Abstract
Deficits in working memory have not been fully explored in toddlers and preschoolers with autism spectrum disorder (ASD). We investigated the relationship between language (verbal ability, verbal self-talk) and visuospatial working memory in 2- and 4-year-olds with ASD (n = 65) and typical development (TD) (n = 54). Children with ASD displayed impairments in working memory and verbal ability, but not verbal self-talk, compared to TD peers. Verbal ability and working memory were positively correlated; this association was stronger for children with ASD. For 2-year-olds, self-talk and working memory were negatively correlated. Results suggest that verbal ability and working memory are linked, especially for young children with ASD. Self-talk may be a compensatory strategy for toddlers with less developed working memory.
References
Akbar, M., Loomis, R., & Paul, R. (2013). The interplay of language on executive functions in children with ASD. Research in Autism Spectrum Disorders, 7(3), 494–501. https://doi.org/10.1016/j.rasd.2012.09.001
Baddeley, A. D. (1983). Working Memory. Philosophical Transactions of the Royal Society, 302, 311–324. https://doi.org/10.1098/rstb.1983.0057
Carlson, S. M. (2005). Developmentally sensitive measures of executive function in preschool children. Developmental Neuropsychology, 28(2), 595–616. https://doi.org/10.1207/s15326942dn2802_3
Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284–290. https://doi.org/10.1037/1040-3590.6.4.284
Dawson, G., Meltzoff, A. N., Osterling, J., & Rinaldi, J. (1998). Neuropsychological correlates of early symptoms of autism. Child Development, 69(5), 1276–1285. https://doi.org/10.1111/j.1467-8624.1998.tb06211.x
Dawson, G., Munson, J., Estes, A., Osterling, J., Toth, K., Carver, L., & Abbott, R. (2002). Neurocognitive function and joint attention ability in young children with autism spectrum disorder versus developmental delay. Child Development, 73(2), 345–358
Dawson, G., Osterling, J., Rinaldi, J., Carver, L., & McPartland, J. (2001). Recognition memory and stimulus-reward associations: Indirect support for the role of ventromedial prefrontal dysfunction in autism. Journal of Autism and Developmental Disorders, 31(3), 337–341. https://doi.org/10.1023/A:1010751404865
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168. https://doi.org/10.1146/annurev-psych-113011-143750
Diamond, A., Prevor, M. B., Callender, G., & Druin, D. P. (1997). Prefrontal cortex cognitive deficits in children treated early and continuously for PKU. Monographs of the Society for Research in Child Development. https://doi.org/10.2307/1166208
Edmunds, S. R., Ibañez, L. V., Warren, Z., Messinger, D. S., & Stone, W. L. (2017). Longitudinal prediction of language emergence in infants at high and low risk for autism spectrum disorder. Development and Psychopathology, 29, 1–11. https://doi.org/10.1017/S0954579416000146
Ellis Weismer, S., Kaushanskaya, M., Larson, C., Mathée, J., & Bolt, D. (2018). Executive function skills in school-age children with autism spectrum disorder: Association with language abilities. Journal of Speech, Language, and Hearing Research, 61(11), 2641–2658. https://doi.org/10.1044/2018_JSLHR-L-RSAUT-18-0026
Faja, S., & Dawson, G. (2014). Performance on the dimensional change card sort and backward digit span by young children with autism without intellectual disability. Child Neuropsychology, 20(6), 692–699. https://doi.org/10.1080/09297049.2013.856395
Friedman, L., & Sterling, A. (2019). A review of language, executive function, and intervention in autism spectrum disorder. Seminars in Speech and Language, 40(4), 291–304. https://doi.org/10.1055/s-0039-1692964
Garon, N., Smith, I. M., & Bryson, S. E. (2014). A novel executive function battery for preschoolers: Sensitivity to age differences. Child Neuropsychology, 20, 713–736. https://doi.org/10.1080/09297049.2013.857650
Gooch, D., Thompson, P., Nash, H., Snowling, M. J., & Hulme, C. (2016). The development of executive function and language skills in the early school years. Journal of Child Psychology and Psychiatry, 57(2), 180–187. https://doi.org/10.1111/jcpp.12458
Griffith, E. M., Pennington, B. F., Wehner, E. A., & Rogers, S. J. (1999). Executive functions in young children with autism. Child Development, 70(4), 817–832. https://doi.org/10.1111/1467-8624.00059
Habib, A., Harris, L., Pollick, F., & Melville, C. (2019). A meta-analysis of working memory in individuals with autism spectrum disorders. PLoS ONE, 14(4), 1–25. https://doi.org/10.1371/journal.pone.0216198
Hill, A. P., Van Santen, J., Gorman, K., Langhorst, B. H., & Fombonne, E. (2015). Memory in language-impaired children with and without autism. Journal of Neurodevelopmental Disorders, 7(1), 1–13. https://doi.org/10.1186/s11689-015-9111-z
Iverson, J. M., Northrup, J. B., Leezenbaum, N. B., Parladé, M. V., Koterba, E. A., & West, K. L. (2017). Early gesture and vocabulary development in infant siblings of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(1), 55–71. https://doi.org/10.1007/s10803-017-3297-8
Joseph, R. M., McGrath, L. M., & Tager-Flusberg, H. (2005). Executive dysfunction and its relation to language ability in verbal school-age children with autism. Developmental Neuropsychology, 27(3), 361–378. https://doi.org/10.1207/s15326942dn2703_4
Joseph, R. M., Steele, S. D., Meyer, E., & Tager-Flusberg, H. (2005). Self-ordered pointing in children with autism: failure to use verbal mediation in the service of working memory? Neuropsychologia, 43(10), 1400–1411. https://doi.org/10.1016/j.neuropsychologia.2005.01.010
Kenworthy, L., Yerys, B. E., Anthony, L. G., & Wallace, G. L. (2008). Understanding executive control in autism spectrum disorders in the lab and in the real world. Neuropsychology Review, 18(4), 320–338. https://doi.org/10.1007/s11065-008-9077-7
Kercood, S., Grskovic, J., Banda, D., & Begeske, J. (2014). Working memory and autism: A review of literature. Research in Autism Spectrum Disorders, 8(10), 1316–1332. https://doi.org/10.1016/j.rasd.2014.06.011
Koo, T. K., & Li, M. Y. (2016). A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163. https://doi.org/10.1016/j.jcm.2016.02.012
Landa, R., & Goldberg, M. C. (2005). Language, social, and executive functions in high functioning autism: A continuum of performance. Journal of Autism and Developmental Disorders, 35(5), 557–573. https://doi.org/10.1007/s10803-005-0001-1
Lord, C., Luyster, R. J., Gotham, K., & Guthrie, W. (2012). Autism diagnostic observation schedule, (ADOS-2) manual (Part II): toddler module. (Second Edition). Western Psychological Services.
Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. L. (2012). Autism diagnostic observation schedule, (ADOS-2) manual (Part I): modules 1–4. (Second Edition). Western Psychological Services.
Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., Lopez, M., Hudson, A., Baroud, T., Schwenk, Y., White, T., Rosenberg, C. R., Lee, L. C., Harrington, R. A., Huston, M., … Dietz, P. M. (2016). 2020 Prevalence of autism spectrum disorder among children aged 8 years: Autism and developmental disabilities monitoring network, 11 sites, United States. CDC Morbidity and Mortality Weekly Report, 69(4), 1–12
Marcovitch, S., & Zelazo, P. D. (2009). A hierarchical competing systems model of the emergence and early development of executive function. Developmental Science, 12, 1–25. https://doi.org/10.1111/j.1467-7687.2008.00754.x
McEvoy, R. E., Rogers, S. J., & Pennington, B. F. (1993). Executive function and social communication deficits in young autistic children. Journal of Child Psychology and Psychiatry, 34(4), 563–578. https://doi.org/10.1111/j.1469-7610.1993.tb01036.x
Miller, P. H. (1994). Individual differences in children’s strategic behavior: Utilization deficiencies. Learning and Individual Differences, 6(3), 285–307. https://doi.org/10.1016/1041-6080(94)90019-1
Mullen, E. (1995). Mullen scales of early learning. America Guidance Service.
Petrides, M., & Milner, B. (1982). Deficits on subject-ordered tasks after frontal- and temporal-lobe lesions in man. Neuropsychologia, 20(3), 249–262. https://doi.org/10.1016/0028-3932(82)90100-2
Russell, J., Jarrold, C., & Hood, B. (1999). Two intact executive capabilities in children with autism: Implications for the core executive dysfunctions in the disorder. Journal of Autism and Developmental Disorders, 29(2), 103–112
Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview—revised. Western Psychological Services.
Vygotsky, L. S. (1962). Thought and language. The MIT Press.
Wallace, G. L., Silvers, J. A., Martin, A., & Kenworthy, L. E. (2009). Further evidence for inner speech deficits in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(12), 1735–1739. https://doi.org/10.1007/s10803-009-0802-8
Wang, Y., Zhang, Y. B., Liu, L. L., Cui, J. F., Wang, J., Shum, D. H., & Chan, R. C. (2017). A meta-analysis of working memory impairments in autism spectrum disorders. Neuropsychology Review, 27(1), 46–61. https://doi.org/10.1007/s11065-016-9336-y
Williams, D. L., Goldstein, G., Carpenter, P. A., & Minshew, N. J. (2005). Verbal and spatial working memory in autism. Journal of Autism and Developmental Disorders, 35(6), 747–756. https://doi.org/10.1007/s10803-005-0021-x
Williams, D., Happé, F., & Jarrold, C. (2008). Intact inner speech use in autism spectrum disorder: Evidence from a short-term memory task. Journal of Child Psychology and Psychiatry, 49(1), 51–58. https://doi.org/10.1111/j.1469-7610.2007.01836.x
Winsler, A., Abar, B., Feder, M. A., Schunn, C. D., & Rubio, D. A. (2007). Private speech and executive functioning among high-functioning children with autistic spectrum disorders. Journal of Autism and Developmental Disorders, 37(9), 1617–1635. https://doi.org/10.1007/s10803-006-0294-8
Winsler, A., & Naglieri, J. (2003). Overt and covert verbal problem-solving strategies: Developmental trends in use, awareness, and relations with task performance in children aged 5 to 17. Child Development, 74(3), 659–678. https://doi.org/10.1111/1467-8624.00561
Zelazo, P. D. (2004). The development of conscious control in childhood. Trends in Cognitive Sciences, 8, 12–17. https://doi.org/10.1016/j.tics.2003.11.001
Acknowledgments
We offer our sincere thanks to the families who have participated in this research. We would also like to thank Victoria Sanchez, Gabrielle MacNaughton, and Brooke Kohn for their assistance in participant recruitment and completion of study visits.
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This research was supported by National Institute of Mental Health (NIMH) grant R01 MH113928 to S. Faja).
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All authors contributed to study conception, design, and/or analytic approach. Dr. SRE supervised data collection, conducted the statistical analyses, and drafted portions of the initial manuscript. CC and PV completed data collection and contributed to the draft of the initial manuscript. Drs. SRE and SF provided substantive feedback on manuscript drafts.
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Edmunds, S.R., Colman, C., Vidal, P. et al. Brief Report: Examining the Links Between Language Processes and Working Memory Impairments in Toddlers and Preschoolers with ASD. J Autism Dev Disord 52, 1872–1880 (2022). https://doi.org/10.1007/s10803-021-05049-x
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DOI: https://doi.org/10.1007/s10803-021-05049-x