OTCase-ControlAutism research : official journal of the International Society for Autism Research2025

Slow but Steady: Similarities and Differences in Executive Functioning Between Autistic and Non-Autistic Adults.

Robert M Jertberg, Sander Begeer, Hilde M Geurts and 2 others

PMID 40083182

WHAT IT FOUND

Autistic adults were often slower to respond, but several core executive-function measures showed little group difference.

Age and co-occurring ADHD did not change this pattern.

Key findings

01In the go/no-go, chessboard and arrow/gaze tasks, autistic participants had slower average reaction times than non-autistic participants.

02The trail-making total completion time showed no group difference, and the spatial working-memory maximum span did not meet the study's pre-set threshold.

03Within the autism group, ADHD status did not have a main effect in the primary analyses.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The groups were not randomly assigned; autistic and non-autistic status came from diagnosis, so the study cannot show what causes any differences. The tasks were completed online in a fixed order, and the later experiments had fewer participants because some people did not return for the second session. The autistic sample was disproportionately adults diagnosed later in life and with high estimated intelligence, so the findings may not apply to autistic people with intellectual disability or very different cognitive profiles. ADHD status was self-reported, and ADHD may be missed in autistic people, so the ADHD analyses may not capture all co-occurring cases. Slower reaction times were common, but the study did not separate perception, decision making, movement or strategy as possible reasons. The tasks were narrow laboratory measures, so they may not reflect executive function demands in daily life.

Declared interests

The supplied text does not include a conflict-of-interest declaration or funding statement. The publication types list non-U.S. government research support.

The easy way to misread this

Do not read slower response times as proof that autistic adults have executive-function deficits. The study did not show whether slowing came from perception, decision making, movement or strategy, and several core executive-function measures showed little group difference.

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The study

Participants
708 autistic and 533 non-autistic adults recruited; analysed samples varied by task, with Table 1 reporting 374 autistic and 353 non-autistic participants for Experiment 1, 564 and 423 for Experiment 2, 396 and 385 for Experiment 3, and 557 and 416 for Experiment 4.
Certainty of evidence
Low

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Robert M Jertberg, Sander Begeer, Hilde M Geurts, et al. Slow but Steady: Similarities and Differences in Executive Functioning Between Autistic and Non-Autistic Adults. Autism research : official journal of the International Society for Autism Research. 2025.

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