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Journal of Autism and Developmental Disorders

Gepubliceerd in:

10-06-2021 | Brief Report

Brief Report: An Exploration of Cognitive Flexibility of Autistic Adolescents with Low Intelligence Using the Wisconsin Card Sorting Task

Auteurs: Stephanie Lock Man Lung, Armando Bertone

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 4/2023

Abstract

Cognitive flexibility (CF) is the ability to shift between concepts or rules. Difficulty with CF is associated with autism (i.e., ASD) as it contributes to repetitive behaviours. However, little is known about CF skills of autistic adolescents with low intelligence. This study uses the Wisconsin Card Sorting Task (WCST) to assess the CF of 36 adolescents, all with a Weschler full-scale IQ between 50 and 85, 14 of whom had an ASD diagnosis. The results indicated no statistically significant differences in WCST performance between those with and without ASD. It was also found that performance IQ significantly contributed to the WCST performance in the ASD group only, suggesting an autism-specific role of non-verbal cognitive functioning in CF.

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American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.CrossRef

Berg, E. A. (1948). A simple objective technique for measuring flexibility in thinking. Journal of General Psychology, 39, 15–22. https://doi.org/10.1080/00221309.1948.9918159CrossRefPubMed

Best, J. R., & Miller, P. H. (2010). A developmental perspective on executive function. Child Development, 81(6), 1641–1660. https://doi.org/10.1111/j.1467-8624.2010.01499.xCrossRefPubMedPubMedCentral

Bishop, S. L., Richler, J., & Lord, C. (2007). Association between restricted and repetitive behaviours and nonverbal IQ in children with autism spectrum disorders. Child Neuropsychology, 12(4–5), 247–267. https://doi.org/10.1080/09297040600630288CrossRef

Buttelmann, F., & Karbach, J. (2017). Development and plasticity of cognitive flexibility in early and middle childhood. Frontiers in Psychology, 8, 1040. https://doi.org/10.3389/fpsyg.2017.01040CrossRefPubMedPubMedCentral

Chan, R. C., Shum, D., Toulopoulos, T., & Chen, E. (2008). Assessment of executive functions: Reviews of instruments and identification of critical issues. Archives of Clinical Neuropsychology, 23(2), 201–216.CrossRefPubMed

Chen, S. F., Chien, Y. L., Wu, C. T., Shang, C. Y., Wu, Y. Y., & Gau, S. S. (2016). Deficits in executive functions among youths with autism spectrum disorders: An age-stratified analysis. Psychological Medicine, 46(8), 1625–1638. https://doi.org/10.1017/S0033291715002238CrossRefPubMedPubMedCentral

Cumming, G. (2014). The new statistics: Why and how. Psychological Science, 25(1), 7–29. https://doi.org/10.1177/0956797613504966CrossRefPubMed

Dajani, D. R., & Uddin, L. Q. (2015). Demystifying cognitive flexibility: Implications for clinical and developmental neuroscience. Trends in Neurosciences, 38(9), 571–578. https://doi.org/10.1016/j.tins.2015.07.003CrossRefPubMedPubMedCentral

Dick, A. S. (2014). The development of cognitive flexibility beyond the preschool period: An investigation using a modified flexible item selection task. Journal of Experimental Child Psychology, 125, 13–34. https://doi.org/10.1016/j.jecp2014.01.021CrossRefPubMed

Didden, R., Sigafoos, J., Green, V. A., Korzilius, H., Mouws, C., Lancioni, G. E., O’Reilly, M. F., & Curfs, L. M. (2008). Behavioural flexibility in individuals with Angelman syndrome, Down syndrome, non-specific intellectual disability and autism spectrum disorder. Journal of Intellectual Disability Research, 52, 503–509. https://doi.org/10.1111/j.1365-2788.2008.01055.xCrossRefPubMed

Faja, S., & Darling, L. N. (2018). Variation in restricted and repetitive behaviors and interests relates to inhibitory control and shifting in children with autism spectrum disorder. Autism, 3(5), 1–11. https://doi.org/10.1177/1362361318804192CrossRef

Fombonne, E., Zakarian, R., Bennett, A., Meng, L., & McLean-Heywood, D. (2006). Pervasive developmental disorders in Montreal, Quebec, Canada: Prevalence and links with immunizations. Pediatrics, 118, 139–150. https://doi.org/10.1542/peds.2005-2993CrossRef

Gioia, G., Isquith, P., Guy, S., & Kenworthy, L. (2000). BRIEF: Behavior rating inventory of executive function. Psychological Assessment Resources.

Gouvernement du Québec. (2007). Organization of educational services for at-risk students and students with handicaps, social maladjustments or learning difficulties. Retrieved August 1, 2019, from http://www.education.gouv.qc.ca/fileadmin/site_web/documents/dpse/adaptation_serv_compl/19-7065-A.pdf

Heaton, R. K. (1981). Wisconsin card sorting test manual. Psychological Assessment Resource Incorporation.

Heaton, R. K., Chelune, G. J., Talley, J. L., Kay, G. G., & Curtiss, G. (1993). Wisconsin card sorting test manual (revised and expanded). Psychological Assessment Resources Inc.

Hill, E. L. (2004). Executive dysfunction in autism. Trends in Cognitive Sciences, 8(1), 26–32. https://doi.org/10.1016/j.tics.2003.11.003CrossRefPubMed

Hughes, C., Russell, J., & Robbins, T. W. (1994). Evidence for executive dysfunction in autism. Neuropsychologia, 32(4), 477–492. https://doi.org/10.1016/0028-3932(94)90092-2CrossRefPubMed

Ionescu, T. (2012). Exploring the nature of cognitive flexibility. New Ideas in Psychology, 30(2), 190–200. https://doi.org/10.1016/j.newideapsych.2011.11.001CrossRef

Kenny, L., Cribb, S. J., & Pellicano, E. (2019). Childhood executive function predicts later autistic features and adaptive behaviour in young autistic people: A 12-year prospective study. Journal of Abnormal Child Psychology, 47, 1089–1099. https://doi.org/10.1007/s10802-018-0493-8CrossRefPubMed

Kenny, L., Hattersley, C., Molins, B., Buckley, C., Povey, C., & Pellicano, E. (2016). Which terms should be used to describe autism? Perspectives from the UK autism community. Autism, 20(4), 442–462. https://doi.org/10.1177/1362361315588200CrossRefPubMed

Kenworthy, L., Yerys, B. E., Anthony, L. G., & Wallace, G. L. (2008). Understanding executive control in autism spectrum disorders in the lab and in the real world. Neuropsychology Review, 18(4), 320–338. https://doi.org/10.1007/s11065-008-9077-7CrossRefPubMedPubMedCentral

Kopp, B., Maldonaldo, N., Scheffels, J. E., Hendel, M., & Lange, F. (2019). A meta-analysis of relationships measures of Wisconsin card sorting and intelligence. Brain Sciences, 9(12), 349. https://doi.org/10.3390/brainsci9120349CrossRefPubMedPubMedCentral

Kouklari, E. C., Tsermentseli, S., & Monks, C. P. (2018). Hot and cool executive function in children and adolescents with autism spectrum disorder: Cross-sectional developmental trajectories. Child Neuropsychology, 24(8), 1088–1114. https://doi.org/10.1080/09297049.2017.1391190CrossRefPubMed

Landry, O., & Al-Taie, S. (2016). A meta-analysis of the Wisconsin Card Sorting Task in autism. Journal of Autism and Developmental Disorders, 46(4), 1220–1235. https://doi.org/10.1007/s10803-015-2659-3CrossRefPubMed

Leung, R. C., & Zakzanis, K. K. (2014). Brief report: Cognitive flexibility in autism spectrum disorders: A quantitative review. Journal of Autism and Developmental Disorders, 44, 2628–2645. https://doi.org/10.1007/s10803-014-2136-4CrossRefPubMed

Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., Lopez, M., Hudson, A., Baroud, T., Schwenk, Y., White, T., Rosenberg, C. R., Lee, L. C., Harrington, R. A., Huston, M.,…Dietz, P. M. (2020). Prevalence of autism spectrum disorder among children aged 8 years: Autism and developmental disabilities monitoring network, 11 sites, United States, 2016. Morbidity and Mortality Weekly Report Surveillance Summaries Centers for Disease Control and Prevention, 69(4), 1–12. https://doi.org/10.15585/mmwr.ss6904a1CrossRef

Mannion, A., Brahm, M., & Leader, G. (2014). Comorbid psychopathology in autism spectrum disorder. Review Journal of Autism and Developmental Disorders, 1, 124–134. https://doi.org/10.1007/s40489-014-0012-yCrossRef

Marcovitch, S., Jacques, S., Boseovski, J. J., & Zelazo, P. D. (2008). Self-reflection and the cognitive control of behaviour: Implications for learning. Mind, Brain, and Education, 2(3), 136–141. https://doi.org/10.1111/j.1751-228X.2008.00044.xCrossRef

Matson, J. L., & Shoemaker, M. (2009). Intellectual disability and its relationship to autism spectrum disorders. Research in Developmental Disabilities, 30(6), 1107–1114. https://doi.org/10.1016/j.ridd.2009.06.003CrossRefPubMed

McLean, R. L., Harrison, A. J., Zimak, E., Joseph, R. M., & Morrow, E. M. (2014). Executive function in probands with autism with average IQ and their unaffected first-degree relatives. Journal of American Academy of Child & Adolescent Psychiatry, 53(9), 1001–1009. https://doi.org/10.1016/j.jaac.2014.05.019CrossRef

Miller, H. L., Ragozzino, M. E., Cook, E. H., Sweeney, J. A., & Mosconi, M. W. (2015). Cognitive set shifting deficits and their relationship to repetitive behaviors in autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(3), 805–815. https://doi.org/10.1007/s10803-014-2244-1CrossRefPubMedPubMedCentral

Nouwens, P. J. G., Lucas, R., Smulders, N. B. M., Embregts, P. J. C. M., & van Nieuwenhuizen, C. (2017). Identifying classes of persons with mild intellectual disability or borderline intellectual functioning: a latent class analysis. BMC Psychiatry, 17, 257. https://doi.org/10.1186/s12888-017-1426-8CrossRefPubMedPubMedCentral

Panerai, S., Tasca, D., Ferri, R., D’Arrigo, V. G., & Elia, M. (2014). Executive functions and adaptive behaviour in autism spectrum disorders with and without intellectual disability. Psychiatry Journal. https://doi.org/10.1155/2014/941809CrossRefPubMedPubMedCentral

Roelofs, R. L., Visser, E. M., Berger, H. J. C., Prins, J. B., Schrojenstei, H. M. J., Van Lantman-De Valk, & Teunisse, J. P. (2015). Executive functioning in individuals with intellectual disabilities and autism spectrum disorders. Journal of Intellectual Disability Research, 59(2), 125–137. https://doi.org/10.1111/jir.12085CrossRefPubMed

Rommelse, N., Langerak, I., van der Meer, J., de Bruijn, Y., Staal, W., Oerlemans, A., & Buitelaar, J. (2015). Intelligence may moderate the cognitive profile of patients with ASD. PLoS ONE, 10(10), e0138698. https://doi.org/10.1371/journal.pone.0138698CrossRefPubMedPubMedCentral

Russell, G., Mandy, W., Elliott, D., White, R., Pittwood, T., & Ford, T. (2019). Selection bias on intellectual ability I autism research: A cross-sectional review and meta-analysis. Molecular Autism, 10, 9. https://doi.org/10.1186/s13229-019-0260-xCrossRefPubMedPubMedCentral

Russo, N., Flanagan, T., Iarocci, G., Berringer, D., Zelazo, P. D., & Burack, J. A. (2007). Deconstructing executive deficits among persons with autism: Implications for cognitive neuroscience. Brain and Cognition, 65(1), 77–86. https://doi.org/10.1016/j.bandc.2006.04.0072CrossRefPubMed

Somsen, R. J. (2007). The development of attention regulation in the Wisconsin Card Sorting Task. Developmental Science, 10(5), 664–680. https://doi.org/10.1111/j.1467-7687.2007.00613.xCrossRefPubMed

Srivastava, A. K., & Schwartz, C. E. (2014). Intellectual disability and autism spectrum disorders: Causal genes and molecular mechanisms. Neuroscience & Behavioural Reviews, 46(2), 161–174. https://doi.org/10.1016/j.neubiorev.2014.02.015CrossRef

Thurm, A., Farmer, C., Salzman, E., Lord, C., & Bishop, S. (2019). State of the field: Differentiating intellectual disability from autism spectrum disorder. Frontiers in Psychiatry, 10(526), 1–10. https://doi.org/10.3389/fpsyt.2019.00526CrossRef

Visser, E. M., Berger, H. J. C., Van Schrojenstein Lantman-De Valk, H. M. J., Prins, J. B., & Teunisse, J. P. (2015). Cognitive shifting and externalizing problem behaviour in intellectual disability and autism spectrum disorder. Journal of Intellectual Disability Research, 59(8), 755–766. https://doi.org/10.1111/jir.12182CrossRefPubMed

Wallace, G. I., Yerys, B. E., Peng, C., Dlugi, E., Anthony, L. G., & Kenworthy, L. (2016). Assessment and treatment of executive function impairments in autism spectrum disorder: An update. International Review of Research in Developmental Disabilities, 51, 85–122. https://doi.org/10.1016/bs.irrdd.2016.07.004CrossRef

Wechsler, D. (1999). Wechsler Abbreviated Scale of intelligence. Psychological Corporation.

Yerys, B. E., Wallace, G. L., Harrison, B., Celano, M. J., Giedd, J. N., & Kenworthy, L. E. (2009). Set-shifting in children with autism spectrum disorders. Autism, 13(5), 523–538. https://doi.org/10.1177/1362361309335716CrossRefPubMedPubMedCentral

Titel: Brief Report: An Exploration of Cognitive Flexibility of Autistic Adolescents with Low Intelligence Using the Wisconsin Card Sorting Task
Auteurs: Stephanie Lock Man Lung
Armando Bertone
Publicatiedatum: 10-06-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 4/2023
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-021-05134-1

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