Abstract
A meta-analysis was performed to examine differences in IQ profiles between individuals with Asperger’s disorder (AspD) and high-functioning autism (HFA). Fifty-two studies were included for this study. The results showed that (a) individuals with AspD had significantly higher full-scale IQ, verbal IQ (VIQ), and performance IQ (PIQ) than did individuals with HFA; (b) individuals with AspD had significantly higher VIQ than PIQ; and (c) VIQ was similar to PIQ in individuals with HFA. These findings seem to suggest that AspD and HFA are two different subtypes of Autism. The implications of the present findings to DSM-5 Autism Spectrum Disorder are discussed.
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References
References marked with an asterisk indicate studies included in the meta-analysis.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Bartak, L., & Rutter, M. (1976). Differences between mentally-retarded and normally intelligent autistic-children. Journal of Autism and Childhood Schizophrenia, 6, 109–120. doi:10.1007/bf01538054.
Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2005). Comprehensive Meta-analysis Version 2. Englewood NJ: Biostat.
*Chan, R. C. K., Hu, Z. Y., Cui, J. F., Wang, Y., & McAlonand, G. M. (2011). Social attribution in children with high functioning autism and Asperger syndrome: An exploratory study in the Chinese setting. Research in Autism Spectrum Disorders, 5(4), 1538–1548. doi:10.1016/j.rasd.2011.02.017.
*Dahlgren, S. O., & Trillingsgaard, A. (1996). Theory of mind in non-retarded children with autism and Asperger’s syndrome. A research note. Journal of Child Psychology and Psychiatry and Allied Disciplines, 37, 759–763. doi:10.1111/j.1469-7610.1996.tb01469.x.
DeMyer, M. K. (1975). Nature of neuropsychological disability in autistic-children. Journal of Autism and Childhood Schizophrenia, 5, 109–128. doi:10.1007/bf01537928.
DeMyer, M. K., Barton, S., Alpern, G. D., Kimberli, C., Allen, J., Yang, E., et al. (1974). Measured intelligence of autistic children. Journal of Autism and Childhood Schizophrenia, 4, 42–60. doi:10.1007/bf02104999.
*Ehlers, S., Nyden, A., Gillberg, C., Sandberg, A. D., Dahlgren, S. O., Hjelmquist, E., et al. (1997). Asperger syndrome, autism and attention disorders: A comparative study of the cognitive profiles of 120 children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 38(2), 207–217. doi:10.1111/j.1469-7610.1997.tb01855.x.
*Enticott, P. G., Bradshaw, J. L., Iansek, R., Tonge, B. J., & Rinehart, N. J. (2009). Electrophysiological signs of supplementary-motor-area deficits in high-functioning autism but not Asperger syndrome: An examination of internally cued movement-related potentials. Developmental Medicine and Child Neurology, 51(10), 787–791. doi:10.1111/j.1469-8749.2009.03270.x.
*Fine, J., Bartolucci, G., Szatmari, P., & Ginsberg, G. (1994). Cohesive discourse in pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(3), 315–329. doi:10.1007/bf02172230.
Fiorello, C. A., Hale, J. B., McGrath, M., Ryan, K., & Quinn, S. (2001). IQ interpretation for children with flat and variable test profiles. Learning and Individual Differences, 13(2), 115–125. doi:10.1016/s1041-6080(02)00075-4.
*Foley-Nicpon, M., Assouline, S. G., & Stinson, R. D. (2012). Cognitive and academic distinctions between gifted students with autism and Asperger syndrome. Gifted Child Quarterly, 56, 77–89. doi:10.1177/0016986211433199.
*Ghaziuddin, M. (2005). A family history study of Asperger syndrome. Journal of Autism and Developmental Disorders, 35, 177–182. doi:10.1007/s10803-005-1996-z.
*Ghaziuddin, M., & Mountain-Kimchi, K. (2004). Defining the intellectual profile of Asperger syndrome: Comparison with high-functioning autism. Journal of Autism and Developmental Disorders, 34, 279–284. doi:10.1023/b:jadd.0000029550.19098.77.
*Ghaziuddin, M., Shakal, J., & Tsai, L. (1995). Obstetric factors in Asperger syndrome: Comparison with high-functioning autism. Journal of Intellectual Disability Research, 39, 538–543.
*Gilchrist, A., Green, J., Cox, A., Burton, D., Rutter, M., & Le Couteur, A. (2001). Development and current functioning in adolescents with Asperger syndrome: A comparative study. Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 227–240. doi:10.1017/s0021963001006631.
Gillberg, C., Steffenburg, S., & Jakobsson, G. (1987). Neurobiological findings in 20 relatively gifted-children with Kanner-type autism or Asperger syndrome. Developmental Medicine and Child Neurology, 29, 641–649.
*Gras-Vincendon, A., Mottron, L., Salame, P., Bursztejn, C., & Danion, J. M. (2007). Temporal context memory in high-functioning autism. Autism, 11, 523–534. doi:10.1177/1362361307083257.
*Holdnack, J., Goldstein, G., & Drozdick, L. (2011). Social perception and WAIS-IV performance in adolescents and adults diagnosed with Asperger’s syndrome and autism. Assessment, 18, 192–200. doi:10.1177/1073191110394771.
Howlin, P. (2003). Outcome in high-functioning adults with autism with and without early language delays: Implications for the differentiation between autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 33, 3–13. doi:10.1023/a:1022270118899.
Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. American Journal of Psychiatry, 169, 1056–1064.
*Iwanaga, R., Kawasaki, C., & Tsuchida, R. (2000). Brief report: Comparison of sensory-motor and cognitive function between autism and Asperger syndrome in preschool children. Journal of Autism and Developmental Disorders, 30, 169–174. doi:10.1023/a:1005467807937.
*Jolliffe, T., & Baron-Cohen, S. (2000). Linguistic processing in high-functioning adults with autism or Asperger’s syndrome: Is global coherence impaired? Psychological Medicine, 30(5), 1169–1187. doi:10.1017/s003329179900241x.
*Jou, R. J., Minshew, N. J., Keshavan, M. S., & Hardan, A. Y. (2010). Cortical gyrification in Autistic and Asperger Disorders: A preliminary magnetic resonance imaging study. Journal of Child Neurology, 25, 1462–1467. doi:10.1177/0883073810368311.
*Kamio, Y., & Toichi, M. (2007). Memory illusion in high-functioning autism and Asperger’s disorder. Journal of Autism and Developmental Disorders, 37(5), 867–876. doi:10.1007/s10803-006-0214-y.
*Kanai, C., Tani, M., Hashimoto, R., Yamada, T., Ota, H., Watanabe, H., et al. (2012). Cognitive profiles of adults with Asperger’s disorder, high-functioning autism, and pervasive developmental disorder not otherwise specified based on the WAIS-III. Research in Autism Spectrum Disorders, 6, 58–64. doi:10.1016/j.rasd.2011.09.004.
Kaufman, A. S. (1994). Intelligent testing with the WISC-III. NewYork: Wiley.
*Kenworthy, L. E., Black, D. O., Wallace, G. L., Ahluvalia, T., Wagner, A. E., & Sirian, L. M. (2005). Disorganization: The forgotten executive dysfunction in high-functioning autism (HFA) spectrum disorders. Developmental Neuropsychology, 28, 809–827. doi:10.1207/s15326942dn2803_4.
*Klin, A. (2000). Attributing social meaning to ambiguous visual stimuli in higher-functioning autism and Asperger syndrome: The social attribution task. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 831–846. doi:10.1017/s0021963099006101.
*Klin, A., Volkmar, F. R., Sparrow, S. S., Cicchetti, D. V., & Rourke, B. P. (1995). Validity and neuropsychological characterization of Asperger syndrome: Convergence with nonverbal learning-disabilities syndrome. Journal of Child Psychology and Psychiatry and Allied Disciplines, 36, 1127–1140. doi:10.1111/j.1469-7610.1995.tb01361.x.
*Koyama, T., Tachimori, H., Osada, H., Takeda, T., & Kurita, H. (2007). Cognitive and symptom profiles in Asperger’s syndrome and high-functioning autism. Psychiatry and Clinical Neurosciences, 61, 99–104. doi:10.1111/j.1440-1819.2007.01617.x.
Lincoln, A. J., Courchesne, E., Kilman, B. A., Elmasian, R., & Allen, M. (1988). A study of intellectual abilities in high-functioning people with autism. Journal of Autism and Developmental Disorders, 18, 505–524. doi:10.1007/bf02211870.
*Lotspeich, L., Kwon, H., Schumann, C. M., Fryer, S. L., Goodlin-Jones, B. L., Buonocore, M. H., et al. (2004). Investigation of neuroanatomical differences between autism and Asperger syndrome. Archives of General Psychiatry, 61, 291–298. doi:10.1001/archpsyc.61.3.291.
*Macintosh, K., & Dissanayake, C. (2006). Social skills and problem behaviours in school aged children with high-functioning autism and Asperger’s Disorder. Journal of Autism and Developmental Disorders, 36, 1065–1076. doi:10.1007/s10803-006-0139-5.
*Manjiviona, J., & Prior, M. (1995). Comparison of Asperger syndrome and high-functioning autistic-children on a test of motor impairment. Journal of Autism and Developmental Disorders, 25, 23–39. doi:10.1007/bf02178165.
*May, T., Brewer, W. J., Rinehart, N. J., Enticott, P. G., Brereton, A. V., & Tonge, B. J. (2011). Differential olfactory identification in children with autism and Asperger’s disorder: A comparative and longitudinal study. Journal of Autism and Developmental Disorders, 41, 837–847. doi:10.1007/s10803-010-1101-0.
*Mazefsky, C. A., & Oswald, D. P. (2007). Emotion perception in Asperger’s syndrome and high-functioning autism: The importance of diagnostic criteria and cue intensity. Journal of Autism and Developmental Disorders, 37(6), 1086–1095. doi:10.1007/s10803-006-0251-6.
*Miller, J. N., & Ozonoff, S. (2000). The external validity of Asperger disorder: Lack of evidence from the domain of neuropsychology. Journal of Abnormal Psychology, 109, 227–238. doi:10.1037/0021-843x.109.2.227.
*Muller, E., & Schuler, A. (2006). Verbal marking of affect by children with Asperger syndrome and high functioning autism during spontaneous interactions with family members. Journal of Autism and Developmental Disorders, 36, 1089–1100. doi:10.1007/s10803-006-0146-6.
*Nihei, S., & Nihei, Y. (2008). Contrasting rorschach test results in Asperger’s syndrome and high-functioning autism. Tohoku Psychologica Folia, 67, 6–9.
*Nordahl, C. W., Dierker, D., Mostafavi, I., Schumann, C. M., Rivera, S. M., Amaral, D. G., et al. (2007). Cortical folding abnormalities in autism revealed by surface-based morphometry. Journal of Neuroscience, 27, 11725–11735. doi:10.1523/jneurosci.0777-07.2007.
*Noterdaeme, M., Wriedt, E., & Hohne, C. (2010). Asperger’s syndrome and high-functioning autism: Language, motor and cognitive profiles. European Child and Adolescent Psychiatry, 19, 475–481. doi:10.1007/s00787-009-0057-0.
*Ozonoff, S., South, M., & Miller, N. J. (2000). DSM-IV-defined Asperger syndrome: Cognitive, behavioral and early history differentiation from high functioning autism. Autism, 4, 29–46.
*Papadopoulos, N., McGinley, J., Tonge, B., Bradshaw, J., Saunders, K., Murphy, A., et al. (2012a). Motor proficiency and emotional/behavioural disturbance in autism and Asperger’s disorder: Another piece of the neurological puzzle? Autism, 16(6), 627–640. doi:10.1177/1362361311418692.
*Papadopoulos, N., McGinley, J., Tonge, B. J., Bradshaw, J. L., Saunders, K., & Rinehart, N. J. (2012b). An investigation of upper limb motor function in high functioning autism and Asperger’s disorder using a repetitive Fitts’ aiming task. Research in Autism Spectrum Disorders, 6(1), 286–292. doi:10.1016/j.rasd.2011.05.010.
*Pijnacker, J., Hagoort, P., Buitelaar, J., Teunisse, J. P., & Geurts, B. (2009). Pragmatic inferences in high-functioning adults with autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 39, 607–618. doi:10.1007/s10803-008-0661-8.
*Planche, P., & Lemonnier, E. (2012). Children with high-functioning autism and Asperger’s syndrome: Can we differentiate their cognitive profiles? Research in Autism Spectrum Disorders, 6, 939–948. doi:10.1016/j.rasd.2011.12.009.
Prifitera, A., Saklofske, D. H., & Weiss, L. G. (Eds.). (2005). WISC-IV clinical use and interpretation: Scientist-practitioner perspectives. Boston: Elsevier Academic Press.
Ray-Subramanian, C. E., Huai, N., & Weismer, S. E. (2011). Brief report: Adaptive behavior and cognitive skills for toddlers on the autism spectrum. Journal of Autism and Developmental Disorders, 41(5), 679–684. doi:10.1007/s10803-010-1083-y.
*Rinehart, N. J., Bradshaw, J. L., Moss, S. A., Brereton, A. V., & Tonge, B. J. (2008). Brief report: Inhibition of return in young people with autism and Asperger’s disorder. Autism, 12, 249–260. doi:10.1177/1362361307088754.
*Rinehart, N. J., Tonge, B. J., Bradshaw, J. L., Iansek, R., Enticott, P. G., & McGinley, J. (2006). Gait function in high-functioning autism and Asperger’s disorder. European Child and Adolescent Psychiatry, 15, 256–264. doi:10.1007/s00787-006-0530-y.
*Sahyoun, C. P., Soulieres, I., Belliveau, J. W., Mottron, L., & Mody, M. (2009). Cognitive differences in pictorial reasoning between high-functioning autism and Asperger’s syndrome. Journal of Autism and Developmental Disorders, 39, 1014–1023. doi:10.1007/s10803-009-0712-9.
*Saulnier, C. A., & Klin, A. (2007). Brief report: Social and communication abilities and disabilities in higher functioning individuals with autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 37, 788–793. doi:10.1007/s10803-006-0288-6.
*Scott, J. A., Schumann, C. M., Goodlin-Jones, B. L., & Amaral, D. G. (2009). A comprehensive volumetric analysis of the cerebellum in children and adolescents with autism spectrum disorder. Autism Research, 2, 246–257. doi:10.1002/aur.97.
*Seung, H. K. (2007). Linguistic characteristics of individuals with high functioning autism and Asperger syndrome. Clinical Linguistics and Phonetics, 21, 247–259. doi:10.1080/02699200701195081.
Siegel, D. J., Minshew, N. J., & Goldstein, G. (1996). Wechsler IQ profiles in diagnosis of high-functioning autism. Journal of Autism and Developmental Disorders, 26(4), 389–406. doi:10.1007/bf02172825.
Simon, E. W., Rappaport, D. A., Papka, M., & Woodruffpak, D. S. (1995). Fragile-X and Down’s syndrome: Are there syndrome-specific cognitive profiles at low IQ levels. Journal of Intellectual Disability Research, 39, 326–330.
*South, M., Ozonoff, S., & McMahon, W. M. (2005). Repetitive behavior profiles in Asperger syndrome and high-functioning autism. Journal of Autism and Developmental Disorders, 35, 145–158. doi:10.1007/s10803-005-1992-3.
*Speirs, S., Yelland, G., Rinehart, N., & Tonge, B. (2011). Lexical processing in individuals with high-functioning autism and Asperger’s disorder. Autism, 15, 307–325. doi:10.1177/1362361310386501.
Spek, A. A., Scholte, E. M., & van Berckelaer-Onnes, I. A. (2008). Brief report: The use of WAIS-III in adults with HFA and Asperger syndrome. Journal of Autism and Developmental Disorders, 38(4), 782–787. doi:10.1007/s10803-007-0446-5.
*Spek, A. A., Scholte, E. M., & Van Berckelaer-Onnes, I. A. (2010). Theory of mind in adults with HFA and Asperger syndrome. Journal of Autism and Developmental Disorders, 40, 280–289. doi:10.1007/s10803-009-0860-y.
*Spek, A. A., Scholte, E. M., & Van Berckelaer-Onnes, I. A. (2011). Local information processing in adults with high functioning autism and Asperger syndrome: The usefulness of neuropsychological tests and self-reports. Journal of Autism and Developmental Disorders, 41(7), 859–869. doi:10.1007/s10803-010-1106-8.
*Stanley-Cary, C., Rinehart, N., Tonge, B., White, O., & Fielding, J. (2011). Greater disruption to control of voluntary saccades in autistic disorder than Asperger’s disorder: Evidence for greater cerebellar involvement in autism? Cerebellum, 10(1), 70–80. doi:10.1007/s12311-010-0229-y.
*Starr, E., Szatmari, P., Bryson, S., & Zwaigenbaum, L. (2003). Stability and change among high-functioning children with pervasive developmental disorders: A 2-year outcome study. Journal of Autism and Developmental Disorders, 33, 15–22. doi:10.1023/a:1022222202970.
*Szatmari, P., Bryson, S., Duku, E., Vaccarella, L., Zwaigenbaum, L., Bennett, T., et al. (2009). Similar developmental trajectories in autism and Asperger syndrome: From early childhood to adolescence. Journal of Child Psychology and Psychiatry, 50, 1459–1467. doi:10.1111/j.1469-7610.2009.02123.x.
*Tsermentseli, S., O’Brien, J. M., & Spencer, J. V. (2008). Comparison of form and motion coherence processing in autistic spectrum disorders and dyslexia. Journal of Autism and Developmental Disorders, 38, 1201–1210. doi:10.1007/s10803-007-0500-3.
*Verte, S., Geurts, H. M., Roeyers, H., Oosterlaan, J., & Sergeant, J. A. (2006a). Executive functioning in children with an autism spectrum disorder: Can we differentiate within the spectrum? Journal of Autism and Developmental Disorders, 36, 351–372. doi:10.1007/s10803-006-0074-5.
*Verte, S., Geurts, H. M., Roeyers, H., Rosseel, Y., Oosterlaan, J., & Sergeant, J. A. (2006b). Can the children’s communication checklist differentiate autism spectrum subtypes? Autism, 10, 266–287. doi:10.1177/1362361306063299.
Weismer, S. E., Lord, C., & Esler, A. (2010). Early language patterns of toddlers on the autism spectrum compared to toddlers with developmental delay. Journal of Autism and Developmental Disorders, 40(10), 1259–1273. doi:10.1007/s10803-010-0983-1.
Williams, D. L., Goldstein, G., Kojkowski, N., & Minshew, N. J. (2008). Do individuals with high functioning autism have the IQ profile associated with nonverbal learning disability? Research in Autism Spectrum Disorders, 2(2), 353–361. doi:10.1016/j.rasd.2007.08.005.
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Chiang, HM., Tsai, L.Y., Cheung, Y.K. et al. A Meta-Analysis of Differences in IQ Profiles Between Individuals with Asperger’s Disorder and High-Functioning Autism. J Autism Dev Disord 44, 1577–1596 (2014). https://doi.org/10.1007/s10803-013-2025-2
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DOI: https://doi.org/10.1007/s10803-013-2025-2