The impact of autism and ADHD symptomology and cognitive functioning on executive functioning in autistic children.

IF 1.8 3区 心理学 Q3 CLINICAL NEUROLOGY
Child Neuropsychology Pub Date : 2026-07-01 Epub Date: 2025-12-28 DOI:10.1080/09297049.2025.2599903
Kandice J Benallie, Maryellen Brunson McClain, Sarah E Schwartz, Gwendolyn Davis, Andrea Lopez
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引用次数: 0

Abstract

Children with ADHD, autism, and/or IDD often demonstrate EF challenges. Many children with these conditions likely demonstrate overlapping and differing EF presentations and profiles of strengths and difficulties. The extant literature investigating the impact of co-occurring ADHD and IDD on the EF of autistic children is limited and contradictory, potentially due to varying levels of symptom severity, undiagnosed co-occurring ADHD and ID, and overlapping areas of EF. Consequently, we examine how autism symptomology, ADHD symptomology, and cognitive functioning predict the EF of autistic children. Participants were 65 autistic children between the ages of 6 and 17 years and their caregivers. Multilevel modeling was used to determine the impact of ADHD symptom severity, autism symptom severity, and cognitive functioning on the EF of children with autism. Aspects of ADHD symptomology - specifically hyperactivity - and autism symptomology - namely social communication difficulties - had a significant and positive relation with EF functioning. After controlling for hyperactivity and social communication skills, there were significant differences in EF domains with emotion regulation being the most negatively impacted. The severity of ADHD and autism symptoms is positively related to EF difficulties in autistic children. Specifically, greater levels of hyperactivity and social communication difficulties predict more EF challenges. Emotion regulation appears to be the EF skill most impacted. A significant association between cognitive functioning and EF was not found in this sample.

自闭症和ADHD症状和认知功能对自闭症儿童执行功能的影响。
患有多动症、自闭症和/或缺碘症的儿童经常表现出EF方面的挑战。许多患有这些疾病的儿童可能表现出重叠和不同的EF表现以及优势和困难的概况。现有研究ADHD和IDD共存对自闭症儿童EF的影响的文献有限且相互矛盾,可能是由于症状严重程度不同、未确诊的ADHD和ID共存以及EF的重叠区域。因此,我们研究自闭症症状学、ADHD症状学和认知功能如何预测自闭症儿童的EF。参与者是65名年龄在6到17岁之间的自闭症儿童和他们的照顾者。采用多水平模型确定ADHD症状严重程度、自闭症症状严重程度和认知功能对自闭症儿童EF的影响。ADHD的症状——特别是多动症——和自闭症的症状——即社会沟通困难——与EF功能有显著的正相关。在控制了多动和社交技能后,情绪调节受到的负面影响最大。自闭症儿童ADHD和自闭症症状的严重程度与EF困难呈正相关。具体来说,更严重的多动症和社交困难预示着更多的EF挑战。情绪调节似乎是受影响最大的EF技能。在这个样本中没有发现认知功能和EF之间的显著关联。
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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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