Executive function predicts the development of play skills for verbal preschoolers with autism spectrum disorders
Corresponding Author
Susan Faja
Laboratories of Cognitive Neuroscience, Boston Children's Hospital, Boston, Massachusetts
Departments of Pediatrics and Psychiatry, Harvard Medical School, Boston, Massachusetts
Address for correspondence and reprints: Susan Faja, LCN, Boston Children's Hospital, 1 Autumn Street, Boston, MA, 02215. E-mail: [email protected]Search for more papers by this authorGeraldine Dawson
Departments of Psychiatry and Behavioral Sciences, Pediatrics, and Psychology and Neuroscience, Duke University, Durham, North Carolina
Search for more papers by this authorKatherine Sullivan
Department of Child and Adolescent Psychiatry, New York University, New York, New York
Department of Psychology, University of Washington, Seattle, Washington
Search for more papers by this authorAndrew N. Meltzoff
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington
Search for more papers by this authorAnnette Estes
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington
Search for more papers by this authorRaphael Bernier
Departments of Psychiatry and Behavioral Sciences and Educational Psychology, University of Washington, Seattle, Washington
Search for more papers by this authorCorresponding Author
Susan Faja
Laboratories of Cognitive Neuroscience, Boston Children's Hospital, Boston, Massachusetts
Departments of Pediatrics and Psychiatry, Harvard Medical School, Boston, Massachusetts
Address for correspondence and reprints: Susan Faja, LCN, Boston Children's Hospital, 1 Autumn Street, Boston, MA, 02215. E-mail: [email protected]Search for more papers by this authorGeraldine Dawson
Departments of Psychiatry and Behavioral Sciences, Pediatrics, and Psychology and Neuroscience, Duke University, Durham, North Carolina
Search for more papers by this authorKatherine Sullivan
Department of Child and Adolescent Psychiatry, New York University, New York, New York
Department of Psychology, University of Washington, Seattle, Washington
Search for more papers by this authorAndrew N. Meltzoff
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington
Search for more papers by this authorAnnette Estes
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington
Search for more papers by this authorRaphael Bernier
Departments of Psychiatry and Behavioral Sciences and Educational Psychology, University of Washington, Seattle, Washington
Search for more papers by this authorThe authors do not have any interests that might be interpreted as influencing the research.
Abstract
Executive function and play skills develop in early childhood and are linked to cognitive and language ability. The present study examined these abilities longitudinally in two groups with autism spectrum disorder—a group with higher initial language (n = 30) and a group with lower initial language ability (n = 36). Among the lower language group, concurrent nonverbal cognitive ability contributed most to individual differences in executive function and play skills. For the higher language group, executive function during preschool significantly predicted play ability at age 6 over and above intelligence, but early play did not predict later executive function. These results suggested that factors related to the development of play and executive function differ for subgroups of children with different language abilities and that early executive function skills may be critical in order for verbal children with autism to develop play. Autism Res 2016, 9: 1274–1284. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.
Literature Cited
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edition (DSM-5). Washington, DC: American Psychiatric Publishing.
10.1176/appi.books.9780890425596 Google Scholar
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th edition, Text Revision. Washington, DC: American Psychiatric Association.
- Blair, C. (2002). School readiness: Integrating cognition and emotion in a neurobiological conceptualization of children's functioning at school entry. American Psychologist, 57, 111–127.
- Brooks, R., & Meltzoff, A.N. (2015). Connecting the dots from infancy to childhood: A longitudinal study connecting gaze following, language, and explicit theory of mind. Journal of Experimental Child Psychology, 130, 67–78.
- Carlson, S.M. (2005). Developmentally sensitive measures of executive function in preschool. Developmental Neuropsychology, 28, 595–616.
- Carlson, S.M., White, R.E., & Davis-Unger, A. (2014). Evidence for a relation between executive function and pretense representation in preschool children. Cognitive Development, 29, 1–16.
- Carlson, S.M., Mandell, D., & Williams, L. (2004). Executive function and theory of mind: Stability and prediction from ages 2 to 3. Developmental Psychology, 40, 1105–1122.
- Carlson, S.M., & Meltzoff, A.N. (2008). Bilingual experience and executive functioning in young children. Developmental Science, 11, 282–298.
- Charman, T., & Baron-Cohen, S. (1997). Brief report: Prompted pretend play in autism. Journal of Autism and Developmental Disorders, 27, 325–332.
- Dawson, G., Meltzoff, A.N., Osterling, J., & Rinaldi, J. (1998). Neuropsychological correlates of early symptoms of autism. Child Development, 69, 1276–1285.
- Dawson, G., Munson, J., Estes, A., Osterling, J., McPartland, J., Toth, K., et al. (2002). Neurocognitive function and joint attention ability in young children with autism spectrum disorder versus developmental delay. Child Development, 73, 345–358.
- Dawson, G., Toth, K., Abbott, R., Osterling, J., Munson, J., Estes, A., et al. (2004). Early social attention impairments in autism: Social orienting, joint attention and attention to distress. Developmental Psychology, 40, 271–283.
- Diamond, A. (1985). Development of the ability to use recall to guide action, as indicated by infants' performance on A-not-B. Child Development, 56, 868–883.
- Diamond, A. (2011). Biological and social influences on cognitive control processes dependent on prefrontal cortex. Progress in Brain Research, 189, 319–339.
- Diamond, A., & Goldman-Rakic, P.S. (1989). Comparison of human infants and rhesus monkeys on Piaget's AB task: Evidence for dependence on dorsolateral prefrontal cortex. Experimental Brain Research, 74, 24–40.
- Diamond, A., Prevor, M.B., Callender, G., & Druin, D.P. (1997). Prefrontal cortex cognitive deficits in children treated early and continuously for PKU. Monographs of the Society for Research in Child Development, 62, (4, Serial No. 205).
- Elliott, C.D. (1990). DAS Administration and Scoring Manual. San Antonio, TX: The Psychological Corporation.
- Erikson, E. (1951). Sex differences in play configurations of preadolescents. American Journal of Ortho Psychiatry, 21, 667–692.
- Faja, S., & Dawson, G. (2013). Performance on the dimensional change card sort and backward digit span by young children with autism without intellectual disability. Child Neuropsychology, 20, 692–699.
- Fein, G.G. (1981). Pretend play in childhood: An integrative review. Child Development, 52, 1095–1118.
- Griffith, E.M., Pennington, B.F., Wehner, E., & Rogers, S.J. (1999). Executive functions in young children with autism. Child Development, 70, 817–832.
- Hill, E. (2004). Executive dysfunction in autism. Trends in Cognitive Sciences, 8, 26–32.
- Hobson, R.P., Lee, A., & Hobson, J.A. (2009). Qualities of symbolic play among children with autism: A social-developmental perspective. Journal of Autism and Developmental Disorders, 39, 12–22.
- Hughes, C. (1998). Finding your marbles: Does preschoolers' strategic behavior predict later understanding of mind? Developmental Psychology, 34, 1326–1339.
- Jacques, S., & Zelazo, P.D. (2005). Language and the development of cognitive flexibility: Implications for theory of mind. In J.W. Astington, & J.A. Baird (Eds.), Why language matters for theory of mind (pp. 144–162). New York: Oxford University Press.
10.1093/acprof:oso/9780195159912.003.0008 Google Scholar
- Jarrold, C., Boucher, J., & Smith, P.K. (1994). Executive function deficits and the pretend play of children with autism: A research note. Journal of Child Psychology and Psychiatry and Allied Disciplines, 35, 1473–1482.
- Jarrold, C., Boucher, J., & Smith, P.K. (1996). Generativity deficits in pretend play in autism. British Journal of Developmental Psychology, 14, 275–300.
- Jarrold, C. (2003). A review of research into pretend play in autism. Autism, 7, 379–390.
- Jordan, R. (2003). Social play and autistic disorders. Autism, 7, 347–360.
- Joseph, R.M., McGrath, L.M., & Tager-Flusberg, H. (2005). Executive dysfunction and its relation to language ability in verbal school-age children with autism. Developmental Neuropsychology, 27, 361–378.
- Kasari, C., Gulsrud, A., Freeman, S., Paparella, T., & Hellemann, G. (2012). Longitudinal follow-up of children with autism receiving targeted interventions on joint attention and play. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 487–495.
- Kaufman, P., Leckman, J., & Ort, S. (1990). Delayed response performance in males with Fragile X. Journal of Clinical and Experimental Neuropsychology, 12, 69.
- Kelly, R., & Hammond, S. (2011). The relationship between symbolic play and executive function in young children. Australasian Journal of Early Childhood, 36, 21–27.
- Kenworthy, L.E., Yerys, B.E., Anthony, L.G., & Wallace, G.L. (2008). Understanding executive control in autism spectrum disorders in the lab and in the real world. Neuropsychological Review, 18, 320–338.
- Kray, J., Eber, E., & Lindenberger, U. (2004). Age differences in executive functioning across the lifespan: The role of verbalization in task preparation. Acta Psychologica, 115, 143–165.
- Landa, R.J., & Goldberg, M.C. (2005). Language, social, and executive functions in high functioning autism: A continuum of performance. Journal of Autism and Developmental Disorders, 35, 557–573.
- Lillard, A.S., Lerner, M.D., Hopkins, E.J., Dore, R.A., Smith, E.D., & Palmquist, C.M. (2013). The impact of pretend play on children's development: A review of the evidence. Psychological Bulletin, 139, 1–34.
- Lord, C., Risi, S., Lambrecht, L., Cook, E.H., Jr., Leventhal, B.L., DiLavore, P.C., et al. (2000). The Autism Diagnostic Observation Schedule—Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.
- Lord, C., Rutter, M., & LeCouteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.
- Luria, A.R. (1961). The role of speech in the regulation of normal and abnormal behavior ( J. Tizard, Ed.). New York: Liveright Publishing Corporation.
- McCune, L. (1995). A normative study of representational play at the transition to language. Developmental Psychology, 31, 198–206.
- McEvoy, R., Rogers, S.J., & Pennington, B.F. (1993). Executive function and social communication deficits in young autistic children. Journal of Child Psychology and Psychiatry, 34, 563–578.
- Miller, S.E., & Marcovitch, S. (2011). Toddlers benefit from labeling on an executive function search task. Journal of Experimental Child Psychology, 108, 580–592.
- Mullen, P. (1995). Mullen Scales of Early Learning, AGS Edition. Bloomington, MN: Pearson's Assessment Group.
- Muller, U., Zelazo, P.D., Leone, T., & Hood, S. (2004). Interference control in a new rule use task: Age-related changes, labeling, and attention. Child Development, 75, 1594–1609.
- Munson, J., Dawson, G., Sterling, L., Beauchaine, T., Zhou, A., Koehler, E., et al. (2008a). Evidence for latent classes of IQ in young children with autism spectrum disorder. American Journal of Mental Retardation, 113, 439–452.
- Munson, J., Faja, S., Meltzoff, A., Abbott, R., & Dawson, G., (2008b). Neurocognitive predictors of social and communicative developmental trajectories in preschoolers with autism spectrum disorders. Journal of the International Neuropsychological Society, 14, 956–966.
- O'Hearn, K., Asato, M., Ordaz, S. & Luna, B. (2008). Neurodevelopment and executive function in autism. Development and Psychopathology, 20, 1103–1132.
- Orr, E., & Geva, R. Symbolic play and language development. Infant Behavior and Development, 38, 147–161.
- 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. (2010). Individual differences in executive function and central coherence predict developmental changes in theory of mind in autism. Developmental Psychology, 46, 530–544.
- Pellicano, E., Maybery, M., Durkin, K., & Maley, A. (2006). Multiple cognitive capabilities/deficits in children with autism spectrum disorder: “Weak” central coherence and its relationship to theory of mind and executive control. Development and Psychopathology, 18, 77–98.
- Peterson, J.B., Pihl, R.O., Higgins, D.M., Seguin, J.R., & Tremblay, R.E. (2003). Neuropsychological performance, IQ, personality, and grades in a longitudinal grade-school male sample. Individual Differences Research, 1, 159–172.
- Piaget, J. (1952). Play, dreams, and imitation in childhood. New York: Norton.
- Posner, M.I., Rothbart, M.K., Sheese, B.E., & Voelker, P. (2012). Control networks and neuromodulators of early development. Developmental Psychology, 48, 827–835.
- Rutherford, M.D., & Rogers, S.J. (2003). Cognitive underpinnings of pretend play in autism. Journal of Autism and Developmental Disorders, 33, 289–302.
- Rutherford, M.D., Young, G.S., Hepburn, S., & Rogers, S.J. (2007). A Longitudinal Study of Pretend Play in Autism. Journal of Autism and Developmental Disorders, 37, 1024–1039.
- Smithson, P.E., Kenworthy, L., Wills, M.C., Jarrett, M., Atmore, K., & Yerys, B.E. (2013). Real world executive control impairments in preschoolers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43, 1967–1975.
- Sparrow, S.S., Balla, D.A., & Cicchetti, D. (1984). Vineland adaptive behavior scales. Circle Pines, MN: American Guidance Service.
- Stahl, L., & Pry, R. (2002). Joint attention and set-shifting in young children with autism. Autism, 6, 383–396.
- Thiemann-Bourque, K.S., Brady, N.C., & Fleming, K.K. (2012). Symbolic play of preschoolers with severe communication impairments with autism and other developmental delays: More similarities than differences. Journal of Autism and Developmental Disorders, 42, 863–873.
- Ungerer, J., & Sigman, M. (1981). Symbolic play and language comprehension in autistic children. Journal of the American Academy of Child and Adolescent Psychiatry, 20, 318–337.
- VanMeter, L., Fein, D., Morris, R., Waterhouse, L., & Allen, D. (1997). Delay versus deviance in autistic social behavior. Journal of Autism Developmental Disorders, 27, 557–569.
- Vygotsky, L.S. (1978). Mind in society. Cambridge, MA: Harvard University Press.
- Wallace, G.L., Silvers, J.A., Martin, A., & Kenworthy, L.E. (2009). Brief report: Further evidence for inner speech deficits in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1735–1739.
- Wiebe, S.A., Espy, K.A., & Charack, D. (2008). Using confirmatory analysis to understand executive control in preschool children: I. Latent structure. Developmental Neuropsychology, 44, 575–587.
- Williams, E., Reddy, V., & Costall, A. (2001). Taking a closer look at functional play in children with autism. Journal of Autism & Developmental Disorders, 31, 67–77.
- Wolfe, C.D., & Bell, M.A. (2004). Working memory and inhibitory control in early childhood: Contributions from physiology, temperament, and language. Developmental Psychobiology, 44, 68–83.
- Yerys, B.E., Hepburn, S.L., Pennington, B.F., & Rogers, S.J. (2007). Executive function in preschoolers with autism: Evidence consistent with a secondary deficit. Journal Autism Developmental Disorders, 37, 1068–1079.