Profiling executive dysfunction in adults with autism and comorbid learning disability
Abstract
Executive dysfunction is thought to be primary to autism. We examined differences in executive function between 20 adults with autism and learning disability and 23 individuals with learning disabilities outside the autistic spectrum. All participants were matched for chronological age and full-scale IQ, and were given a battery of tasks assessing fluency, planning, set-shifting, inhibition and working memory. Analyses of the individual tasks revealed very few significant differences between the two groups. However, analyses of composite scores derived for each executive domain revealed that the group with autism showed impaired performance on the working memory and planning tests. Together, these two measures were sufficient to classify participants into their diagnostic groups significantly better than would be expected by chance (75% of the autism group; 65% of the control group). Executive impairments were neither universal nor exclusive to the autism group, and we suggest that an alternative cognitive theory may better explain the cognitive profile we found.
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Two MCST studies could not differentiate adults with autism (low and high functioning) from typically developing adults.
“Illustrative in this respect is that two studies that used an adjusted version of this task, the modified card sorting task (MCST) could not differentiate between adults with autism (low [27] and high functioning [8]) and typically developing adults.”
From The paradox of cognitive flexibility in autism (2009) · cites this paper as [27]
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Prospective memory and executive functions in adults across the wider autistic spectrum
Nürnberg, D., & Altgassen, M. (2026) · Scientific Reports · doi:10.1038/s41598-026-57092-2
The Intersection of Working Memory and Emotion Recognition in Autism Spectrum Disorders
Anderson, S. (2022) · Digital Archive @ GSU · doi:10.57709/4865353
Understanding language in autism spectrum disorder: the role of cognitive control
Koolen, S. (2014) · Radboud Repository (Radboud University)
- Authors
- Barnard, L., Muldoon, K., Hasan, R., O'Brien, G., & Stewart, M.
- Affiliations
- University of Leeds (GB)
- Heriot-Watt University (GB)
- Royal Victoria Infirmary (GB)
- Northumbria University, Newcastle upon Tyne, UK
- Corresponding author
- Stewart, Mary
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2008-03
- Volume
- 12
- Issue
- 2
- Pages
- 125-141
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- OpenAlex
- W2105280926
- Cited by
- 80
- References
- 41
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 4 · 2020: 6 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 7 · 2015: 3 · 2014: 7 · 2013: 8 · 2012: 5
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- Northumbria Research Link (Northumbria University) (acceptedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Keywords
- executive dysfunction, learning disabilities, comorbidities, working memory, planning, fluency, set-shifting, inhibition, cognitive profile, diagnostic classification, adults
- MeSH terms
- Adolescent, Adult, Autistic Disorder, Cognition Disorders, Humans, Intelligence, Learning Disabilities, Male, Memory, Intellectual Disability, Middle Aged, Neuropsychological Tests, Verbal Behavior
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