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Sex differences in parent‐reported executive functioning and adaptive behavior in children and young adults with autism spectrum disorder

Title: Sex differences in parent‐reported executive functioning and adaptive behavior in children and young adults with autism spectrum disorder
Authors: White, Emily I.; Wallace, Gregory L.; Bascom, Julia; Armour, Anna C.; Register‐Brown, Kelly; Popal, Haroon S.; Ratto, Allison B.; Martin, Alex; Kenworthy, Lauren
Contributors: National Institutes of Health; Isadore and Bertha Gudelsky Family Foundation
Source: Autism Research ; volume 10, issue 10, page 1653-1662 ; ISSN 1939-3792 1939-3806
Publisher Information: Wiley
Publication Year: 2017
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: This study is the largest to date examining executive function and adaptive skills in females with autism spectrum disorder (ASD). Its primary aim was to utilize parent ratings of real‐world executive functioning and adaptive behavior to better understand whether females with ASD differ from males with ASD in these areas of everyday functioning. We compared 79 females with ASD to 158 males with ASD (ages 7–18) who were statistically matched on age, IQ, and level of ADHD or ASD traits. All participants were assessed using the Behavior Rating Inventory of Executive Function (BRIEF) and a subset (56 females and 130 males) also received the Vineland Adaptive Behavior Scales (VABS). Females were rated by parents as having greater problems with executive function on the BRIEF. Parents also rated females as exhibiting more difficulties than males on the Daily Living Skills domain of the VABS. There was a correlation between increased global EF difficulty and decreased adaptive ability in both males and females. Our results indicate relative weaknesses for females compared to males diagnosed with ASD on executive function and daily living skills. These differences occur in the absence of sex differences in our sample in age, IQ, clinician ratings of core ASD symptomatology, parent ratings of ADHD symptoms, and parent‐reported social and communication adaptive skills on the VABS. These findings indicate specific liabilities in real world EF and daily living skills for females with ASD and have important implications for targeting their treatments. Autism Res 2017, 10: 1653–1662 . © 2017 International Society for Autism Research, Wiley Periodicals, Inc.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/aur.1811
Availability: https://doi.org/10.1002/aur.1811; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Faur.1811; https://onlinelibrary.wiley.com/doi/pdf/10.1002/aur.1811
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
Accession Number: edsbas.21CD6259
Database: BASE