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16-06-2023 | Original Paper

Cognitive-adaptive Functioning Gap and Mediating Factors that Impact Adaptive Functioning in Chinese Preschool-aged Children with Autism Spectrum Disorder

Auteurs: Shi-huan Wang, Qing Zhou, Kai-yun Chen, Chao-qun Ceng, Guo-dong Zhan, Cong You, Yu Xing, Yuan-yuan Zou, Hong-zhu Deng

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 8/2024

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Abstract

This study aimed to investigate the gap between adaptive functioning and cognitive functioning, especially verbal and nonverbal intelligence quotient (IQ) in Chinese children with ASD. We systematically explored cognitive functioning, ASD severity, early signs of developmental abnormalities, and socioeconomic factors as mediating factors of adaptive functioning. We enrolled 151 children (age: 2.5?6 years) with ASD and categorized them into one group with IQ ≥ 70 and another with IQ < 70. The two groups were calibrated for age, age at diagnosis, and IQ, and the relationship of adaptive skills with vocabulary acquisition index (VAI) and nonverbal index (NVI) were separately analyzed. Results show that the gap between IQ and adaptive functioning was significant in children with ASD having IQ ≥ 70, with both VAI and NVI showing statistically significant differences (all P < 0.001). VAI correlated positively with scores for overall adaptive skills and specific domains, whereas NVI had no significant correlations with adaptive skill scores. Age of first walking unaided had an independent positive correlation (all P < 0.05) with scores of adaptive skills and specific domains. IQ-adaptive functioning gap is significant in children with ASD having IQ ≥ 70, suggesting that defining “high-functioning autism” merely on the basis of IQ is not appropriate. Verbal IQ and early signs of motor development are specific and possible predictors of adaptive functioning in children with ASD, respectively.
Literatuur
go back to reference Alvares, G. A., Bebbington, K., Cleary, D., Evans, K., Glasson, E. J., Maybery, M. T., Pillar, S., Uljarević, M., Varcin, K., Wray, J., & Whitehouse, A. J. (2020). The misnomer of ‘high functioning autism’: Intelligence is an imprecise predictor of functional abilities at diagnosis. Autism, 24(1), 221–232. https://doi.org/10.1177/1362361319852831CrossRefPubMed Alvares, G. A., Bebbington, K., Cleary, D., Evans, K., Glasson, E. J., Maybery, M. T., Pillar, S., Uljarević, M., Varcin, K., Wray, J., & Whitehouse, A. J. (2020). The misnomer of ‘high functioning autism’: Intelligence is an imprecise predictor of functional abilities at diagnosis. Autism, 24(1), 221–232. https://​doi.​org/​10.​1177/​1362361319852831​CrossRefPubMed
go back to reference Bölte, S., Mahdi, S., de Vries, P. J., Granlund, M., Robison, J. E., Shulman, C., Swedo, S., Tonge, B., Wong, V., Zwaigenbaum, L., Segerer, W., & Selb, M. (2019). The Gestalt of functioning in autism spectrum disorder: Results of the international conference to develop final consensus International Classification of Functioning, Disability and Health core sets. Autism, 23(2), 449–467. https://doi.org/10.1177/1362361318755522 Bölte, S., Mahdi, S., de Vries, P. J., Granlund, M., Robison, J. E., Shulman, C., Swedo, S., Tonge, B., Wong, V., Zwaigenbaum, L., Segerer, W., & Selb, M. (2019). The Gestalt of functioning in autism spectrum disorder: Results of the international conference to develop final consensus International Classification of Functioning, Disability and Health core sets. Autism, 23(2), 449–467. https://​doi.​org/​10.​1177/​1362361318755522​
go back to reference Cardillo, R., Menazza, C., & Mammarella, I. C. (2018). Visuoconstructive abilities and visuospatial memory in autism spectrum disorder without intellectual disability: Is the role of local bias specific to the cognitive domain tested? Neuropsychology, 32(7), 822–834. https://doi.org/10.1037/neu0000472CrossRefPubMed Cardillo, R., Menazza, C., & Mammarella, I. C. (2018). Visuoconstructive abilities and visuospatial memory in autism spectrum disorder without intellectual disability: Is the role of local bias specific to the cognitive domain tested? Neuropsychology, 32(7), 822–834. https://​doi.​org/​10.​1037/​neu0000472CrossRefPubMed
go back to reference Chatham, C. H., Taylor, K. I., Charman, T., Liogier, D., Eule, X., Fedele, E., Hardan, A., Loth, A. Y., Murtagh, E., Del Valle Rubido, L., Caceres, M. S. J., Sevigny, A., Sikich, J., Snyder, L., Tillmann, L., Ventola, J. E., Walton-Bowen, P. E., Wang, K. L., Willgoss, P. P., T., & Bolognani, F. (2018). Adaptive behavior in autism: Minimal clinically important differences on the Vineland-II. Autism Research, 11(2), 270–283. https://doi.org/10.1002/aur.1874CrossRefPubMed Chatham, C. H., Taylor, K. I., Charman, T., Liogier, D., Eule, X., Fedele, E., Hardan, A., Loth, A. Y., Murtagh, E., Del Valle Rubido, L., Caceres, M. S. J., Sevigny, A., Sikich, J., Snyder, L., Tillmann, L., Ventola, J. E., Walton-Bowen, P. E., Wang, K. L., Willgoss, P. P., T., & Bolognani, F. (2018). Adaptive behavior in autism: Minimal clinically important differences on the Vineland-II. Autism Research, 11(2), 270–283. https://​doi.​org/​10.​1002/​aur.​1874CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.).). Lawrence Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.).). Lawrence Erlbaum.
go back to reference Hodge, M. A., Boulton, K. A., Sutherland, R., Barnett, D., Bennett, B., Chan, E., Cramsie, J., Drevensek, S., Eapen, V., Ganesalingam, K., Masi, A., Ong, N., Williamsz, M., Guastella, A. J., & Silove, N. (2021). Predictors of adaptive functioning in preschool aged children with autism spectrum disorder. Autism Research, 14(7), 1444–1455. https://doi.org/10.1002/aur.2501CrossRefPubMed Hodge, M. A., Boulton, K. A., Sutherland, R., Barnett, D., Bennett, B., Chan, E., Cramsie, J., Drevensek, S., Eapen, V., Ganesalingam, K., Masi, A., Ong, N., Williamsz, M., Guastella, A. J., & Silove, N. (2021). Predictors of adaptive functioning in preschool aged children with autism spectrum disorder. Autism Research, 14(7), 1444–1455. https://​doi.​org/​10.​1002/​aur.​2501CrossRefPubMed
go back to reference Klin, A., Saulnier, C. A., Sparrow, S. S., Cicchetti, D. V., Volkmar, F. R., & Lord, C. (2007). Social and communication abilities and disabilities in higher functioning individuals with autism spectrum disorders: The Vineland and the ADOS. Journal Of Autism And Developmental Disorders, 37(4), 748–759. https://doi.org/10.1007/s10803-006-0229-4CrossRefPubMed Klin, A., Saulnier, C. A., Sparrow, S. S., Cicchetti, D. V., Volkmar, F. R., & Lord, C. (2007). Social and communication abilities and disabilities in higher functioning individuals with autism spectrum disorders: The Vineland and the ADOS. Journal Of Autism And Developmental Disorders, 37(4), 748–759. https://​doi.​org/​10.​1007/​s10803-006-0229-4CrossRefPubMed
go back to reference Lord, C., Rutter, M., DiLavore, P., & Risi, S. (2002). Autism Diagnostic Observation schedule: ADOS manual. Western Psychological Services. Lord, C., Rutter, M., DiLavore, P., & Risi, S. (2002). Autism Diagnostic Observation schedule: ADOS manual. Western Psychological Services.
go back to reference Mayes, S. D., & Calhoun, S. L. (2011). Impact of IQ, age, SES, gender, and race on autistic symptoms. Res autism spect dis, 5(2), 749–757.CrossRef Mayes, S. D., & Calhoun, S. L. (2011). Impact of IQ, age, SES, gender, and race on autistic symptoms. Res autism spect dis, 5(2), 749–757.CrossRef
go back to reference Oakland, T., & Harrison, P. (2008). Adaptive Behavior Assessment System-II: Clinical use and interpretation. Elsevier. Oakland, T., & Harrison, P. (2008). Adaptive Behavior Assessment System-II: Clinical use and interpretation. Elsevier.
go back to reference Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism Diagnostic interview-revised. Western Psychological Services. Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism Diagnostic interview-revised. Western Psychological Services.
go back to reference Szatmari, P., Georgiades, S., Duku, E., Bennett, T. A., Bryson, S., Fombonne, E., Mirenda, P., Roberts, W., Smith, I. M., Vaillancourt, T., Volden, J., Waddell, C., Zwaigenbaum, L., Elsabbagh, M., & Thompson, A. (2015). Developmental trajectories of symptom severity and adaptive functioning in an inception cohort of preschool children with autism spectrum disorder. JAMA Psychiatry, 72(3), 276–283. https://doi.org/10.1001/jamapsychiatry.2014.2463CrossRefPubMed Szatmari, P., Georgiades, S., Duku, E., Bennett, T. A., Bryson, S., Fombonne, E., Mirenda, P., Roberts, W., Smith, I. M., Vaillancourt, T., Volden, J., Waddell, C., Zwaigenbaum, L., Elsabbagh, M., & Thompson, A. (2015). Developmental trajectories of symptom severity and adaptive functioning in an inception cohort of preschool children with autism spectrum disorder. JAMA Psychiatry, 72(3), 276–283. https://​doi.​org/​10.​1001/​jamapsychiatry.​2014.​2463CrossRefPubMed
go back to reference Wechsler, D. (2012). Wechsler Preschool and primary scale of Intelligence-Fourth Edition (WPPSI-IV) Pearson. NCS Pearson. Wechsler, D. (2012). Wechsler Preschool and primary scale of Intelligence-Fourth Edition (WPPSI-IV) Pearson. NCS Pearson.
Metagegevens
Titel
Cognitive-adaptive Functioning Gap and Mediating Factors that Impact Adaptive Functioning in Chinese Preschool-aged Children with Autism Spectrum Disorder
Auteurs
Shi-huan Wang
Qing Zhou
Kai-yun Chen
Chao-qun Ceng
Guo-dong Zhan
Cong You
Yu Xing
Yuan-yuan Zou
Hong-zhu Deng
Publicatiedatum
16-06-2023
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 8/2024
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-023-06029-z

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