Relationship between executive functions, and behavior in Autism Spectrum Disorder
DOI:
https://doi.org/10.34019/1982-1247.2025.v19.41813Keywords:
Autism, Neuropsychology, Executive functionsAbstract
Autism is characterized by deficits in social skills, communication, and behavior. We investigated the relationship between cognitive measures and behavioral symptoms in 45 children with ASD. Positive correlations were found between the CARS scale and diagnostic severity, as well as with Trail Making Test Part A. Age correlated with the Withdrawal subscale. Diagnostic severity was related to the subscales of Thought Problems and Attention Problems. Socialization correlated with the Vocabulary subtest. Boys showed higher levels of withdrawal. Diagnostic severity predicted 16% of attention problem scores and 11% of thought problems.
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Almeida, F. S., Giordani, J. P., Yates, D. B., & Trentini, C. M. (2021). Avaliação de aspectos emocionais e comportamentais de crianças com Transtorno do Espectro Autista. Aletheia, 54(1), 85–95. http://www.periodicos.ulbra.br/index.php/aletheia/article/view/6637/4107.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed.).
Anderson, P., Anderson, V., & Lajoie, G. (1996). The Tower of London Test: Validation and standardization for pediatric populatons. The Clinical Neuropsychologist, 10(1), 54–65. https://doi.org/10.1080/13854049608406663
Angelini, A. L., Alves, I. C. B., Custódio, E. M., Duarte, W. F., & Duarte, J. L. M. (1999). Matrizes Progressivas Coloridas de Raven: escala especial. Manual. CETEPP. Antshel, K., & Russo, N. (2019). Autism Spectrum Disorders and ADHD: Overlapping Phenomenology, Diagnostic Issues, and Treatment Considerations. Current Psychiatry Reports, 21, 1–11.
Backes, B., Zanon, R. B., & Bosa, C. A. (2017). Características sintomatológicas de crianças com autismo e regressão da linguagem oral. Psicologia: Teoria e Pesquisa, 33. https://doi.org/10.1590/0102.3772e3343
Baker, B. L., & Blacher, J. (2020). Brief report: Behavior disorders and social skills in adolescents with autism spectrum disorder: Does IQ matter? Journal of Autism and Developmental Disorders, 50(6), 2226–2233. https://doi.org/10.1007/s10803-019-03954-w
Bargiela, S., Steward R., & Mandy, W. (2016). The experiences of late-diagnosed women with Autism Spectrum conditions: An investigation of the female Autism phenotype. Journal of Autism and Developmental Disorders, 46(10), 3281–3294. https://doi.org/10.1007/s10803-016-2872-8
Bolsoni-Silva, A. T., Levatti, G. E., Guidugli, P. M., & Marim, V. C. M. (2015). Problemas de comportamento, em ambiente familiar em escolares e pré-escolares diferenciados pelo sexo. Revista Interamericana de Psicologia/Interamerican Journal of Psychology, 49(3), 354–364. https://www.redalyc.org/pdf/284/28446020007.pdf
Bordin, I. A., Mari, J. D. J., & Caeiro, M. F. (1995). Validação da versão brasileira do “Child Behavior Checklist” (CBCL) (Inventário de Comportamentos da Infância e Adolescência): dados preliminares. Revista ABP-APAL, 17(2), 55-66. https://www.researchgate.net/profile/Isabel_Bordin/publication/285968522_Validation_of_the_Brazilian_version_of_the_Child_Behavior_Checklist_CBCL/links/59f8c278a6fdcc075ec99697/Validation-of-the-Brazilian-version-of-the-Child-Behavior-Checklist-CBCL.pdf
Capovilla, A. G. S. (2006). Desenvolvimento e validação de instrumentos neuropsicológicos para avaliar funções executivas. Avaliação Psicológica, 5(2), 239–241. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-04712006000200014&lng=pt.
Corsi, P. (1972). Memory and the Medial Temporal Region of the Brain. [Doctoral Thesis in Philosophy, McGill University]. Montreal.
Costescu, C., Adrian, R., & Carmen, D. (2023). Executive functions and emotion regulation in children with autism spectrum disorders. European Journal of Special Needs Education, 39(3), 477–486. https://doi.org/10.1080/08856257.2023.2215010
Demetriou, E. A., DeMayo, M. M., & Guastella, A. J. (2019). Executive function in autism spectrum disorder: History, theoretical models, empirical findings, and potential as an endophenotype. Frontiers in Psychiatry, 10, 753. https://doi.org/10.3389/fpsyt.2019.00753
Demetriou, E. A., Lampit, A., Quintana, D. S., Naismith, S. L., Song, Y. J. C., Pye, J. E., & Guastella, A. J. (2018). Autism spectrum disorders: A meta-analysis of executive function. Molecular Psychiatry, 23(5), 1198–1204. https://doi.org/10.1038/mp.2017.75
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168. https://doi.org/10.1146/annurev-psych-113011-143750
Emerich, D. R., Rocha, M. M., Silvares, E. F. M., & Gonçalves, J. P. (2012). Diferenças quanto ao Gênero entre escolares brasileiros avaliados pelo Inventário de Comportamentos para Crianças e Adolescentes (CBCL/6-18). Psico, 43(3). https://revistaseletronicas.pucrs.br/ojs/index.php/revistapsico/article/view/10053
Galligan, M. L., Heyman, M., Bolourian, Y., Stavropoulos, K., & Blacher, J. (2022). Brief Report: Emotional and Behavioral Problems Among Young Children with ASD: An Exploratory Study of ADOS E-Codes and Child Characteristics. Journal of Autism and Developmental Disorders, 52(10). https://doi.org/10.1007/s10803-021-05313-0
Goldblum, J. E. (2021). Hiding in Plain Sight: An Analysis of the ‘Female Camouflage Effect’in Young Autistic Females [Master's thesis, The University of North Carolina at Chapel Hill]. http://dx.doi.org/10.13140/RG.2.2.29678.77127
Golendziner, S. (2011). Caracterização do vocabulário expressivo em crianças e adolescentes com transtorno do espectro do autismo [Dissertação de Mestrado, Universidade Federal do Rio Grande do Sul]. Repositório Digital UFRGS. http://hdl.handle.net/10183/32872
Gentil-Gutiérrez, A., Santamaría-Peláez, M., Mínguez-Mínguez, L. A., Fernández-Solana, J., González-Bernal, J. J., González-Santos, J., & Obregón-Cuesta, A. I. (2022). Executive functions in children and adolescents with Autism Spectrum Disorder in family and school environment. International Journal of Environmental Research and Public Health, 19(13), 7834.
Guerrera, S., Menghini, D., Napoli, E., Di Vara, S., Valeri, G., & Vicari, S. (2019). Assessment of psychopathological comorbidities in children and adolescents with autism spectrum disorder using the child behavior checklist. Frontiers in Psychiatry, 10, 535. https://doi.org/10.3389/fpsyt.2019.00535
Habib, A., Harris, L., Pollick, F., & Melville, C. (2019). A meta-analysis of working memory in individuals with autism spectrum disorders. PloS one, 14(4), e0216198. https://doi.org/10.1371/journal.pone.0216198
Kraper, C. K., Kenworthy, L., Popal, H., Martin, A., & Wallace, G. L. (2017). The gap between adaptive behavior and intelligence in autism persists into young adulthood and is linked to psychiatric co-morbidities. Journal of Autism and Developmental Disorders, 47(10), 3007–3017. https://doi.org/10.1007/s10803-017-3213-2
Lai, M. C., Kassee, C., Besney, R., Bonato, S., Hull, L., Mandy, W., Szatmari, P. & Ameis, S. H. (2019). Prevalence of co-occurring mental health diagnoses in the autism population: a systematic review and meta-analysis. The Lancet Psychiatry, 6(10), 819–829. https://doi.org/10.1016/S2215-0366(19)30289-5
Levi J. B. (2020). Executive Functions (EF), Traumatic Brain Injury (TBI), Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Conduct Disorder (CD) and Learning Difficulty (LD). In J. B. Levi (Ed.), The hairy bikie and other metacognitive strategies. Springer, Cham. https://doi.org/10.1007/978-3-030-46618-3_4
Lyall, K., Croen, L., Daniels, J., Fallin, M. D., Ladd-Acosta, C., Lee, B. K., Park, B. Y., Snyder, N. W., Schendel, D., Volk, H., Windham, G. C., & Newschaffer, C. (2017). The changing epidemiology of autism spectrum disorders. Annual Review of Public Health, 38, 81–102. https://doi.org/10.1146/annurev-publhealth-031816-044318
Marteleto, M. R. F., Schoen-Ferreira, T. H., Chiari, B. M., & Perissinoto, J. (2011). Problemas de comportamento em crianças com transtorno autista. Psicologia: Teoria e Pesquisa, 27, 5–12. https://doi.org/10.1590/S0102-37722011000100002
Mills, A. S., Tablon-Modica, P., Mazefksy, C. A., & Weiss, J. A. (2022). Emotion dysregulation in children with autism: A multimethod investigation of the role of child and parent factors. Research in Autism Spectrum Disorders. ScienceDirect, 91, 101911. https://doi.org/10.1016/j.rasd.2021.101911
Pereira, A., Riesgo, R. S., & Wagner, M. B. (2008). Childhood autism: Translation and validation of the Childhood Autism Rating Scale for use in Brazil. Jornal de Pediatria, 84, 487–494. https://doi.org/10.1590/S0021-75572008000700004
Rynkiewicz, A., & Łucka L. (2018). Autism spectrum disorder (ASD) in girls. Co-occurring psychopathology. Sex differences in clinical manifestation. Psychiatriax Polska. 52(4), 629–639. https://doi.org/10.12740/PP/OnlineFirst/58837
Sato, F. P., Paula, C. S., Lowenthal, R., Nakano, E. Y., Brunoni, D., Schwartzman, J. S., & Mercadante, M. T. (2009). Instrument to screen cases of pervasive developmental disorder: A preliminary indication of validity. Brazilian Journal of Psychiatry, 31(1), 30–33. https://doi.org/10.1590/S1516-44462009000100008
Schmitt, L. M., White, S. P., Cook, E. H., Sweeney, J. A., & Mosconi, M. W. (2018). Cognitive mechanisms of inhibitory control deficits in autism spectrum disorder. Journal of Child Psychology and Psychiatry, 59(5), 586–595. https://doi.org/10.1111/jcpp.12837
Torske, T., Nærland, T., Øie, M. G., Stenberg, N., & Andreassen, O. A. (2018). Metacognitive aspects of executive function are highly associated with social functioning on parent-rated measures in children with autism spectrum disorder. Frontiers in Behavioral Neuroscience, 11, 258. https://doi.org/10.3389/fnbeh.2017.00258
Wang, Y., Zhang, Y. B., Liu, L. L., Cui, J. F., Wang, J., Shum, D. H. K., Amelsvoort T. V., & Chan, R. C. (2017). A meta-analysis of working memory impairments in autism spectrum disorders. Neuropsychology Review, 27(1), 46–61. https://doi.org/10.1007/s11065-016-9336-y
Yang, Q., Huang, P., Li, C., Fang, P., Zhao, N., Nan, J., & Cui, L. (2018). Mapping alterations of gray matter volume and white matter integrity in children with Autism Spectrum Disorder. NeuroReport, 29(14), https://doi.org/10.1097/WNR.0000000000001094
