Abstract
This study broadly examines executive (EF) and visuo-motor function in 30 adolescent and adult individuals with high-functioning autism spectrum disorder (ASD) in comparison to 28 controls matched for age, gender, and IQ. ASD individuals showed impaired spatial working memory, whereas planning, cognitive flexibility, and inhibition were spared. Pure movement execution during visuo-motor information processing also was intact. In contrast, execution time of reading, naming, and of visuo-motor information processing tasks including a choice component was increased in the ASD group. Results of this study are in line with previous studies reporting only minimal EF difficulties in older individuals with ASD when assessed by computerized tasks. The finding of impaired visuo-motor information processing should be accounted for in further neuropsychological studies in ASD.
Similar content being viewed by others
References
Achenbach, T. M. (1991a). Manual for the youth self-report and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.
Achenbach, T. M. (1991b). Manual for the child behavior checklist and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.
Achenbach, T. M. (1997). Manual for the young adult self-report and young adult behavior checklist. Burlington, VT: University of Vermont, Department of Psychiatry.
Ambery, F. Z., Russell, A. J., Perry, K., Morris, R., & Murphy, D. G. (2006). Neuropsychological functioning in adults with Asperger syndrome. Autism, 10, 551–564.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington DC.
Anderson, P. (2002). Assessment and development of executive function (EF) during childhood. Child Neuropsychology, 8, 71–82.
Barnard, L., Muldoon, K., Hasan, R., O’Brien, G., & Stewart, M. (2008). Profiling executive dysfunction in adults with autism and comorbid learning disability. Autism, 12, 125–141.
Bäumler, G. (1985). Farbe-Wort-Interferenztest (FWIT) nach J. R. Stroop. Göttingen: Hogrefe.
Belmonte, M. K., Cook, E. H., Anderson, G. M., Rubenstein, J. L. R., Greenough, W. T., Beckel-Mitchener, A., et al. (2004). Autism as a disorder of neural information processing: Directions for research and targets for therapy. Molecular Psychiatry, 9, 646–663.
Bennetto, L., Pennington, B. F., & Rogers, S. J. (1996). Intact and impaired memory functions in autism. Child Development, 67, 1816–1835.
Best, J. R., Miller, P. H., & Jones, L. L. (2009). Executive functions after age 5: Changes and correlates. Developmental Review, 29, 180–200.
Bland, M. J., & Altman, D. G. (1995). Multiple significance tests: The Bonferroni method. British Medical Journal, 310, 170.
Bogte, H., Flamma, B., van der Meere, J., & van Engeland, H. (2008). Cognitive flexibility in adults with high functioning autism. Journal of Clinical and Experimental Neuropsychology, 30, 33–41.
Bogte, H., Flamma, B., van der Meere, J., & van Engeland, H. (2009). Divided attention capacity in adults with autism spectrum disorder and without intellectual disability. Autism, 13, 229–243.
Bölte, S., Duketis, E., Poustka, F., & Holtmann, M. (2011). Sex differences in cognitive domains and their clinical correlates in high-functioning autism spectrum disorders. Autism, 15, 1–15.
Bölte, S., Dziobek, I., & Poustka, F. (2009). Brief report: The level and nature of autistic intelligence revisited. Journal of Autism and Developmental Disorders, 39, 678–682.
Bölte, S., & Poustka, F. (2008). Skala zur Erfassung sozialer Reaktivität (SRS). Bern: Huber, Hogrefe AG.
Bölte, S., Rühl, D., Schmötzer, G., & Poustka, F. (2006). Diagnostisches Interview für Autismus - Revidiert (ADI-R). Bern: Huber, Hogrefe AG.
Britton, J. C., Rauch, S. L., Rosso, I. M., Killgore, W. D. S., Price, L. M., Ragan, J., et al. (2010). Cognitive inflexibility and frontal-cortical activation in pediatric obsessive-compulsive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 944–953.
Christ, S. E., Holt, D. D., White, D. A., & Green, L. (2007). Inhibitory control in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 37, 1155–1165.
Dawson, M., Soulières, I., Gernsbacher, M. A., & Mottron, L. (2007). The level and nature of autistic intelligence. Psychological Science, 18, 657–662.
Diamond, A. (2002). Normal development of prefrontal cortex from birth to young adulthood: Cognitive functions, anatomy, and biochemistry. In D. Stuss & R. Knight (Eds.), Principles of frontal lobe function (pp. 466–503). Oxford: New York.
Dichter, G. S., & Belger, A. (2007). Social stimuli interfere with cognitive control in autism. NeuroImage, 35, 1219–1230.
Edgin, J. O., & Pennington, B. F. (2005). Spatial cognition in autism spectrum disorders: Superior, impaired, or just intact? Journal of Autism and Developmental Disorders, 35, 729–745.
Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1–11.
Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: A synthesis and meta-analysis. Journal of Autism and Developmental Disorders, 40, 1227–1240.
Freitag, C. M., Kleser, C., Schneider, M., & Gontard, A. (2007). Quantitative assessment of neuromotor function in adolescents with high functioning autism and Asperger Syndrome. Journal of Autism and Developmental Disorders, 37, 948–959.
Geurts, H. M., Corbett, B., & Solomon, M. (2009). The paradox of cognitive flexibility in autism. Trends in Cognitive Sciences, 13, 74–82.
Geurts, H. M., Verté, S., Oosterlaan, J., Roeyers, H., & Sergeant, J. A. (2004). How specific are executive functioning deficits in attention deficit hyperactivity disorder and autism? Journal of Child Psychology and Psychiatry, 45, 836–854.
Glazebrook, C. M., Elliott, D., & Szatmari, P. (2008). How do individuals with autism plan their movements? Journal of Autism and Developmental Disorders, 38, 114–126.
Goldberg, M. C., Mostofsky, S. H., Cutting, L. E., Mahone, E. M., Astor, B. C., Denckla, M. B., et al. (2005). Subtle executive impairment in children with autism and children with ADHD. Journal of Autism and Developmental Disorders, 35, 279–293.
Golden, C. J. (1978). Stroop color and word test: A manual for clinical and experimental uses. Chicago, Illinois: Skoelting.
Green, D., Charman, T., Pickles, A., Chandler, S., Loucas, T. O., Simonoff, E., et al. (2009). Impairment in movement skills of children with autistic spectrum disorders. Developmental Medicine and Child Neurology, 51, 311–316.
Griebling, J., Minshew, N. J., Bodner, K., Libove, R., Bansal, R., Konasale, P., et al. (2010). Dorsolateral prefrontal cortex magnetic resonance imaging measurements and cognitive performance in autism. Journal of Child Neurology, 25, 856–863.
Gruber, O., & von Cramon, D. (2003). The functional neuroanatomy of human working memory revisited. NeuroImage, 19, 797–809.
Gu, B.-M., Park, J.-Y., Kang, D.-H., Lee, S. J., Yoo, S. Y., Jo, H. J., et al. (2008). Neural correlates of cognitive inflexibility during task-switching in obsessive-compulsive disorder. Brain, 131, 155–164.
Happé, F., Booth, R., Charlton, R., & Hughes, C. (2006). Executive function deficits in autism spectrum disorders and attention-deficit/hyperactivity disorder: Examining profiles across domains and ages. Brain and Cognition, 61, 25–39.
Hill, E. L. (2004). Evaluating the theory of executive dysfunction in autism. Developmental Review, 24, 189–233.
Hill, E. L., & Bird, C. M. (2006). Executive processes in Asperger syndrome: Patterns of performance in a multiple case series. Neuropsychologia, 44, 2822–2835.
Johnston, K., Madden, A. K., Bramham, J., & Russell, A. J. (2010). Response inhibition in adults with autism spectrum disorder compared to attention deficit/hyperactivity disorder. Journal of Autism and Developmental Disorders, 41, 903–912.
Jurado, M. B., & Rosselli, M. (2007). The elusive nature of executive functions: A review of our current understanding. Neuropsychology Review, 17, 213–233.
Just, M. A., Cherkassky, V. L., Keller, T. A., Kana, R. K., & Minshew, N. J. (2007). Functional and anatomical cortical underconnectivity in autism: Evidence from an fMRI study of an executive function task and corpus callosum morphometry. Cerebral Cortex, 17, 951–961.
Kaland, N., Smith, L., & Mortensen, E. L. (2008). Brief report: Cognitive flexibility and focused attention in children and adolescents with Asperger syndrome or high-functioning autism as measured on the computerized version of the Wisconsin Card Sorting Test. Journal of Autism and Developmental Disorders, 38, 1161–1165.
Kana, R. K., Keller, T. A., Minshew, N. J., & Just, M. A. (2007). Inhibitory control in high-functioning autism: Decreased activation and underconnectivity in inhibition networks. Biological Psychiatry, 62, 198–206.
Kratzmeier, H., & Horn, R. (1988). SPM. Raven-Matrizen-Test. Standard progressive matrices (2nd ed.). Weinheim: Beltz.
Kunda, M., & Goel, A. K. (2011). Thinking in pictures as a cognitive account of autism. Journal of Autism and Developmental Disorders, 41, 1157–1177.
Lam, K. S., Bodfish, J. W., & Piven, J. (2008). Evidence for three subtypes of repetitive behavior in autism that differ in familiality and association with other symptoms. Journal of Child Psychology and Psychiatry, 49, 1193–1200.
Lopez, B. R., Lincoln, A. J., Ozonoff, S., & Lai, Z. (2005). Examining the relationship between executive functions and restricted, repetitive symptoms of autistic disorder. Journal of Autism and Developmental Disorders, 35, 445–460.
Lord, C., Rutter, M., DiLavore, P., & Risi, S. (2001). Autism diagnostic observation schedule (ADOS). Los Angeles, CA: Western Psychological Services.
Luna, B., Doll, S. K., Hegedus, S. J., Minshew, N. J., & Sweeney, J. A. (2007). Maturation of executive function in autism. Biological Psychiatry, 61, 474–481.
Luna, B., Minshew, N. J., Garver, K. E., Lazar, N. A., Thulborn, K. R., Eddy, W. F., et al. (2002). Neocortical system abnormalities in autism—an fMRI study of spatial working memory. Neurology, 59, 834–840.
Mari, M., Castiello, U., Marks, D., Marraffa, C., & Prior, M. (2003). The reach-to-grasp movement in children with autism spectrum disorder. Philosophical Transactions of the Royal Society B: Biological Sciences, 358, 393–403.
McAuley, T., & White, D. A. (2011). A latent variables examination of processing speed, response inhibition, and working memory during typical development. Journal of Experimental Child Psychology, 108, 453–468.
Minshew, N. J., & Goldstein, G. (1998). Autism as a disorder of complex information processing. Mental Retardation and Developmental Disabilities Research Reviews, 4, 129–136.
Minshew, N. J., Luna, B., & Sweeney, J. A. (1999). Oculomotor evidence for neocortical systems but not cerebellar dysfunction in autism. Neurology, 52, 917–922.
Minshew, N. J., Muenz, L. R., Goldstein, G., & Payton, J. B. (1992). Neuropsychological functioning in nonmentally retarded autistic individuals. Journal of Clinical and Experimental Neuropsychology, 14, 749–761.
Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wagner, T. D. (2000). The unity and diversity of executive functions and their contributions to complex”frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41, 49–100.
Nakahachi, T., Iwase, M., Takahashi, H., Honaga, E., Sekiyama, R., Ukai, S., et al. (2006). Discrepancy of performance among working memory-related tasks in autism spectrum disorders was caused by task characteristics, apart from working memory, which could interfere with task execution. Psychiatry and Clinical Neurosciences, 60, 312–318.
Nazarali, N., Glazebrook, C. M., & Elliott, D. (2009). Movement planning and reprogramming in individuals with autism. Journal of Autism and Developmental Disorders, 39, 1401–1411.
Owen, A. M., Downes, J. J., Sahakian, B. J., Polkey, C. E., & Robbins, T. W. (1990). Planning and spatial working memory following frontal lobe lesions in man. Neuropsychologia, 28, 1021–1034.
Ozonoff, S. (1995). Reliability and validity of the Wisconsin Card Sorting Test in studies of autism. Neuropsychology, 9, 491–500.
Ozonoff, S., Cook, I., Coon, H., Dawson, G., Joseph, R. M., Klin, A., et al. (2004). Performance on cambridge neuropsychological test automated battery subtests sensitive to frontal lobe function in people with autistic disorder: Evidence from the collaborative programs of excellence in autism network. Journal of Autism and Developmental Disorders, 34, 139–150.
Ozonoff, S., & McEvoy, R. E. (1994). A longitudinal study of executive function and theory of mind development in autism. Development and Psychopathology, 6, 415.
Ozonoff, S., South, M., & Miller, J. N. (2000). DSM-IV-defined Asperger syndrome: Cognitive, behavioral and early history differentiation from high-functioning autism. Autism, 4, 29–46.
Ozonoff, S., & Strayer, D. L. (2001). Further evidence of intact working memory in autism. Journal of Autism and Developmental Disorders, 31, 257–263.
Ozonoff, S., Young, G. S., Goldring, S., Greiss-Hess, L., Herrera, A. M., Steele, J., et al. (2008). Gross motor development, movement abnormalities, and early identification of autism. Journal of Autism and Developmental Disorders, 38, 644–656.
Pascualvaca, D. M., Fantie, B. D., Papageorgiou, M., & Mirsky, A. F. (1998). Attentional capacities in children with autism: Is there a general deficit in shifting focus? Journal of Autism and Developmental Disorders, 28, 467–478.
Pellicano, E. (2007). Links between theory of mind and executive function in young children with autism: Clues to developmental primacy. Developmental Psychology, 43, 974–990.
Pellicano, E., Maybery, M., Durkin, K., & Maley, A. (2006). Multiple cognitive capabilities/deficits in children with an autism spectrum disorder: “Weak” central coherence and its relationship to theory of mind and executive control. Development and Psychopathology, 18, 77–98.
Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51–87.
Rinehart, N. J., Bellgrove, M. A., Tonge, B. J., Brereton, A. V., Howells-Rankin, D., & Bradshaw, J. L. (2006). An examination of movement kinematics in young people with high-functioning autism and Asperger’s disorder: Further evidence for a motor planning deficit. Journal of Autism and Developmental Disorders, 36, 757–767.
Rinehart, N. J., Bradshaw, J. L., Brereton, A. V., & Tonge, B. J. (2001). Movement preparation in high-functioning autism and Asperger disorder: A serial choice reaction time task involving motor reprogramming. Journal of Autism and Developmental Disorders, 31, 79–88.
Rinehart, N. J., Bradshaw, J. L., Brereton, A. V., & Tonge, B. J. (2002). Lateralization in individuals with high-functioning autism and Asperger’s disorder: A frontostriatal model. Journal of Autism and Developmental Disorders, 32, 321–332.
Rühl, D., Bölte, S., Feineis-Matthews, S., & Poustka, F. (2004). Diagnostische Beobachtungsskala für Autistische Störungen (ADOS). Bern: Huber.
Rumsey, J. M., & Hamburger, S. D. (1988). Neuropsychological findings in high-functioning men with infantile autism, residual state. Journal of Clinical and Experimental Neuropsychology, 10, 201–221.
Russo, N., Flanaga, 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, 77–86.
Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview-revised (ADI-R). Los Angeles, CA: Western Psychological Society.
Sahyoun, C. P., Soulières, I., Belliveau, J. W., Mottron, L., & Mody, M. (2009). Cognitive differences in pictorial reasoning between high-functioning autism and Asperger’s syndrome. Journal of Autism and Developmental Disorders, 39, 1014–1023.
Shafritz, K. M., Dichter, G. S., Baranek, G. T., & Belger, A. (2008). The neural circuitry mediating shifts in behavioral response and cognitive set in autism. Biological Psychiatry, 63, 974–980.
Shallice, T. (1982). Specific impairments of planning. Philosophical Transactions of the Royal Society B: Biological Sciences, 298, 199–209.
Sinzig, J., Morsch, D., Bruning, N., Schmidt, M. H., & Lehmkuhl, G. (2008). Inhibition, flexibility, working memory and planning in autism spectrum disorders with and without comorbid ADHD-symptoms. Child and Adolescent Psychiatry and Mental Health, 2, doi:10.1186/1753-2000-2-4.
South, M., Ozonoff, S., & Mcmahon, W. M. (2007). The relationship between executive functioning, central coherence, and repetitive behaviors in the high-functioning autism spectrum. Autism, 11, 437–451.
Steele, S. D., Minshew, N. J., Luna, B., & Sweeney, J. A. (2007). Spatial working memory deficits in autism. Journal of Autism and Developmental Disorders, 37, 605–612.
van Mourik, R., Oosterlaan, J., & Sergeant, J. A. (2005). The Stroop revisited: A meta-analysis of interference control in AD/HD. Journal of Child Psychology and Psychiatry, 46, 150–165.
Villalobos, M. E., Mizuno, A., Dahl, B. C., Kemmotsu, N., & Muller, R. A. (2005). Reduced functional connectivity between V1 and inferior frontal cortex associated with visuomotor performance in autism. Neuroimage, 25, 916–925.
Williams, D. L., Goldstein, G., Carpenter, P. A., & Minshew, N. J. (2005). Verbal and spatial working memory in autism. Journal of Autism and Developmental Disorders, 35, 747–756.
World Health Organization. (1992). The ICD-10 Classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: WHO.
Zinke, K., Fries, E., Altgassen, M., Kirschbaum, C., Dettenborn, L., & Kliegel, M. (2010). Visuo-spatial short-term memory explains deficits in Tower task planning in high-functioning children with Autism Spectrum Disorder. Child Neuropsychology, 16, 229–241.
Acknowledgments
The study was supported by the EU and the BMBF, grant EUHFAUTISM—01EW1105 to Christine Freitag. We thank all participants who supported this research project.
Author information
Authors and Affiliations
Corresponding author
Additional information
Sven Bölte and Christine M. Freitag have contributed equally.
Rights and permissions
About this article
Cite this article
Sachse, M., Schlitt, S., Hainz, D. et al. Executive and Visuo-motor Function in Adolescents and Adults with Autism Spectrum Disorder. J Autism Dev Disord 43, 1222–1235 (2013). https://doi.org/10.1007/s10803-012-1668-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-012-1668-8