Executive Functions and Symptom Severity in an Italian Sample of Intellectually Able Preschoolers with Autism Spectrum Disorder

J Autism Dev Disord. 2020 Sep;50(9):3207-3215. doi: 10.1007/s10803-019-04102-0.

Abstract

A novel battery (BAFE; Valeri et al. 2015) was used in order to assess three executive function (EF) abilities (working memory, inhibition and shifting) in a sample of 27 intellectually able preschoolers with autism spectrum disorder (ASD) compared with 27 typically developing children matched on age and nonverbal IQ. Differences in EF skills were analyzed in participants with distinct ASD symptom severity. Children with ASD performed worse than typical controls on both set-shifting and inhibition, but not on visuo-spatial working memory. Additionally, children with more severe ASD symptoms showed a worse performance on inhibition than children with milder symptoms. These results confirm the presence of EF deficits and highlight a link between ASD symptoms and EF impairments in preschool age.

Keywords: Autism spectrum disorder; Executive functions; Inhibition; Preschoolers; Shifting; Working memory.

MeSH terms

  • Autism Spectrum Disorder / diagnosis*
  • Autism Spectrum Disorder / epidemiology
  • Autism Spectrum Disorder / psychology*
  • Child
  • Child, Preschool
  • Executive Function / physiology*
  • Female
  • Humans
  • Inhibition, Psychological
  • Intelligence / physiology*
  • Intelligence Tests*
  • Italy / epidemiology
  • Male
  • Memory, Short-Term / physiology
  • Severity of Illness Index*
  • Spatial Memory / physiology