Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-16T13:16:44.248Z Has data issue: false hasContentIssue false

A longitudinal study of executive function and theory of mind development in autism

Published online by Cambridge University Press:  31 October 2008

Sally Ozonoff*
Affiliation:
University of Utah
Robin E. McEvoy
Affiliation:
University of Colorado Health Sciences Center
*
Address correspondence and reprint requests to: Sally Ozonoff, Ph.D., Department of Psychology, University of Utah, Salt Lake City, UT 84112.

Abstract

Both executive function and theory of mind impairment have been suggested as primary deficits of autism. One test of the primacy of a deficit is its persistence and stability throughout development. This longitudinal study examined development of executive function and theory of mind abilities over a 3-year time period, comparing nonretarded autistic adolescents with learning-disabled controls matched on age, IQ, gender, and socioeconomic status (SES). Results indicate that both executive function and theory of mind abilities are seriously deficient in autistic individuals, improve little with development, may never reach normal functioning levels, and appear to eventually hit a developmental ceiling. Developmental variables showed little relationship to overall task performance or improvement in either cognitive domain. The similar developmental trajectories of executive function and theory of mind performance found in this investigation suggest that these skills may be related and interdependent, rather than independent modules of cognitive function. Implications for the neurological basis of autism and intervention are also discussed.

Type
Articles
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. (1987). Diagnostic and statistical manual on mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
Baron-Cohen, S. (1989). The autistic child's theory of mind: A case of specific developmental delay. Journal of Child Psychology and Psychiatry, 30, 285297.CrossRefGoogle ScholarPubMed
Baron-Cohen, S. (1992). Debate and argument: On modularity and development in autism: A reply to Burack. Journal of Child Psychology and Psychiatry, 33, 623629.CrossRefGoogle ScholarPubMed
Baron-Cohen, S., & Howlin, P. (1993). The theory of mind deficit in autism: Some questions for teaching and diagnosis. In Baron-Cohen, S., Tager-Flusberg, H., & Cohen, D. (Eds.), Understanding other minds: Perspectives from autism (pp. 466480). New York: Oxford University Press.Google Scholar
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind?” Cognition, 21, 3746.CrossRefGoogle ScholarPubMed
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1986). Mechanical, behavioral and intentional understanding of picture stories in autistic children. British Journal of Developmental Psychology, 4, 113125.CrossRefGoogle Scholar
Baron-Cohen, S., Ring, H., Moriarty, J., Schmitz, B., Costa, D., & Ell, P. (1993). Processing mental state concepts: The role of the orbito-frontal region of the brain. Submitted for publication.Google Scholar
Borys, S. V., Spitz, H. H., & Dorans, B. A. (1982). Tower of Hanoi performance of retarded young adults and nonretarded children as a function of solution length and goal state. Journal of Experimental Child Psychology, 33, 87110.CrossRefGoogle Scholar
Bowler, D. (1992). Theory of mind in Asperger's syndrome. Journal of Child Psychology and Psychiatry, 33, 877893.CrossRefGoogle ScholarPubMed
Burack, J. A. (1992). Debate and argument: Clarifying developmental issues in the study of autism. Journal of Child Psychology and Psychiatry, 33, 617621.CrossRefGoogle Scholar
Case, R. (1992). The role of the frontal lobes in the regulation of cognitive development. Brain and Cognition, 20, 5173.CrossRefGoogle ScholarPubMed
Charman, T., & Baron-Cohen, S. (1992). Research note: Understanding beliefs and drawings: A further test of the metarepresentation theory of autism. Journal of Child Psychology and Psychiatry, 33, 11051112.CrossRefGoogle ScholarPubMed
Chelune, G. J., & Baer, R. A. (1986). Developmental norms for the Wisconsin Card Sorting Test. Journal of Clinical and Experimental Neuropsychology, 8, 219228.CrossRefGoogle ScholarPubMed
DiLalla, D. L. (1991, 04). Stability and predictiveness of subscales of the Childhood Autism Rating Scale. Paper presented at the biennial meeting of the Society for Research in Child Development, Seattle, WA.Google Scholar
Duncan, J. (1986). Disorganization of behavior after frontal lobe damage. Cognitive Neuropsychology, 3, 271290.CrossRefGoogle Scholar
Eisenmajer, R., & Prior, M. (1991). Cognitive linguistic correlates of theory of mind ability in autistic children. British Journal of Developmental Psychology, 9, 351364.CrossRefGoogle Scholar
Frith, C. D., & Frith, U. (1991). Elective affinities between schizophrenia and childhood autism. In Bebbington, P. (Ed.), Social psychiatry: Theory, methodology, and practice (pp. 72111). New Brunswick, NJ: Transactions Press.Google Scholar
Frith, U. (1991). Autism and Aspergersyndrome. New York: Cambridge University Press.Google Scholar
Goldman-Rakic, P. S. (1987). Circuitry of primate prefrontal cortex and regulation of behavior by representational memory. In Mountcastle, V. B., Plum, F., & Geiger, S. R. (Eds.), Handbook of physiology: The nervous system (pp. 373417). Bethesda, MD: American Physiological Society.Google Scholar
Happe, F., & Frith, U. (1991). How useful is the “PDD” label? Journal of Child Psychology and Psychiatry, 32, 11671168.CrossRefGoogle ScholarPubMed
Happe, F. G. E. (1994). An advanced test of theory of mind: Understanding of story characters' thoughts and feelings by able autistic, mentally handicapped, and normal children and adults. Journal of Autism and Developmental Disorders, 24, 129154.CrossRefGoogle ScholarPubMed
Harris, P. L., & Muncer, A. (1988). Autistic children's understanding of beliefs and desires. Paper presented at the British Psychological Society, Coleg Harlech.Google Scholar
Harris, P. L. (1993). Pretending and planning. In Baron-Cohen, S., Tager-Flusberg, H., & Cohen, D. (Eds.), Understanding other minds: Perspectives from autism (pp. 228246). New York: Oxford University Press.Google Scholar
Heaton, R. K. (1981). Wisconsin Card Sorting Test manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Hodapp, R. M., & Zigler, E. (1990). Applying the developmental perspective to individuals with Down syndrome. In Cicchetti, D. & Beeghly, M. (Eds.), Down syndrome: The developmental perspective. New York: Cambridge University Press.Google Scholar
Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Yale University Press.Google Scholar
Holroyd, S., & Baron-Cohen, S. (1993). Brief report: How far can people with autism go in developing a theory of mind? Journal of Autism and Developmental Disorders, 23, 379385.CrossRefGoogle ScholarPubMed
Hughes, C., & Russell, J. (1993). Autistic children's difficulty with mental disengagement from an object: Its implications for theories of autism. Developmental Psychology, 29, 498510.CrossRefGoogle Scholar
Leekam, S., & Perner, J. (1991). Does the autistic child have a theory of representation? Cognition, 40, 203218.CrossRefGoogle Scholar
Leslie, A. M., & Frith, U. (1988). Autistic children's understanding of seeing, knowing and believing. British Journal of Developmental Psychology, 6, 315324.CrossRefGoogle Scholar
Leslie, A. M., & Thaiss, L. (1992). Domain specificity in conceptual development: Neuropsychological evidence from autism. Cognition, 43, 225251.CrossRefGoogle ScholarPubMed
Lezak, M. D. (1983). Neuropsychological assessment (2nd ed.). New York: Oxford University Press.Google Scholar
Lord, C., & Schopler, E. (1989). The role of age at assessment, developmental level, and test in the stability of intelligence scores in young autistic children. Journal of Autism and Developmental Disorders, 19, 483499.CrossRefGoogle ScholarPubMed
Luria, A. R. (1966). The higher cortical functions in man. New York: Basic Books.Google Scholar
Mesibov, G. B., Schopler, E., Schaffer, B., & Michal, N. (1989). Use of the Childhood Autism Rating Scale with autistic adolescents and adults. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 538541.CrossRefGoogle ScholarPubMed
Ozonoff, S. (in press). Executive functions in autism. In Schopler, E. & Mesibov, G. B. (Eds.), Learning and cognition in autism. New York: Plenum Press.Google Scholar
Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1990). Are there emotion perception deficits in young autistic children? Journal of Child Psychology and Psychiatry, 31, 343361.CrossRefGoogle ScholarPubMed
Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1991a). Executive function deficits in highfunctioning autistic individuals: Relationship to theory of mind. Journal of Child Psychology and Psychiatry, 32, 10811105.CrossRefGoogle ScholarPubMed
Ozonoff, S., Rogers, S. J., Farnham, J. M., & Pennington, B. F. (1993). Can standard measures identify subclinical markers of autism? Journal of Autism and Developmental Disorders, 23, 429441.CrossRefGoogle ScholarPubMed
Ozonoff, S., Rogers, S. J., & Pennington, B. F. (1991b). Aspcrger's syndrome: Evidence of an empirical distinction from high-functioning autism. Journal of Child Psychology and Psychiatry, 32, 11071122.CrossRefGoogle ScholarPubMed
Ozonoff, S., Strayer, D. L., McMahon, W. M., & Filloux, F. (in press). Executive function abilities in autism: An information processing approach. Journal of Child Psychology and Psychiatry.Google Scholar
Pennington, B. F. (in press). The working memory function of the prefrontal cortices: Implications for developmental and individual differences in cognition. In Haith, M. M., Benson, J., Roberts, R., & Pennington, B. F. (Eds.), Future-oriented processes in development. Chicago: University of Chicago Press.Google Scholar
Perner, J., Frith, U., Leslie, A. M., & Leekam, S. R. (1989). Exploration of the autistic child's theory of mind: Knowledge, belief and communication. Child Development, 60, 689700.CrossRefGoogle ScholarPubMed
Perner, J., & Wimmer, H. (1985). “John thinks that Mary thinks that …”: Attribution of secondorder beliefs by 5–10-year-old children. Journal of Experimental Child Psychology, 39, 437471.CrossRefGoogle Scholar
Prior, M. R., Dahlstrom, B., & Squires, T. (1990). Autistic children's knowledge of thinking and feeling states in other people. Journal of Child Psychology and Psychiatry, 31, 587602.CrossRefGoogle ScholarPubMed
Rapin, I. (1987). Searching for the cause of autism: A neurologic perspective. In Cohen, D. J. & Donnellan, A. M. (Eds.), Handbook of autism and pervasive developmental disorders (pp. 710717). New York: John Wiley & Sons.Google Scholar
Robinson, A. L., Heaton, R. K., Lehman, R. A. W., & Stilson, D. W. (1980). The utility of the Wisconsin Card Sorting Test in detecting and localizing frontal lobe lesions. Journal of Consulting and Clinical Psychology, 48, 605614.CrossRefGoogle ScholarPubMed
Rogers, S. J., Ozonoff, S., & Maslin-Cole, C. (1991). A comparative study of attachment behavior in young children with autism or other psychiatric disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 483488.CrossRefGoogle ScholarPubMed
Rogers, S. J., Ozonoff, S., & Maslin-Cole, C. (1993). Developmental aspects of attachment behavior in young children with pervasive developmental disorders. Journal of the A merican A cademy of Child and Adolescent Psychiatry, 32, 12741282.CrossRefGoogle ScholarPubMed
Rumsey, J. M., & Hamburger, S. D. (1990). Neuropsychological divergence of high-level autism and severe dyslexia. Journal of Autism and Developmental Disorders, 20, 155168.CrossRefGoogle ScholarPubMed
Rutter, M., & Bailey, A. (1993). Thinking and relationships: Mind and brain (some reflections on theory of mind and autism). In Baron-Cohen, S., Tager-Flusberg, H., & Cohen, D. (Eds.), Understanding other minds: Perspectives from autism (pp. 481504). New York: Oxford University Press.Google Scholar
Shallice, T. (1982). Specific impairments in planning. In Broadbent, D. E. & Wciskrantz, L. (Eds.), The neuropsychology of cognitive function (pp. 199209). London: Royal Society.Google Scholar
Shapiro, T., Sherman, M., Calamari, G., & Koch, D. (1987). Attachment in autism and other developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 480484.CrossRefGoogle ScholarPubMed
Sigman, M., & Mundy, P. (1989). Social attachments in autistic children. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 7481.CrossRefGoogle ScholarPubMed
Sigman, M., & lingerer, J. (1984). Attachment behaviors in autistic children. Journal of Autism and Developmental Disorders, 74, 231244.CrossRefGoogle Scholar
Welsh, M. C., Pennington, B. F., & Groisser, D. B. (1991). A normative-developmental study of executive function: A window on prefrontal function in children. Developmental Neuropsychology, 7, 131149.CrossRefGoogle Scholar
Wing, L. (1981). Asperger's syndrome: A clinical account. Psychological Medicine, 11, 115129.CrossRefGoogle ScholarPubMed