Maureen S. Durkin, PhD, DrPH – Slide of the Week

Maureen S. Durkin, PhD, DrPH - Slide of the Week

Title: In preschoolers with autism, assigning functional labels based solely on cognitive scores may obscure substantial heterogeneity in other important domains of functioning

Citation: Furnier, S. M., Ellis Weismer, S., Rubenstein, E., Gangnon, R., Rosenberg, S., Nadler, C., Wiggins, L. D., & Durkin, M. S. (2023). Using adaptive behavior scores to convey level of functioning in children with autism spectrum disorder: Evidence from the Study to Explore Early Development. Autism, 13623613231193194. Advance online publication.

Abstract: Autistic people are often described as “low-” or “high-functioning” based on their scores on cognitive tests. These terms are common in publications and in everyday communication. However, recent research and feedback from the autistic community suggests that relying on cognitive ability alone to describe functioning may miss meaningful differences in the abilities of autistic children and adults and in the kinds of support they may need. Additional methods are needed to describe “functioning” in autistic children. We examined whether scores from a test measuring adaptive behaviors would provide information on the functional abilities of children with autism that is different from cognitive ability and autism symptom severity. Adaptive behaviors include age-appropriate skills that allow people to function in their everyday lives and social interactions. We found that a large amount of the variation in adaptive behavior scores was not explained by cognitive development, autism symptom severity, and behavioral and emotional problems. In addition, there was a wide range of adaptive ability levels in children with autism in our study, including in those with low, average, or high cognitive scores. Our results suggest that adaptive behavior scores could provide useful information about the strengths and support needs of autistic children above and beyond measures of cognitive ability and autism symptom severity. Adaptive behavior scores provide important information on the needs of autistic people.

About the Lab: Durkin’s research interests include the epidemiology, prevention, antecedents and consequences of neurodevelopmental disabilities and childhood injuries, both globally and within the United States. She has collaborated in the development of cross-cultural methods for screening for developmental disabilities and methods for surveillance of childhood injuries, and has directed international studies of the prevalence and causes of neurodevelopmental disabilities in low income countries. Durkin has also directed a cohort study of neuropsychological outcomes of neonatal brain injuries associated with preterm birth and with metabolic disorders detected on newborn screening and is currently a principal investigator on the Wisconsin Surveillance of Autism and Other Developmental Disabilities System.

Investigator: Maureen S. Durkin, PhD, DrPH

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