Inhibitory Control in Autism Spectrum Disorders: Meta-analyses on Indirect and Direct Measures

J Autism Dev Disord. 2022 Nov;52(11):4949-4965. doi: 10.1007/s10803-021-05353-6. Epub 2021 Nov 23.

Abstract

This manuscript aimed to advance our understanding of inhibitory control (IC) in autism spectrum disorders (ASD), adopting a meta-analytic multilevel approach. The first meta-analysis, on 164 studies adopting direct measures, indicated a significant small-to-medium (g = 0.484) deficit in the group with ASD (n = 5140) compared with controls (n = 6075). Similar effect sizes between response inhibition and interference control were found, but they were differentially affected by intellectual functioning and age. The second meta-analysis, on 24 studies using indirect measures, revealed a large deficit (g = 1.334) in the group with ASD (n = 985) compared with controls (n = 1300). Presentation format, intellectual functioning, and age were significant moderators. The effect of comorbidity with ADHD was not statistically significant. Implications are discussed for IC research and practice in autism.

Keywords: ASD; Autism; Executive functions; Inhibition; Interference control; Meta-analysis.

Publication types

  • Meta-Analysis

MeSH terms

  • Attention Deficit Disorder with Hyperactivity* / epidemiology
  • Autism Spectrum Disorder* / epidemiology
  • Autistic Disorder*
  • Cognition
  • Comorbidity
  • Humans