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. 2025 Aug 7.
doi: 10.1007/s10803-025-06996-5. Online ahead of print.

Contributions of Executive Functions To Listening Comprehension and Mediation Effects of Verbal IQ among Chinese Children with Autism Spectrum Disorder

Shuting Zhang  1   2 , Dengfeng Ren  2 , Jiaojiao Wu  3
Affiliations

Contributions of Executive Functions To Listening Comprehension and Mediation Effects of Verbal IQ among Chinese Children with Autism Spectrum Disorder

Shuting Zhang et al. J Autism Dev Disord. .

Abstract

Listening comprehension is crucial for academic achievement and social communication, but is substantially impaired among children with autism spectrum disorder (ASD). To develop effective interventions for improving listening comprehension, it is essential to identify the underlying deficits in core cognitive domains and determine the precise mediation pathways. This study examined the associations between executive functions (EFs), such as working memory, inhibitory control, and cognitive flexibility, and listening comprehension abilities among Chinese children with ASD (N = 35) and age-matched typically developing (TD) children (N = 40). The ASD group performed statistically lower on tests of inhibitory control, cognitive flexibility, listening memory, and verbal IQ than their TD peers. The influences of EFs on listening memory differed between ASD and TD groups due to mediation by verbal IQ. In ASD children, working memory and cognitive flexibility both had direct effects on listening memory but no significant indirect effects via verbal IQ, while among TD children, working memory and cognitive flexibility had no significant direct effects on listening memory but rather influenced listening memory indirectly via verbal IQ. Alternatively, inhibitory control had direct and indirect effects on listening memory in both groups. Verbal IQ and cognitive flexibility significantly predicted listening comprehension ability in children with ASD. Effective strategies to improve listening comprehension among children with ASD must involve EF training and account for differences in reliance on verbal IQ.

Keywords: Autism spectrum disorder; Executive functions; Listening comprehension; Verbal IQ.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare that there are no conflicts of interest regarding the publication of this article in the Journal of Autism and Developmental Disorders.

References

    1. Acosta-Rodríguez, V. M., Ramírez‐Santana, G. M., & Hernández‐Expósito, S. (2022). Intervention for oral Language comprehension skills in preschoolers with developmental Language disorder. International Journal of Language & Communication Disorders, 57(1), 90–102. https://doi.org/10.1111/1460-6984.12676 - DOI
    1. American Psychiatric Association (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). American Psychiatric Association.
    1. Andringa, S., Olsthoorn, N., Van Beuningen, C., Schoonen, R., & Hulstijn, J. (2012). Determinants of success in native and non-native listening comprehension: An individual differences approach. Language Learning, 62(s2), 49–78. https://doi.org/10.1111/j.1467-9922.2012.00706.x - DOI
    1. Baddeley, A. D. (2021). Developing the concept of working memory: The role of neuropsychology. Archives of Clinical Neuropsychology, 36(6), 861–873. https://doi.org/10.1093/arclin/acab060 - DOI - PubMed - PMC
    1. Bennetto, L., Pennington, B. F., & Rogers, S. J. (1996). Intact and impaired memory functions in autism. Child Development, 67(4), 1816–1835. - PubMed

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