Ajouter la voix manquante : comparaison entre l’autoévaluation par des jeunes autistes sur une échelle d’évaluation du fonctionnement exécutif, le rapport des parents et celui de jeunes présentant un trouble déficitaire de l’attention avec hyperactivité ou un développement neurotypique

Titre original en anglais : Adding the missing voice: How self-report of autistic youth self-report on an executive functioning rating scale compares to parent report and that of youth with attention deficit hyperactivity disorder or neurotypical development

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Kenworthy, L., Verbalis, A., Bascom, J., daVanport, S., Strang, J. F., Pugliese, C. E., Freeman, A. J., Jeppsen, C., Armour, A. C., Jost, G. M., Hardy, K. K., & Wallace, G. L. (2021). Adding the missing voice: How self-report of autistic youth self-report on an executive functioning rating scale compares to parent report and that of youth with attention deficit hyperactivity disorder or neurotypical development. Autism, 26(2), 422-433. https://doi.org/10.1177/13623613211029117

Date de publication: 09/07/2021 Ajout dans AutiHub: 04/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
12
Auteur·ices de la publication identifié·es comme autistes
2 / 12 (16,7 %)
  1. Lauren Kenworthy
  2. Alyssa Verbalis
  3. Julia Bascom *
  4. Sharon daVanport *
  1. John F. Strang
  2. Cara E. Pugliese
  3. Andrew J. Freeman
  4. Charlotte Jeppsen
  1. Anna Chelsea Armour
  2. Geneva M. Jost
  3. Kristina K. Hardy
  4. Gregory L. Wallace

Résumé

Les fonctions exécutives sont liées à des résultats clés. Des études sur l’autoévaluation par des jeunes autistes d’autres traits non sociaux indiquent que leurs perceptions de leur propre fonctionnement et de leurs expériences internes fournissent des informations importantes qui ne sont pas recueillies par le rapport de leurs parents, mais l’autoévaluation des fonctions exécutives par les jeunes n’a pas été étudiée dans l’autisme. Nous examinons l’autoévaluation et le rapport parental à l’aide du Behavior Rating Inventory of Executive Function-2 chez 197 jeunes autistes sans déficience intellectuelle, y compris l’ampleur et le profil des problèmes signalés dans les sous-domaines des fonctions exécutives. Nous comparons également l’autoévaluation des jeunes autistes à celle de 114 jeunes présentant un trouble déficitaire de l’attention avec hyperactivité et de 197 jeunes neurotypiques. Nous constatons que les jeunes autistes signalent des difficultés significatives des fonctions exécutives par rapport aux jeunes neurotypiques, ainsi qu’un profil distinctif de difficultés par rapport aux jeunes présentant un trouble déficitaire de l’attention avec hyperactivité. Les parents et leurs enfants autistes divergent quant à la sévérité des difficultés des fonctions exécutives des jeunes, mais tous deux mettent l’accent sur les problèmes de flexibilité dans leur profil de difficultés des fonctions exécutives. Les coefficients de corrélation intraclasse entre les évaluations des parents et des jeunes étaient modérés à faibles dans le groupe autiste, ce qui indique que le rapport des jeunes autistes apporte des informations importantes au-delà de celles recueillies par le rapport de leurs parents. Ces données soulignent l’importance d’interroger directement les jeunes autistes sur leurs propres fonctions exécutives. Résumé grand public Les fonctions exécutives sont souvent altérées chez les personnes autistes et sont liées à des résultats importants tels que la santé mentale, la réussite scolaire et professionnelle, et la qualité de vie. L’évaluation des fonctions exécutives aide les personnes autistes, les cliniciens et les familles à identifier des cibles pour les soutiens externes et le développement des compétences. L’autoévaluation des fonctions exécutives par les jeunes n’a pas été étudiée, alors que nous savons que l’autoévaluation par les jeunes autistes est essentielle pour comprendre d’autres phénomènes cognitifs et comportementaux dans l’autisme, tels que l’anxiété, les obsessions et compulsions, les sensibilités sensorielles et les comportements répétitifs. Nous avons étudié l’autoévaluation et le rapport parental des problèmes de fonctions exécutives chez 197 jeunes autistes sans déficience intellectuelle (âgés de 11 à 18 ans), y compris l’ampleur et les profils des problèmes de fonctions exécutives que les jeunes autistes signalent dans les sous-domaines des fonctions exécutives. Nous avons comparé l’autoévaluation des jeunes autistes à celle de 114 jeunes présentant un trouble déficitaire de l’attention avec hyperactivité sans déficience intellectuelle et de 197 jeunes neurotypiques. Nous avons constaté que les jeunes autistes signalent des problèmes significatifs de fonctions exécutives par rapport aux jeunes neurotypiques, ainsi qu’un profil distinctif de difficultés par rapport aux jeunes présentant un trouble déficitaire de l’attention avec hyperactivité. Les parents et leurs enfants autistes divergeaient quant à l’ampleur des difficultés des fonctions exécutives des jeunes, mais tous deux identifient l’inflexibilité comme le sous-domaine des fonctions exécutives le plus altéré. Les jeunes autistes et leurs parents étaient quelque peu plus concordants dans leur signalement des problèmes de fonctions exécutives que les jeunes présentant un trouble déficitaire de l’attention avec hyperactivité et leurs parents, mais ne montraient au mieux qu’une concordance modérée. Ces résultats soulignent l’importance d’interroger directement les jeunes autistes sur leur fonctionnement exécutif lors de leur participation à une évaluation et à une intervention, ou dans le cadre de recherches sur les fonctions exécutives dans l’autisme.

Executive functions are related to key outcomes. Studies of autistic youth self-report of other nonsocial traits indicate that their insights into their own functioning and internal experiences provide important information that is not captured by their parents’ report, but youth self-report of executive function has not been researched in autism. We investigate self- and parent-report on the Behavior Rating Inventory of Executive Function-2 in 197 autistic youth without intellectual disability, including the magnitude and profile of problems reported across subdomains of executive function. We also compare autistic self-report to that of 114 youth with attention deficit hyperactivity disorder and 197 neurotypical youth. We find that autistic youth report significant executive function challenges in comparison to neurotypical youth and a distinctive profile of challenges in comparison to attention deficit hyperactivity disorder youth. Parents and their autistic children diverge regarding the severity of the youth’s executive function difficulties, but both emphasize flexibility problems within their profile of executive function challenges. Intraclass correlation coefficients between parent and youth ratings were moderate to poor in the autistic group, indicating that autistic youth report adds important information beyond that captured by their parents’ report. These data elevate the importance of asking autistic youth directly about their own executive function. Lay abstract Executive functions are often impaired in autistic people and relate to important outcomes such as mental health, success in school and work, and quality of life. Evaluating executive functions helps autistic people, clinicians, and families identify targets for external supports and skill building. Youth self-report of executive function has not been studied, yet we know that self-report from autistic youth is key to understanding other cognitive/behavioral phenomena in autism such as anxiety, obsessions/compulsions, sensory sensitivities, and repetitive behaviors. We investigated self- and parent-report of executive function problems in 197 autistic youth without intellectual disability (ages 11–18 years), including the magnitude and profiles of executive function problems autistic youth report across subdomains of executive function. We compared autistic self-report with that of 114 youth with attention deficit hyperactivity disorder without intellectual disability and 197 neurotypical youth. We found that autistic youth report significant executive function problems compared to neurotypical youth and a distinctive profile of challenges in comparison to attention deficit hyperactivity disorder youth. Parents and their autistic children diverged regarding the magnitude of the youth’s executive function difficulties, but both identify inflexibility as the most impaired executive function subdomain. Autistic youth and their parents were somewhat more concordant in their report of executive function problems than youth with attention deficit hyperactivity disorder and their parents, but only showed moderate concordance at best. These findings elevate the importance of asking autistic youth directly about their executive functioning when engaging them in assessment and intervention, or researching executive functions in autism.

Bibliographie citée par cette référence

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Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées
81
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
2 / 81 (2,5 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
3 / 390 (0,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 3 / 102 (2,9 %). Auteurices cité·es distinct·es identifié·es comme autistes : 3 / 329 (0,9 %).
Occurrences citées rattachées à la base AutiHub
102 / 390 (26,2 %)
Auteurices cité·es distinct·es rattaché·es : 56 / 329 (17,0 %)
Occurrences rattachées, non identifiées comme autistes
99 / 102 (97,1 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 99 / 390 (25,4 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 53 / 56 (94,6 %).
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