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      Executive Functions and Social Responsiveness in Children and Adolescents With Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder

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          Abstract

          Objective:

          To evaluate the executive functions and social reciprocity of children and adolescents diagnosed with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) and compared them with healthy controls.

          Material and Method:

          Patients aged 6-17 years diagnosed with ASD ( n = 33) and ADHD ( n = 37) and healthy controls in the same age range ( n = 33) were included in the study. Behavioral Rating Inventory of Executive Functions (BRIEF) sub-scales and Social Responsiveness Scale (SRS) were used for evaluating executive function areas and social responsiveness.

          Results:

          Our results revealed that children and adolescents with ASD and ADHD were significantly impaired for all BRIEF sub-scales except emotional control and that the significant increase in sub-scale scores expressing deterioration continued after adjustment for SES, verbal IQ scores, and gender. ASD patients received significantly higher SRS scores compared to ADHD and control groups and ADHD patients also had significantly higher values compared to the controls.

          Conclusion:

          Further studies with parent-report scales that allow easier and faster evaluation of executive functions and social reciprocity will contribute to better understanding of the personal needs of children with neurodevelopmental disorders and the finding of new treatments.

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          Most cited references30

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          Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD.

          Attention deficit hyperactivity disorder (ADHD) comprises a deficit in behavioral inhibition. A theoretical model is constructed that links inhibition to 4 executive neuropsychological functions that appear to depend on it for their effective execution: (a) working memory, (b) self-regulation of affect-motivation-arousal, (c) internalization of speech, and (d) reconstitution (behavioral analysis and synthesis). Extended to ADHD, the model predicts that ADHD should be associated with secondary impairments in these 4 executive abilities and the motor control they afford. The author reviews evidence for each of these domains of functioning and finds it to be strongest for deficits in behavioral inhibition, working memory, regulation of motivation, and motor control in those with ADHD. Although the model is promising as a potential theory of self-control and ADHD, far more research is required to evaluate its merits and the many predictions it makes about ADHD.
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            Executive dysfunction in autism.

            "Executive function" is an umbrella term for functions such as planning, working memory, impulse control, inhibition and mental flexibility, as well as for the initiation and monitoring of action. The primacy of executive dysfunction in autism is a topic of much debate, as are recent attempts to examine subtypes of executive function within autism and other neurodevelopmental disorders that are considered to implicate frontal lobe function. This article will review cognitive behavioural studies of planning, mental flexibility and inhibition in autism. It is concluded that more detailed research is needed to fractionate the executive system in autism by assessing a wide range of executive functions as well as their neuroanatomical correlates in the same individuals across the lifespan.
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              • Article: not found

              Examining executive functioning in children with autism spectrum disorder, attention deficit hyperactivity disorder and typical development.

              Executive functioning (EF) is an overarching term that refers to neuropsychological processes that enable physical, cognitive, and emotional self-control. Deficits in EF are often present in neurodevelopmental disorders, but examinations of the specificity of EF deficits and direct comparisons across disorders are rare. The current study investigated EF in 7- to 12-year-old children with autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD) and typical development using a comprehensive battery of measures assessing EF, including response inhibition, working memory, cognitive flexibility, planning, fluency and vigilance. The ADHD group exhibited deficits in vigilance, inhibition and working memory relative to the typical group; however, they did not consistently demonstrate problems on the remaining EF measures. Children with ASD showed significant deficits in vigilance compared with the typical group, and significant differences in response inhibition, cognitive flexibility/switching, and working memory compared with both groups. These results lend support for previous findings that show children with autism demonstrate generalized and profound impairment in EF. In addition, the observed deficits in vigilance and inhibitory control suggest that a significant number of children with ASD present with cognitive profiles consistent with ADHD.
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                Author and article information

                Journal
                Psychiatry Clin Psychopharmacol
                Psychiatry Clin Psychopharmacol
                Psychiatry and Clinical Psychopharmacology
                Mesut Çetin
                2475-0581
                June 2021
                01 June 2021
                : 31
                : 2
                : 165-172
                Affiliations
                [1 ]Department of Child and Adolescent Psychiatry , Bursa Dörtçelik Child Hospital, Bursa, Turkey
                [2 ]Department of Child and Adolescent Psychiatry , İstanbul Medeniyet University School of Medicine, İstanbul, Turkey
                [3 ]Department of Child and Adolescent Psychiatry , Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
                [4 ]Department of Child and Adolescent Psychiatry , Marmara University School of Medicine, İstanbul, Turkey
                Author notes
                Corresponding author: Didem Ayyıldız, E-mail: didemayyldz.@gmail.com

                Cite this article as: Ayyıldız D, Bıkmazer A, Cahid Örengül A, Perdahlı Fiş N. Executive functions and social responsiveness in children and adolescents with autism spectrum disorder and attention deficit hyperactivity disorder. Psychiatr Clin Psychopharmacol. 2021; 31(2): 165-172.

                Article
                pcp-31-2-165
                10.5152/pcp.2021.20167
                11079678
                4a320843-5a08-488e-a016-5dff1ef13afb
                2021 authors

                Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 10 October 2020
                : 10 January 2021
                Funding
                The authors declared that this study has received no financial support.
                Categories
                Original Article

                autism,adhd,executive function,social responsiveness,srs, brief

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