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Differences in daily life executive functioning between people with autism and people with schizophrenia.

Journal of autism and developmental disorders2023

Yon-Hernández Jo A, Wojcik Dominika Z, García-García Laura, Franco-Martín Manuel A, Canal-Bedia Ricardo

What this study means for families

This study compared daily life executive functioning (brain skills like planning, organizing, and controlling impulses) between people with autism and schizophrenia. Both groups struggled with motivation and self-control, but people with autism had more severe problems with organization and impulsivity. For autistic individuals, executive functioning difficulties directly affected their daily living skills and independence.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This comparative study examined everyday executive functioning challenges in individuals with Autism Spectrum Disorder (ASD) and Schizophrenia Spectrum Disorders (SSD) using the Dysexecutive Questionnaire-Spanish (DEX-Sp). Results revealed both shared and distinct patterns of difficulties between groups. Both ASD and SSD participants showed problems with disinhibition and apathy compared to controls. However, disorganization and impulsivity were particularly severe in the ASD group only.

Importantly, executive dysfunction predicted adaptive behavior outcomes specifically in individuals with ASD, but not in the SSD group. The findings suggest the DEX-Sp may be valuable for identifying specific areas of strength and weakness in these clinical populations.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Both ASD and SSD groups showed difficulties with disinhibition and apathy compared to controls

    Confidence: moderateRelevance: Identifies shared executive functioning challenges across neurodevelopmental and psychiatric conditions
  • 2

    Disorganization and impulsivity were more severely affected in the ASD group specifically

    Confidence: moderateRelevance: Highlights autism-specific executive functioning profile for targeted interventions
  • 3

    Executive dysfunction predicted adaptive behavior outcomes in ASD but not SSD

    Confidence: moderateRelevance: Suggests executive functioning interventions may be particularly important for improving daily living skills in autism

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

The DEX-Sp may help clinicians identify specific executive functioning profiles in autism versus other conditions. Results suggest that addressing executive dysfunction, particularly disorganization and impulsivity, may be crucial for improving adaptive functioning in autistic individuals.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Study type and methodology are unspecified in the abstract. Sample size is not reported, limiting assessment of statistical power. Cross-cultural validity of the Spanish version of the assessment tool may affect generalizability to other populations.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

This is a comparative analysis of everyday executive functioning between individuals with Autism Spectrum Disorder (ASD), Schizophrenia Spectrum Disorders (SSD) and controls using Dysexecutive Questionnaire-Spanish (DEX-Sp), to identify patterns of difficulties. Also we assessed the relationship between EF and adaptive behavior as measured by the Vineland Adaptive Behavioral Scale-II. Common areas of everyday executive functions were established as problematic in individuals with ASD and SSD related to Disinhibition and Apathy, while Disorganization and Impulsivity was gravely affected in ASD group only. The degree of Dysexecutive Syndrome was predictive of adaptive behavior in ASD group only.

These suggest that DEX-Sp could be a useful tool in differentiating areas of strength and weaknesses in clinical groups such as ASD and SDD.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Journal of autism and developmental disorders
Year
2023
PMID
35441913
DOI
10.1007/s10803-022-05547-6

MeSH Terms

HumansExecutive FunctionAutism Spectrum DisorderAutistic DisorderSchizophreniaAdaptation, Psychological