Bertollo Jennifer R, Yerys Benjamin E
Jennifer R. Bertollo and Benjamin E. Yerys, Children's Hospital of Philadelphia, Center for Autism Research, PA.
Am J Intellect Dev Disabil. 2019 May;124(3):191-205. doi: 10.1352/1944-7558-124.3.191.
Adaptive behavior is a critical metric for measuring outcomes in those with autism spectrum disorder (ASD). Executive function skills predict adaptive behavior in youth with ASD with average or higher IQ; however, no study has examined this relationship in ASD with lower IQ (IQ ≤ 75). The current study evaluated whether executive function predicted adaptive behavior in school-age youth with ASD with lower IQ, above and beyond nonverbal IQ. We examined adaptive behavior and executive function through informant report on 100 youth with ASD with lower IQ. Executive function skills explained variance in adaptive social and communication domains, beyond nonverbal IQ; monitoring skills played a significant role. This research suggests that malleable skills like executive function may contribute to functional outcomes in this population.
适应性行为是衡量自闭症谱系障碍（ASD）患者治疗效果的关键指标。执行功能技能可预测智商处于平均水平或更高的ASD青少年的适应性行为；然而，尚无研究探讨智商较低（智商≤75）的ASD患者中的这种关系。本研究评估了执行功能是否能预测智商较低的学龄期ASD青少年的适应性行为，且独立于非言语智商。我们通过对100名智商较低的ASD青少年的知情者报告来研究适应性行为和执行功能。执行功能技能解释了适应性社交和沟通领域中独立于非言语智商的差异；监控技能发挥了重要作用。这项研究表明，像执行功能这样具有可塑性的技能可能有助于改善该人群的功能结局。
