Executive function and social communication deficits in young autistic children.

Preschool-aged, autistic children were compared with both developmentally delayed children of similar non-verbal mental age and normally developing children of similar verbal skill on measures of executive function and social communication skills. Autistic children exhibited significantly more perseverative responses on a test of executive function when compared to both comparison groups. Autistic children also exhibited significantly fewer joint attention and social interaction behaviors. Moreover, a significant relationship was found between executive function skill and the two social communication skills, which was independent of group membership or verbal ability. Competing hypotheses to account for the relationship between executive function deficits and social communication deficits in autism are discussed.

[1]  B. Pennington,et al.  A theoretical approach to the deficits in infantile autism , 1991, Development and Psychopathology.

[2]  Bruce F. Pennington,et al.  A normative‐developmental study of executive function: A window on prefrontal function in children , 1991 .

[3]  J. Duncan Disorganisation of behaviour after frontal lobe damage , 1986 .

[4]  K. Loveland,et al.  Referential communication and response adequacy in autism and Down's syndrome , 1989, Applied Psycholinguistics.

[5]  S. Baron-Cohen Social and pragmatic deficits in autism: Cognitive or affective? , 1988, Journal of autism and developmental disorders.

[6]  Uta Frith,et al.  The understanding and use of interpersonal gestures by autistic and Down's syndrome children , 1988, Journal of autism and developmental disorders.

[7]  A R Damasio,et al.  A neurological model for childhood autism. , 1978, Archives of neurology.

[8]  G. Hynd,et al.  Neuropsychological development of behavior attributed to frontal lobe functioning in children , 1985 .

[9]  K. Loveland,et al.  Joint attention and language in autism and developmental language delay , 1986, Journal of autism and developmental disorders.

[10]  B. Pennington,et al.  Toward a neuropsychological model of infantile autism: are the social deficits primary? , 1986, Journal of the American Academy of Child Psychiatry.

[11]  P. Mundy,et al.  Defining the social deficits of autism: the contribution of non-verbal communication measures. , 1986, Journal of child psychology and psychiatry, and allied disciplines.

[12]  F. Curcio,et al.  Sensorimotor functioning and communication in mute autistic children , 1978, Journal of autism and childhood schizophrenia.

[13]  S. Baron-Cohen Joint-attention deficits in autism: Towards a cognitive analysis , 1989, Development and Psychopathology.

[14]  B. Pennington,et al.  Executive function deficits in high-functioning autistic individuals: relationship to theory of mind. , 1991, Journal of child psychology and psychiatry, and allied disciplines.

[15]  G. Chelune,et al.  Evaluation of the general sensitivity of the Wisconsin card sorting test among younger and older children , 1987 .

[16]  A. Wetherby,et al.  Profiles of communicative and cognitive-social abilities in autistic children. , 1984, Journal of speech and hearing research.

[17]  C. Gillberg,et al.  The neurobiology of infantile autism. , 1988, Journal of child psychology and psychiatry, and allied disciplines.

[18]  P. Mundy,et al.  The theoretical implications of joint-attention deficits in autism , 1989, Development and Psychopathology.

[19]  J. G. Steel,et al.  Neuropsychiatric testing in an autistic mathematical idiot-savant: evidence for nonverbal abstract capacity. , 1984, Journal of the American Academy of Child Psychiatry.

[20]  G. Chelune,et al.  Frontal lobe disinhibition in attention deficit disorder , 1986, Child psychiatry and human development.

[21]  C. Jacobsen FUNCTIONS OF FRONTAL ASSOCIATION AREA IN PRIMATES , 1935 .

[22]  W. F. Landers,et al.  Stage IV of Piaget's theory of infant's object concepts: a longitudinal study. , 1971, Child development.

[23]  J. Rumsey Conceptual problem-solving in highly verbal, nonretarded autistic men , 1985, Journal of autism and developmental disorders.

[24]  P. Mundy,et al.  A longitudinal study of joint attention and language development in autistic children , 1990, Journal of autism and developmental disorders.

[25]  M. Prior,et al.  Brief report: Neuropsychological testing of autistic children through an exploration with frontal lobe tests , 1990, Journal of autism and developmental disorders.

[26]  K. Loveland,et al.  Speech acts and the pragmatic deficits of autism. , 1988, Journal of speech and hearing research.

[27]  Bruce F. Pennington,et al.  Assessing frontal lobe functioning in children: Views from developmental psychology , 1988 .

[28]  James A. Russell,et al.  The ‘windows task’ as a measure of strategic deception in preschoolers and autistic subjects , 1991 .

[29]  R. Heaton,et al.  The utility of the Wisconsin Card Sorting Test in detecting and localizing frontal lobe lesions. , 1980, Journal of consulting and clinical psychology.

[30]  D. A. Grant,et al.  A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting problem. , 1948, Journal of experimental psychology.

[31]  J. Rumsey,et al.  Neuropsychological findings in high-functioning men with infantile autism, residual state. , 1988, Journal of clinical and experimental neuropsychology.

[32]  P. Mundy,et al.  Assessing Social and Communication Skills in Infancy , 1987 .

[33]  J. Rumsey,et al.  Autistic children as adults: psychiatric, social, and behavioral outcomes. , 1985, Journal of the American Academy of Child Psychiatry.

[34]  E. Courchesne,et al.  Hypoplasia of cerebellar vermal lobules VI and VII in autism. , 1988, The New England journal of medicine.