ERIC Number: EJ1423424
Record Type: Journal
Publication Date: 2024-May
Pages: 15
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1362-3613
EISSN: EISSN-1461-7005
Using Adaptive Behavior Scores to Convey Level of Functioning in Children with Autism Spectrum Disorder: Evidence from the Study to Explore Early Development
Sarah M. Furnier; Susan Ellis Weismer; Eric Rubenstein; Ronald Gangnon; Steven Rosenberg; Cy Nadler; Lisa D. Wiggins; Maureen S. Durkin
Autism: The International Journal of Research and Practice, v28 n5 p1135-1149 2024
We examined relationships between measures of adaptive behavior, cognitive ability, and autism symptom severity in 1458 preschool-aged children with autism from the Study to Explore Early Development. While publications commonly describe autistic children as "low-" or "high-functioning" based on cognitive ability, relying solely on cognitive scores may obscure meaningful variation in functioning. We found significant heterogeneity in adaptive behavior scores of children with cognitive scores both above and below the threshold of two or more standard deviations below the population mean specified in the diagnostic criteria for intellectual disability (ID). Although cognitive and adaptive behavior scores were strongly associated in our sample, considerable variation in overall adaptive behavior and more than half in socialization and motor skills was unaccounted for by cognitive ability, autism symptom severity, and other covariates. Among children who could be designated "low-functioning" based on cognitive scores, 39.7% had composite adaptive behavior scores indicating no significant delays, while among those who might be designated "high-functioning," 9.0% had significant delays in overall adaptive behavior and 22.2% in socialization. These results suggest adaptive behavior scores capture variations in the autism phenotype not accounted for by other measures we considered.
Descriptors: Autism Spectrum Disorders, Cognitive Ability, Adjustment (to Environment), Severity (of Disability), Preschool Children, Scores, Socialization, Psychomotor Skills, Child Development
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://bibliotheek.ehb.be:2993
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Centers for Disease Control and Prevention (CDC) (DHHS/PHS); Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
Authoring Institution: N/A
Identifiers - Location: California; Colorado; Georgia; Maryland; North Carolina; Pennsylvania
Identifiers - Assessments and Surveys: Mullen Scales of Early Learning; Autism Diagnostic Observation Schedule; Vineland Adaptive Behavior Scales
Grant or Contract Numbers: U10DD000180; U01DD000750; U10DD000181; U10DD000182; U10DD000183; U10DD000184; U10DD000498; U01000750; U01000748; U01000752; U01000746; U01000749; U10DD000901; U01DD001215; U54HD090256