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

被引:157
作者
Pugliese, Cara E. [1 ,2 ]
Anthony, Laura Gutermuth [1 ,2 ]
Strang, John F. [1 ,2 ]
Dudley, Katerina [1 ,2 ]
Wallace, Gregory L. [3 ]
Naiman, Daniel Q. [4 ]
Kenworthy, Lauren [1 ,2 ]
机构
[1] Childrens Natl Hlth Syst, Ctr Autism Spectrum Disorders, Washington, DC USA
[2] Childrens Natl Hlth Syst, Childrens Natl Res Inst, Washington, DC USA
[3] George Washington Univ, Dept Speech & Hearing Sci, Washington, DC USA
[4] Johns Hopkins Univ, Dept Appl Math & Stat, Baltimore, MD USA
基金
美国国家卫生研究院;
关键词
Autism spectrum disorder; Adaptive behavior; Executive function; Cognitive ability; Longitudinal; DAILY LIVING SKILLS; DEVELOPMENTAL TRAJECTORIES; COMMUNICATION DEFICITS; DIAGNOSTIC INTERVIEW; COGNITIVE-ABILITIES; ASPERGER-SYNDROME; REAL-WORLD; INDIVIDUALS; CHILDREN; ADOLESCENCE;
D O I
10.1007/s10803-015-2584-5
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
This study characterizes longitudinal change in adaptive behavior in 64 children and adolescents with autism spectrum disorder (ASD) without intellectual disability evaluated on multiple occasions, and examines whether prior estimate of executive function (EF) problems predicts future adaptive behavior scores. Compared to standardized estimates for their developmental stage, adaptive behavior in most participants was impaired and did not improve over time. Prior EF predicted later adaptive behavior in daily living skills and socialization domains after controlling for age and IQ. Self-monitoring behaviors robustly predicted later adaptive behavior in all domains (d = 0.60-0.94). Results support targeting treatment of adaptive skills in ASD, as well as the importance of assessing for EF problems that may contribute to adaptive behavior difficulties.
引用
收藏
页码:467 / 477
页数:11
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