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Language and Memory Impairment in Autism

 M.C. Goldberg and R. Landa
  
 

Abstract:
Abstract: Purpose. To examine the contribution of executive, language, and memory systems to the higher level cognitive deficits in autism. Subjects. Participants were children (n = 22 per group) ages 7 - 17 years meeting research criteria for High Functioning Autism (HFA) and normal controls matched in age, gender, SES, and IQ. Methods. We measured performance on cognitive tasks related to expressive language (CELF-formulated sentences), receptive language (TLC, TOPS), set-shifting (ID/ED task), planning (Tower of London), and nonverbal spatial working memory. Results. The two groups did not differ on IQ (paired t-test, p = .25). While set-shifting and planning were relatively spared in children with HFA (ps &gt; .05) they showed impairments in language and memory. Children with HFA used significantly poorer search strategies (p = .02) and made significantly more errors on the spatial working memory task, especially in the most difficult conditions (ps &lt;.05). Moreover, errors on the spatial working memory task correlated with performance on the language measures (ps < .01) such that HFAs with more errors performed further below the standard mean on the CELF and TLC. In addition, better strategy scores on the SWM task correlated with better performance on the CELF (p = .008). Conclusions. Our findings suggest that cognitive deficits in autism may be related to impairments in cortical integration of language and memory systems in contrast to executive systems.

 
 


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