Version has sound psychometric properties.
“Sound psychometric properties have been reported for the child version of this instrument ~Berg et al., 1988; Flament, Whitaker, Rapoport, Davies, Berg, Kalikow, Sceery, & Shaffer, 1988; King, Inglis, Jenkins, Myerson, & Ollendick, 1995!.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Berg et al., 1988
Not checked in the free run.
- cites Flament et al., 1988
Not checked in the free run.
- cites King et al., 1995
Not checked in the free run.
The paper relies on this without support.
Executive-function deficits become more prominent with age.
“It should be noted that EF deficits become more prominent with age.”
The paper relies on this without support.
Many earlier developmental-psychopathology studies of executive functioning overlooked comorbidity.
“The issue of comorbidity is a neglected aspect in many previous studies of EF in developmental psychopathology.”
The paper relies on this without support.
Earlier work usually assessed just two or three executive-function domains.
“while most studies covered only two or three domains.”
The paper relies on this without support.
Before this study, no direct comparison had been made among autism, Tourette syndrome, and a comorbid group with both conditions.
“no study to date has made a direct comparison between children with autism, TS, and a comorbid group of children with both disorders.”
The paper relies on this without support.
The EF tasks measure the EF domains they are intended to measure.
“which they assume the task measures”
The paper relies on this without support.
The non-EF tasks measure the non-EF domains they are intended to measure.
“the non-EF control measures”
The paper relies on this without support.
The rating scales and interviews validly measure the constructs they are used to assess.
“rating scale scores, and interview scores for each group”
The paper relies on this without support.
The five EF domains are valid and distinct constructs.
“five major domains of EF ~Pennington & Ozonoff, 1996!: inhibition, visual working memory, planning, cognitive flexibility, and verbal fluency”
The paper relies on this without support.
The statistical models used are appropriate and their assumptions are met.
“Group differences for the other measures were studied with ANOVAs, using an overall alpha level of .05.”
The paper relies on this without support.
The executive function tasks used in this study validly measure the specific executive function domains to which they are assigned.
“although the tasks included in this study are assigned to a specific domain, we are aware that EF tasks cannot be considered pure measures of a single EF domain”
The paper relies on this without support.
Including tasks that overlap in their executive function demands ensures that each executive function domain is adequately covered.
“tasks that overlap in their EF demands were included to ensure that the domain was adequately covered”
The paper relies on this without support.
The non-executive-function measures included in this study control for generalized cognitive impairment.
“The current study improved previous studies by the inclusion of non-EF measures to control for generalized cognitive impairment.”
The paper relies on this without support.
The inhibition time measured by the Circle Drawing Task reflects the ability to inhibit an ongoing response.
“The greater the inhibition time, the better a participant was able to inhibit ~slow down! the continuous tracing response.”
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?
Recent WCST studies demonstrate deficits in changing sorting strategy across autism subtypes, ages, and cognitive levels.
“Recent studies using this measure in autism also demonstrate deficits in changing sorting strategy across populations of various autism subtypes, ages and cognitive levels ([9,13–22], but see Ref. [23]).”
From The paradox of cognitive flexibility in autism (2009) · cites this paper as [21]
Elevated reaction time variability is not unique to ADHD; it has been observed in high functioning autism, schizophrenia, bipolar disorder with psychotic symptoms, traumatic brain injury, and early stage Alzheimer's dementia.
“Elevated RTV has been observed in individuals with high functioning autism [20], schizophrenia [21], bipolar disorder with psychotic symptoms [22], traumatic brain injury [23][24][25][26], and early stage Alzheimer's dementia [27,28].”
From Reaction Time Variability in ADHD: A Review (2012) · cites this paper as [20]
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.
Categorization test has more observations than the study enrolled
MinorThe reported ANOVA degrees of freedom imply 152 observations (3 + 148 + 1), but the four study groups contain only 149 children. Excluding missing data or outliers could not increase that total.
“SON-R total score | 14.8 | 4.4 | 11.7 | 3.8 | 14.3 | 4.3 | 14.5 | 5.1 | F ~3, 148! ϭ 5.70***”
“Four groups of children are reported in this study: 61 children with HFA, 24 children with TS, 17 children with comorbid HFA and TS ~HFA ϩ TS!, and 47 NC children.”
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Self-citation
- Authors
- VERTÉ, S., GEURTS, H. M., ROEYERS, H., OOSTERLAAN, J., & SERGEANT, J. A.
- Affiliations
- Ghent University (BE)
- Vrije Universiteit Amsterdam (NL)
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2005-05-12
- Volume
- 17
- Issue
- 2
- Pages
- 415-445
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2158707544
- Cited by
- 152
- References
- 118
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 8 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 11 · 2016: 3 · 2015: 13 · 2014: 12 · 2013: 5 · 2012: 8
- FWCI
- 2.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- executive function, high-functioning autism, Tourette syndrome, comorbidities, inhibition, cognitive flexibility, visual working memory, planning, verbal fluency, interference control, children
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Autistic Disorder, Child, Cognition, Tourette Syndrome, Humans, Memory, Memory, Short-Term, Neuropsychological Tests, Obsessive Behavior, Personality Inventory, Severity of Illness Index, Verbal Learning
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