OTCohortJournal of autism and developmental disorders2023

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

Jo A Yon-Hernández, Dominika Z Wojcik, Laura García-García and 2 others

PMID 35441913

WHAT IT FOUND

Adults with autism reported more severe everyday executive difficulties than adults with schizophrenia and controls, especially in planning, organizing and initiating behavior.

In autism, these difficulties predicted poorer daily living skills.

Key findings

01Adjusted self-reported total executive difficulty scores were 38.05 for the ASD group, 21.69 for the SSD group and 14.87 for controls.

02After controlling for age and IQ, the ASD group scored higher than the SSD group on total executive difficulty, with a mean difference of 16.36.

03Everyday executive difficulty predicted poorer daily living skills only in the ASD group, not in the SSD or control groups.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The SSD group was small, with 22 participants, so its results are less stable. Most SSD participants had been in a hospital community integration program for a long time and were receiving continued treatment, which may have affected their everyday functioning. Executive difficulty was measured only by self-report, and the Spanish informant version was not available, so unawareness of difficulties could have affected scores. The groups were not matched on age or IQ; the SSD group was older and had lower IQ, and the analysis only statistically controlled for these differences. Four participants in the ASD group did not have a confirmatory ADOS-2 assessment, although they had previous formal diagnoses. The control group included university students and general public participants, and most had university education, so it may not represent typical adults. The study did not analyze the role of antipsychotic medication or other treatments, although most SSD participants were taking antipsychotics.

Declared interests

Funding was provided by Fundación Banco Santander, University of Salamanca, and Universidad de Salamanca. The supplied text does not report author conflicts of interest.

The easy way to misread this

Do not conclude that executive dysfunction causes poor daily living skills. This study was cross-sectional and used self-reported executive difficulty, and the association with daily living skills was found only in the autism group.

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