University College London, UK.
Macquarie University, Australia.
Autism. 2024 Sep;28(9):2204-2217. doi: 10.1177/13623613231224093. Epub 2024 Jan 19.
Autism researchers have a long-time interest in a set of skills called executive function. These skills include planning, inhibition, and switching between one activity and another. There was a theory that these skills explained the social and thinking difficulties autistic people might have. After years of study into this, the evidence is confusing and contradictory. Autistic people tend to report struggling quite a lot with these skills. Yet, when researchers test these skills, they do not tend to find such big difficulties. In this study, we spoke to 12 autistic teenagers and seven of their mothers about this. We asked them what they thought about their own, or their child's, executive function skills. We wanted to know about things they were good at and things they struggled with. They told us that their skills were very changeable from one context to the next and from one time to the next. According to their reports, their skills depended on how motivated they were by doing the task. Another thing that influenced their skills were how anxious they felt at the time they needed to use the skill. Finally, they told us that sometimes they think differently about how best to perform a task. We discuss what these insights mean for autism researchers who study these skills. In future, research should ask people about their experiences alongside testing their abilities in different contexts. Combining these information sources will give us a better understanding of autistic people's everyday skills as well as how best to support them.
自闭症研究人员长期以来一直对一组被称为执行功能的技能感兴趣。这些技能包括计划、抑制和在一项活动和另一项活动之间切换。有一种理论认为,这些技能可以解释自闭症患者可能存在的社交和思维困难。经过多年的研究,证据令人困惑和矛盾。自闭症患者往往报告在这些技能上有很大的困难。然而,当研究人员测试这些技能时,他们并不倾向于发现如此大的困难。在这项研究中,我们与 12 名自闭症青少年及其 7 位母亲进行了交谈。我们询问了他们对自己或孩子的执行功能技能的看法。我们想了解他们擅长什么,以及他们在哪些方面有困难。他们告诉我们,他们的技能在不同的环境和不同的时间变化很大。根据他们的报告,他们的技能取决于完成任务的动机。另一个影响他们技能的因素是他们在需要使用技能时的焦虑程度。最后,他们告诉我们,有时他们对如何最好地完成任务的看法不同。我们讨论了这些观点对研究这些技能的自闭症研究人员意味着什么。在未来,研究应该在测试不同环境下的能力的同时,询问人们的经验。结合这些信息来源,将使我们更好地了解自闭症患者的日常技能以及如何最好地支持他们。