Page 1 of 1 [ 4 posts ] 

Jayo
Veteran
Veteran

User avatar

Joined: 31 Jan 2011
Gender: Male
Posts: 1,254

05 Dec 2011, 6:02 pm

I've been pondering the term "executive function" and how some sources, but not all, have claimed that ASD profoundly affects it. Basically, EF is the ability to "organize, prioritize, problem-solve, decision-making, and inhibit inappropriate response."

I've also noticed research online seems to overwhelmingly correlate ADHD with executive dysfunction, not so much aspergers. So does Aspergers cause worse E.F. impairments than ADHD, or not?

As far as the main impairments of Aspergers, non-verbal cognition, reading "between the lines" (i.e. nuance), common sense ("street smarts") regarding unspoken norms of situational context, none of these appear to be related to the textbook definition of E.F.

Planning-wise, I personally haven't had that much issue with running out of time to do the most important tasks (at work or otherwise), am able to more or less optimally sequence tasks such as knowing which stores to go to first when running errands, and have always tracked my current & planned expenditures carefully, but I definitely have trouble with:

a) synthesizing multiple instructions within a short span of time, which seems to be a combo of poor short-term memory, difficulty focusing on more than one thing at a time, and aversion to pressure, and

b) decision-making, I am frequently told that I don't see the potential consequences of my decisions on _other people_ who may turn antagonistic towards me. Even if my decision seems perfectly rational to me, I am criticized based on the perception it may cause, which could either be EF related (seeing the big picture) or AS related (not intuiting the norms of situational context).

In the latter case, I find that NTs intuitively know whether a) to consult other people first, b) a less risky decision is available, or c) to wait it out until new info comes in and opens more options. But if that's more related to EF, or social cognition, or both, I'm not sure.



pensieve
Veteran
Veteran

User avatar

Joined: 18 Nov 2008
Age: 39
Gender: Female
Posts: 8,204
Location: Sydney, Australia

06 Dec 2011, 12:28 am

I think there are some executive function issues but not to the extent of ADHD.
You could look it like most of the executive functions are impaired in ADHD, in autism some are but with more severity.

Once people with autism realise they need to be more organsied they can do it. They're good at setting up routines and lists and some of us can be extremely driven.

ADHD is where motivation and planning is just not there. When it is there's a small window and if you miss it you've got to wait for it to open again. Actual neurotransmitters are missing and need to be triggered so the person can actually want to do a task that once felt so impossible to do. They can focus when they either couldn't concentrate due to impatience or distractions.

You get an autistic person wanting to start a project to do with their interests and they will do it. They don't need to get motivation, wait until they can focus and won't feel overwhelmed the many steps of it. Even when someone with ADHD is interested in something they need to get hyper focus or medicate in order to do it and if they do it without medication they will speed through it, leave out details, make mistakes.

There are many similar symptoms between autism and ADHD but some are affected more by them.

Seeing how for me autism is a processing disorder with the most impairing symptoms in social interaction and change it has very little to do with forgetting my keys or zoning out in conversation or many thoughts or impulsive behaviour or messing up my words or not being able to focus or hyper focusing until I burn out and didn't get that really important task done. I'm likely to have more ADHD issues if it's just me at home.

So, I don't think executive function is such a problem for autism. It is a problem but I think the difference in the brain that causes it is different to ADHD, otherwise we'd all get on medication without a need for an ADHD diagnosis. And when the meds treat a person with just autism they don't appear to work and have the worst side effects.


_________________
My band photography blog - http://lostthroughthelens.wordpress.com/
My personal blog - http://helptheywantmetosocialise.wordpress.com/


Verdandi
Veteran
Veteran

User avatar

Joined: 7 Dec 2010
Age: 55
Gender: Female
Posts: 12,275
Location: University of California Sunnydale (fictional location - Real location Olympia, WA)

06 Dec 2011, 12:44 am

I found a research paper about this a few months ago. I wrote this last June:

Verdandi wrote:
I know "executive function" is not a very precise term, although some researchers have been trying to define it more thoroughly in recent years. However, I've had the feeling that autism presents a lot of impairments that aren't specifically described in the criteria or necessarily clearly elucidated in one place, so I've been looking for something that might help identify where and how these executive function impairments might exist.

Unfortunately, the research I did find was done in 1996 and collated numerous earlier studies, so there's a lot of research since that may have an effect on their conclusions. Even so, it was rather interesting:

http://www.du.edu/psychology/dnrl/Execu ... %20and.pdf

It covers ADHD, Conduct Disorder, Autism, and Tourette's Syndrome. I focused on the autism. I can't copy/paste text from the paper itself, but the abstract says:

Quote:
In this paper, we consider the domain of executive functions (EFs) and their possible role in developmental psychopathologies. We first consider general theoretical and measurement issues involved in studying EFs and then review studies of EFs in four developmental psychopathologies: attention deficit hyperactivity disorder (ADHD), conduct disorder (CD), autism, and Tourette syndrome (TS). Our review reveals that EF deficits are consistently found in both ADHD and autism but not in CD (without ADHD) or in TS. Moreover, both the severity and profile of EF deficits appears to differ across ADHD and autism. Molar EF deficits are more severe in the latter than the former. In the few studies of more specific EF tasks, there are impairments in motor inhibition in ADHD but not in autism, whereas there are impairments in verbal working memory in autism but not ADHD. We close with a discussion of implications for future research.


What I noticed here is the verbal working memory impairment. I have tested with a very low verbal working memory, and I have been trying to figure out what it means, if anything.

This bit got my attention at the end of the paper (Implications for Future Research):

Quote:
In the two disorders (Autism, ADHD) with severe EF (executive function) deficits, both the severity and profile of such deficits is distinct for each disorder. More severe deficits relative to IQ matched controls are found in autism than in ADHD on molar EF tasks.


It would take me forever to transcribe enough, but basically: Hyperactivity and impulsiveness are characteristic in ADHD, perseveration and deficits in verbal working memory are characteristic in Autism, but there's a wide range of deficits for both.

One of the problems with the research for autistic EF deficits that they drew upon is that the majority of them did not screen anyone for whether they fit the criteria for ADHD (and the prevailing belief was that an autistic person who had ADHD just had autistic symptoms that mimicked ADHD).

I actually did not expect the paper to say that autism had more severe executive functioning deficits than ADHD, but I am not actually surprised. I would love to see more modern research on all of this.


From this thread:

http://www.wrongplanet.net/postt166483.html



kfisherx
Veteran
Veteran

User avatar

Joined: 3 Nov 2010
Age: 61
Gender: Female
Posts: 1,192

06 Dec 2011, 10:33 am

It is the case that all people who suffer from neurological differences also have impaired EF skills. The difference in EF functionality impairment is all over the board with some people being much less impaired than others.