Spatial Reversal as a Measure of Executive Functioning in Children With Autism

The purpose of this experiment was to compare the executive functioning performance of children with autism with chronological- and verbal-matched controls in a spatial-reversal task. Three groups of children participated in this experiment. One group was identified as having autism (7 boys), the 2nd group contained 7 typically developing children (6 boys, 1 girl) who were matched to the 1st group based on their verbal performance, and the 3rd group contained 7 typically functioning children (6 boys, 1 girl) matched to the 1st group based on chronological age. Each group was given a spatial-reversal task containing 2 problems. In the 1st problem, children selected a toy on a particular side in a pair. In the 2nd problem, the contingencies were reversed such that children were to choose the toy on the opposite side. Children with autism generally performed worse than comparison groups as indicated by their overall higher rate of errors. However, these results must be qualified by considering the performance for each problem: Errors for the children with autism were infrequent during the 1st problem but increased in the 2nd, whereas errors for comparison children showed the opposite pattern. When these results from the spatial-reversal task were intérpreted from the perspective of hypothesis-testing theory, the executive functioning deficiency of children with autism was found to involve the selection and testing of stereotypic response sets that were not likely to be revised or changed flexibly according to feedback from the environment or the demands of the task.     

Do children with autism use inner speech and visuospatial resources for the service of executive control? Evidence from suppression in dual tasks

Three experiments used dual‐task suppression methodology to study the use of inner speech and visuospatial resources for mediating central executive performance by children with autism (CWA) and group‐matched typically developing (TD) controls. Expt 1 revealed that CWA did not recruit inner speech to facilitate arithmetic task‐switching performance: there was no effect of articulatory suppression (AS) on completion time for CWA compared to the TD group. Expt 2 revealed that suppression of visuospatial resources disrupted the task‐switching performance of both CWA and TD groups. It also confirmed that the task‐switching performance of CWA was significantly slowed by visuospatial compared to AS. Expt 3 showed that CWA also did not employ inner speech, compared to visuospatial resources, for implementing planning movements. Overall, compared to the mixture of representations used by the TD group for problem solving, CWA seemed to use visuospatial working memory resources but not inner speech to service executive control.     

Relations between Parenting Stress,Parenting Style,and Child Executive Functioning for Children with ADHD or Autism

Relations among parenting stress, parenting style, and child executive functioning for children with disabilities are not easily teased apart. The current study explored these relations among 82 children and adolescents age 7–18: 21 with attention deficit/hyperactivity disorder, 33 with autism spectrum disorder, and 28 typically developing. Results indicated that children with attention deficit/hyperactivity disorder or autism spectrum disorder had more executive functioning deficits, and their parents reported more parenting stress and a greater use of permissive parenting, compared to typically developing children. In general, increased parenting stress was associated with greater use of authoritarian and permissive parenting styles, as well as more problems with behavior regulation for children. Authoritarian and permissive parenting styles were associated with poorer child executive functioning. Child diagnostic group (attention deficit/hyperactivity disorder, autism spectrum disorder, typically developing) moderated relations between parent stress and child functioning, and between parenting style and child functioning. Implications for intervention with families of children with disabilities are discussed.     

Neuropsychological characteristics and test behaviors of boys with early onset conduct problems.

School-age children and adolescents with conduct problems typically exhibit deficits in verbal IQ, language abilities, and executive functions. This study examined the extent to which this pattern was evident in a clinic group of preschool boys with early onset conduct problems who met criteria for oppositional defiant disorder (ODD) with and without attention deficit hyperactivity disorder (ADHD). A 2nd question focused on the strength of relation between clinic boys' uncooperative or inattentive test behaviors and their test performance. As expected, the clinic boys showed a neuropsychological profile highly similar to the one found in older conduct problem populations. Verbal tests distinguished clinic from matched comparison boys even after controlling for observers' ratings of disruptive behavior during testing. Clinic boys with ODD and ADHD had lower verbal and executive function scores than clinic boys with ODD alone. After general vocabulary knowledge and test behavior were controlled, clinic boys were found to have poorer vocabularies for describing affective states than comparison group boys.     

Shyness,Self-regulation,and Cognitive Problem Solving in Typically Developing 4-year-olds: A Pilot Study

Because shy children are at risk for poor academic achievement, it is important to examine factors that contribute to variability in the relation between individual differences in shyness and cognitive functioning before school entry. The authors examined whether on-task facilitative private speech—a proxy of self-regulation—moderated the association between individual differences in shyness and performance on an executive function (EF) task in 52 typically developing 4-year-olds. They found that private speech interacted with shyness to predict performance on the EF task in girls but not in boys. More specifically, shyness was inversely related to EF task performance when girls used low amounts of regulatory private speech, but was positively related to performance when girls used high amounts of regulatory private speech. These preliminary findings are discussed in the context of implications for shy children in educational settings.     

High functioning children with autism spectrum disorder: a novel test of multitasking

High functioning children with a diagnosis of autism or Asperger's syndrome (HF-ASD) often experience difficulties organising goal-directed actions in their day-to-day lives, requiring support to schedule daily activities. This study aimed to capture these everyday difficulties experimentally using multitasking, a methodology that taps into the cognitive processes necessary for successful goal-directed activities in everyday life. We investigated multitasking in children with HF-ASD using a novel multitask test, the Battersea Multitask Paradigm. Thirty boys participated in the study, 14 with HF-ASD and 16 typically developing controls, matched for age and IQ. Group differences in multitasking were observed. Participants with HF-ASD were less efficient at planning, attempted fewer tasks, switched inflexibly between tasks and broke performance rules more frequently than controls.     

Sustained attention and executive functioning performance in attention-deficit/hyperactivity disorder.

The aim of this study was to further refine the cognitive phenotype of attention-deficit/hyperactivity disorder (ADHD), with respect to the ability to sustain attention and executive functioning. Participants were 34 boys with ADHD (combined type) and 28 normal controls. The groups were closely matched for age and IQ. All participants were 12 years of age. Both groups performed a computerized sustained attention task and a response interference task. Measures related to speed, accuracy, and time on task were collected. We found that children with ADHD performed slower, less accurately, more impulsively, and with less stability than controls. Both groups produced more errors with increasing time on task, reflecting reduced vigilance. Importantly, no interaction with time on task was found. The overall pattern of results suggests that measures related to accuracy are more informative than measures related to speed of responding in refining the cognitive phenotype of ADHD.     

Identifying the nature of impairments in executive functioning and working memory of children with severe difficulties in arithmetic

An age-matched achievement-matched design was used to examine whether the executive functioning and working memory impairments exhibited by children with severe difficulties in arithmetic (SDA) are better viewed as developmental lags or as cognitive deficits. Three groups of children were included: 20 SDA children, 20 typically achieving children (CM) matched in chronological age with the SDA children, and 20 younger typically achieving children (AM) matched in achievement with the SDA group. While children with SDA did not exhibit impairments in color-word inhibition and verbal working memory, they did demonstrate impairments in shifting, quantity-digits inhibition, and visuospatial working memory. As children with SDA did not perform more poorly than their AM counterparts on any of these tasks, impairments in specific areas of executive functioning and working memory appear to reflect developmental lags rather than cognitive deficits.     

Development of gender discrimination: Role of stereotypic and counterstereotypic gender cues

Toddlers (41 girls and 35 boys) between 18 and 37 months old were given four gender discrimination tasks, each consisting of 6 pairs of color drawings. Three tasks depicted pairs of preschool girls and boys holding either sex-typical toys (stereotypic cues), sex-atypical toys (counterstereotypic cues), or no toys. The fourth task paired pictures of female-typed and male-typed toys. For each pair, subjects were asked to point to either the girl (girls' toy) or boy (boys' toy). Gender discrimination increased with age. Young children performed at chance level on all tasks. Older children made fewer correct choices on the Toy Alone task than on the tasks depicting children. Performance generally was unaffected by stereotyping or counterstereotyping of gender cues. Sex differences were minimal.Portions of this paper were presented at the meeting of the Society for Research in Child Development, Baltimore, MD, April 1987.     

Links between theory of mind and executive function in young children with autism: clues to developmental primacy

There has been much theoretical discussion of a functional link between theory of mind (ToM) and executive function (EF) in autism. This study sought to establish the relationship between ToM and EF in young children with autism (M = 5 years, 6 months) and to examine issues of developmental primacy. Thirty children with autism and 40 typically developing children, matched on age and ability, were assessed on a battery of tasks measuring ToM (1st- and 2nd-order false belief) and components of EF (planning, set shifting, inhibition). A significant correlation emerged between ToM and EF variables in the autism group, independent of age and ability, while ToM and higher order planning ability remained significantly related in the comparison group. Examination of the pattern of ToM-EF impairments in the autism group revealed dissociations in 1 direction only: impaired ToM with intact EF. These findings support the view that EF may be 1 important factor in the advancement of ToM understanding in autism. The theoretical implications of these findings are discussed.     

How do you think she feels? Vulnerability in empathy and the role of attention in school‐aged children born extremely preterm

The aim of this study was to examine empathic competence in children born extremely preterm (EP, <28 weeks) given vulnerabilities in social relationships. Empathy in typically developing children is mediated by executive functions. Executive functioning is also impaired in preterm children. Of particular interest in this study are the attentional components of executive functioning as mediators of empathic development. Thirty‐two 7‐year‐old EP children and 40 age‐matched term children participated in the Project K.I.D.S program and completed the Kids Empathy Development Scale (KEDS), Wechsler Intelligence Scale for Children (WISC‐IV), and Test of Everyday Attention for Children (TEA‐Ch). Children born extremely preterm exhibited poorer performance on all measures. The mediating role of attention in empathy competence was not supported by mediation modelling when FSIQ was controlled. As predicted, the EP group showed weaker empathic development relative to typically developing children. They also showed poorer attentional abilities. However, the effect of preterm birth on empathy was not mediated by executive‐level attention. The cognitive mechanisms underpinning poor empathy competence in EP children remain unclear. Future research needs to examine the role of inhibition, social–emotional recognition, and regulation.     

自闭症儿童视觉动态信息的注意加工特点——来自多目标追踪任务的证据

为了考察中低功能自闭症儿童在动态条件下的多目标注意加工特点,研究采用多目标追踪实验范式,具体追踪任务采用多目标随机运动和碰撞反弹算法。实验设计为两因素混合设计,组间变量为年龄和性别匹配的中低功能自闭症和正常儿童组,组内变量为追踪目标数量（分别为1、2、3、4个目标）,因变量为被试在多目标追踪任务中的追踪正确率和追踪容量。结果发现：（1）中低功能自闭症儿童在目标数量为1到目标数量为4时的正确率均明显低于正常儿童,且标准差变异较大,中低功能自闭症儿童的多目标的持续追踪能力和稳定性存在一定的缺陷;（2）当目标数量为1时,正常组儿童与中低功能自闭症儿童的追踪容量差异不显著;目标为2、3、4时,两组追踪容量差异均显著。不同目标数量情况下中低功能自闭症儿童平均的注意容量为0.83~1.24个（平均容量约为1个）明显低于正常儿童的0.95~3.72个（最大容量接近4个）。中低功能自闭症儿童在多目标追踪上表现为单焦点注意加工的特点,存在一定程度的注意转移缺陷。     

Performance on the dimensional change card sort and backward digit span by young children with autism without intellectual disability

The early development of executive function (EF) and its relation to autism symptom expression is of considerable theoretical interest, particularly in children without general cognitive delay. Executive function was tested in 23 children with autism spectrum disorders (ASD) without intellectual disability and 20 age- and IQ-matched typically developing children. Even though performance was equivalent between the two groups on tests of general intelligence, flexibility in card sorting was lower for children with ASD. Verbal working memory during the backward digit span did not differ between groups. Among children with ASD, poorer performance on card sorting distinguished a subgroup with worse social-communication functioning above and beyond IQ. Controlling for IQ social and repetitive symptoms of ASD did not differ based on card sorting ability.     

高功能孤独症儿童的合作行为

合作行为是一种重要的亲社会行为, 对儿童的社会适应具有重要意义, 而孤独症儿童的典型特征是社会功能存在缺陷, 从而导致合作行为的缺乏。以往研究未能就孤独症儿童在不同合作任务类型中的表现做出区分, 本研究采用经典的囚徒困境博弈和合作性工具任务比较了6~12岁的高功能孤独症儿童和正常发展儿童在不同任务中的合作行为。结果显示高功能孤独症儿童和正常儿童在囚徒困境中的合作行为没有显著差异, 然而, 他们在工具性任务中表现出比正常儿童更低水平的合作行为。这说明高功能孤独症儿童在对认知能力有不同要求的合作任务中的表现不同。     

Memory for Faces in Children with Autism

Previous research has established that children with Autistic Disorder have deficits in aspects of social cognition and in verbal memory, but research on social memory is limited. Twenty-four autistic boys aged 7 to 12 years and normal controls matched for verbal mental age were administered parallel social and nonsocial matching and memory tasks. Results showed that the children with autism were impaired relative to the normal children on the social (face) memory task only. Furthermore, of the four experimental tasks, the social memory task had the highest and most consistent correlations with measures of social development and adaptive skills. Whereas the normal children used the special status of faces to recall them more easily than objects, the children with autism showed equal recall of objects and faces.     

Does theory of mind performance differ in children with early‐onset and regressive autism?

A deficit in theory of mind (ToM), or the ability to infer the mental states of others, has been implicated as one of the major characteristics of Autism Spectrum Disorder (ASD); however, little attention has been devoted to possible differences in ToM ability within ASD. The current study examined ToM performance in children with early-onset autism and regressive autism in comparison to typically developing children. Results indicated that children in the regressive autism group performed significantly better than the early-onset autism group on the non-verbal appearance-reality task. Additionally, Fisher's exact tests indicated a pattern of lowest scores in the early-onset group and highest scores in the typically developing group, whereas the regressive autism group tended to score in between the early-onset and typically developing groups. The apparent heterogeneity in ToM performance within ASD could account for the lack of universality in ToM ability found in previous studies.     

Noticing and commenting on what’s new: differences and similarities among 22‐month‐old typically developing children,children with Down syndrome and children with autism

Twenty 22‐month‐old typically developing children (TD), 11 children with Down syndrome (DS) and 10 children with autism (A), all functioning at a one‐ or two‐word linguistic level, were given eight series of four toys to explore. In each series, the first three toys (i.e. Trials 1–3) were identical, but the fourth toy (i.e. Trial 4) differed on a property or in identity. The children sat beside their mother and the experimenter while exploring the toys. Of interest was whether (1) the TD children would show more exploratory and communicative behavior related to the toys on Trials 1 and 4 than 2 and 3, and (2) how the response patterns of nontypically developing children would compare. The DS group showed a pattern of responding similar to that of the TD group with respect to their attention and interest in the toys, although a much lower rate of communicating with their mother. In contrast, the A group differed significantly from both other groups with respect to both the toys they found of interest and the timing of their topic initiations. Implications for observing declarative communication among children with Down syndrome and children with autism are discussed.     

Examining the relation between ratings of executive functioning and academic achievement: Findings from a cross-cultural study

The present study investigated the relation between academic performance and ratings of executive functioning in children aged 6–11 from four countries: Sweden, Spain, Iran, and China. Ratings of executive functioning were made by both parents and teachers using the Childhood Executive Functioning Inventory (CHEXI). The results showed that the Chinese sample was generally rated as having more executive deficits compared to the other samples. The finding that executive functioning deficits are exacerbated in China is most likely the result of cultural biases. Boys were generally rated as having poorer executive functioning compared to girls, except in Iran where parents, but not teachers, rated girls as having poorer executive functioning compared to boys. However, this opposite pattern of results found for Iran is not likely to reflect true gender differences in executive functioning. Despite some differences in the levels of executive functioning across countries, both the inhibition and working memory subscales of the CHEXI were related to academic achievement in all four countries, except for CHEXI parent ratings in China. Altogether, the results indicate that the CHEXI may be used as a screening measure for early academic difficulties, although cultural biases clearly have to be taken into consideration.     

The relationship between sleep problems and working memory in children born very preterm

In two studies, the relationship between sleep and working memory performance was investigated in children born very preterm (i.e., gestation less than 32 weeks) and the possible mechanisms underlying this relationship. In Study 1, parent-reported measures of snoring, night-time sleep quality, and daytime sleepiness were collected on 89 children born very preterm aged 6 to 7 years. The children completed a verbal working memory task, as well as measures of processing speed and verbal storage capacity. Night-time sleep quality was found to be associated with verbal working memory performance over and above the variance associated with individual differences in processing speed and storage capacity, suggesting that poor sleep may have an impact on the executive component of working memory. Snoring and daytime sleepiness were not found to be associated with working memory performance. Study 2 introduced a direct measure of executive functioning and examined whether sleep problems would differentially impact the executive functioning of children born very preterm relative to children born to term. Parent-reported sleep problems were collected on 43 children born very preterm and 48 children born to term (aged 6 to 9 years). Problematic sleep was found to adversely impact executive functioning in the very preterm group, while no effect of sleep was found in the control group. These findings implicate executive dysfunction as a possible mechanism by which problematic sleep adversely impacts upon cognition in children born very preterm, and suggest that sleep problems can increase the cognitive vulnerability already experienced by many of these children.     

汉语高功能自闭症儿童代词加工:利用提及顺序和重读线索的表现

采用句子理解任务分别探究了5~7岁的汉语高功能自闭症儿童在单独提及顺序线索,提及顺序线索和重读线索共现两种条件下代词加工的表现。研究结果表明,汉语高功能自闭症儿童不像智商和工作记忆广度匹配的同龄典型发展儿童一样能够单独利用提及顺序线索加工代词,即倾向于选择首先提及的实体作为代词的指称对象,而表现为随机选择代词所指。当提及顺序线索和重读线索共现时,典型发展儿童在两条线索一致和冲突时都倾向于依靠重读线索加工代词,而汉语高功能自闭症儿童对两条线索都不敏感,表现为随机选择代词所指。这表明5~7岁的汉语高功能儿童不能够利用这两条线索加工代词,在利用语篇突显性线索加工代词方面存在困难。