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Impaired Consonant Trigrams Test (CTT) performance relates to everyday working memory difficulties in children with Autism Spectrum Disorders
Authors:Benjamin E Yerys  Gregory L Wallace  Kathryn F Jankowski  Angela Bollich  Lauren Kenworthy
Institution:1. Children's Research Institute, Center for Neuroscience, Children's National Medical Center , Washington , DC , USA;2. Center for Autism Spectrum Disorders , Children's National Medical Center , Washington , DC , USA;3. Department of Psychiatry and Behavioral Sciences , School of Medicine and Health Sciences, The George Washington University , Washington , DC , USA byerys@cnmc.org;5. Laboratory of Brain and Cognition , National Institute of Mental Health , Bethesda , MD , USA;6. Center for Autism Spectrum Disorders , Children's National Medical Center , Washington , DC , USA;7. Department of Psychiatry and Behavioral Sciences , School of Medicine and Health Sciences, The George Washington University , Washington , DC , USA;8. Department of Psychiatry and Behavioral Sciences , School of Medicine and Health Sciences, The George Washington University , Washington , DC , USA;9. Laboratory of Brain and Cognition , National Institute of Mental Health , Bethesda , MD , USA
Abstract:Individuals with Autism Spectrum Disorders (ASD) often struggle with complex tasks, such as those requiring divided attention (simultaneously completing two independent tasks) that also place high demands on working memory. Prior research shows that divided attention is impaired in adults and children with ASD and is related to ASD and comorbid attention deficit/hyperactivity disorder (ADHD) symptoms, but the impact on everyday functioning is unclear. Because ADHD symptoms are associated with poor divided attention and working memory performance in children with ASD, we also examined ADHD symptoms as moderators of divided attention performance. We examined performance on the Consonant Trigrams Test (CTT) between high-functioning 8- to 13-year-olds with ASD (n?=?28) and typically developing controls (n?=?18) matched on age and IQ. In the ASD group, we also correlated performance with ADHD symptoms and behavior ratings of everyday working memory. CTT performance in children with ASD was significantly worse than in matched controls. A significant correlation between CTT performance and everyday working memory was observed, but CTT performance was not related to comorbid ADHD symptoms in the ASD group. Divided attention with high working-memory demands is a relative weakness in children with high-functioning ASD; this weakness relates to everyday functioning, and it is independent from ADHD symptoms. That ADHD symptoms are not associated with divided attention performance is inconsistent with one prior investigation, which likely results from using different divided attention tasks in the two studies.
Keywords:Autism Spectrum Disorder  Divided attention  Executive function  Asperger's Syndrome  Working memory
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