Skip to main content
Log in

Executive and Visuo-motor Function in Adolescents and Adults with Autism Spectrum Disorder

  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

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.

    Google Scholar 

  • Achenbach, T. M. (1991b). Manual for the child behavior checklist and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Achenbach, T. M. (1997). Manual for the young adult self-report and young adult behavior checklist. Burlington, VT: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Bäumler, G. (1985). Farbe-Wort-Interferenztest (FWIT) nach J. R. Stroop. Göttingen: Hogrefe.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Bennetto, L., Pennington, B. F., & Rogers, S. J. (1996). Intact and impaired memory functions in autism. Child Development, 67, 1816–1835.

    Article  PubMed  Google Scholar 

  • Best, J. R., Miller, P. H., & Jones, L. L. (2009). Executive functions after age 5: Changes and correlates. Developmental Review, 29, 180–200.

    Article  PubMed  Google Scholar 

  • Bland, M. J., & Altman, D. G. (1995). Multiple significance tests: The Bonferroni method. British Medical Journal, 310, 170.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Bölte, S., & Poustka, F. (2008). Skala zur Erfassung sozialer Reaktivität (SRS). Bern: Huber, Hogrefe AG.

    Google Scholar 

  • Bölte, S., Rühl, D., Schmötzer, G., & Poustka, F. (2006). Diagnostisches Interview für Autismus - Revidiert (ADI-R). Bern: Huber, Hogrefe AG.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Dawson, M., Soulières, I., Gernsbacher, M. A., & Mottron, L. (2007). The level and nature of autistic intelligence. Psychological Science, 18, 657–662.

    Article  PubMed  Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • Dichter, G. S., & Belger, A. (2007). Social stimuli interfere with cognitive control in autism. NeuroImage, 35, 1219–1230.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1–11.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Geurts, H. M., Corbett, B., & Solomon, M. (2009). The paradox of cognitive flexibility in autism. Trends in Cognitive Sciences, 13, 74–82.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Golden, C. J. (1978). Stroop color and word test: A manual for clinical and experimental uses. Chicago, Illinois: Skoelting.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Gruber, O., & von Cramon, D. (2003). The functional neuroanatomy of human working memory revisited. NeuroImage, 19, 797–809.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Hill, E. L. (2004). Evaluating the theory of executive dysfunction in autism. Developmental Review, 24, 189–233.

    Article  Google Scholar 

  • Hill, E. L., & Bird, C. M. (2006). Executive processes in Asperger syndrome: Patterns of performance in a multiple case series. Neuropsychologia, 44, 2822–2835.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Jurado, M. B., & Rosselli, M. (2007). The elusive nature of executive functions: A review of our current understanding. Neuropsychology Review, 17, 213–233.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Kratzmeier, H., & Horn, R. (1988). SPM. Raven-Matrizen-Test. Standard progressive matrices (2nd ed.). Weinheim: Beltz.

    Google Scholar 

  • Kunda, M., & Goel, A. K. (2011). Thinking in pictures as a cognitive account of autism. Journal of Autism and Developmental Disorders, 41, 1157–1177.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., & Risi, S. (2001). Autism diagnostic observation schedule (ADOS). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Minshew, N. J., & Goldstein, G. (1998). Autism as a disorder of complex information processing. Mental Retardation and Developmental Disabilities Research Reviews, 4, 129–136.

    Article  Google Scholar 

  • Minshew, N. J., Luna, B., & Sweeney, J. A. (1999). Oculomotor evidence for neocortical systems but not cerebellar dysfunction in autism. Neurology, 52, 917–922.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Ozonoff, S. (1995). Reliability and validity of the Wisconsin Card Sorting Test in studies of autism. Neuropsychology, 9, 491–500.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Ozonoff, S., & McEvoy, R. E. (1994). A longitudinal study of executive function and theory of mind development in autism. Development and Psychopathology, 6, 415.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Ozonoff, S., & Strayer, D. L. (2001). Further evidence of intact working memory in autism. Journal of Autism and Developmental Disorders, 31, 257–263.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51–87.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Rühl, D., Bölte, S., Feineis-Matthews, S., & Poustka, F. (2004). Diagnostische Beobachtungsskala für Autistische Störungen (ADOS). Bern: Huber.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview-revised (ADI-R). Los Angeles, CA: Western Psychological Society.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Shallice, T. (1982). Specific impairments of planning. Philosophical Transactions of the Royal Society B: Biological Sciences, 298, 199–209.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

Download references

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

Authors

Corresponding author

Correspondence to Christine M. Freitag.

Additional information

Sven Bölte and Christine M. Freitag have contributed equally.

Rights and permissions

Reprints 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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-012-1668-8

Keywords

Navigation