Executive Functions in Older Adults With Autism Spectrum Disorder: Objective Performance and Subjective Complaints

J Autism Dev Disord. 2016 Sep;46(9):2859-73. doi: 10.1007/s10803-016-2831-4.

Abstract

Although deficits in Executive Functioning (EF) are reported frequently in young individuals with Autism Spectrum Disorders (ASD), they remain relatively unexplored later in life (>50 years). We studied objective performance on EF measures (Tower of London, Zoo map, phonetic/semantic fluency) as well as subjective complaints (self- and proxy reported BRIEF) in 36 ASD and 36 typically developed individuals (n = 72). High functioning older adults with ASD reported EF-impairments in metacognition, but did not deviate in EF task performance, except for a longer execution time of the Tower of London. The need for additional time to complete daily tasks may contribute to impairments in daily life and may be correlated to a higher level of experienced EF-difficulties in ASD.

Keywords: Aging; Autism spectrum disorder; Cognition; Executive function; Neuropsychological assessment; Processing speed.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Autism Spectrum Disorder / psychology*
  • Case-Control Studies
  • Executive Function*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests