Self- and parent-reported executive function and self-determination in autistic teens: domain-specific relationships and cross-rater considerations.
5 affiliations
- 1Children's National Hospital, Washington, DC, US. [email protected].
- 2Children's National Hospital, Washington, DC, US.
- 3Curry College, Milton, MA, US.
- 4School of Education, Indiana University Bloomington, Bloomington, IN, US.
- 5Loyola University Maryland, Baltimore, MD, US.
Abstract
Background
Self-determination, or the degree to which an individual perceives they have "causal agency" over their life plans, is an important predictor of quality of life, employment, and education for autistic people. However, little research has explored predictors of self-determination in autism. Limited research links executive function (EF) to self-determination, but tends to focus on EF globally and fails to address specific EF subdomains. Report of cross-rater links between EF and self-determination (e.g., parent-report EF and self-report self-determination) is also missing. As such, the current study evaluates the relation between real-world EF subdomains and self-determination, both within and between raters.Methods
226 autistic teens ages 14-22 years (M = 16.17; 73% male, 75% white, 89% non-Hispanic) and their parent/caregiver completed rating scales about the teens' EF and self-determination at enrollment for one of two EF intervention studies. Through a series of linear regressions, the relationship between EF subscales on the BRIEF-2 and Self-Determination capacity and opportunity at home (on the AIR Self-Determination Scale) were evaluated within each rater (self or parent). Exploratory analyses repeated these models across rater.Results
Within self-report, greater EF challenges with flexibility and planning predicted lower capacity for self-determination. Within parent-report, relationships with self-determination capacity were generalized across EF subdomains (e.g., self-monitoring, flexibility, initiation, working memory, planning/organizing). EF subdomains such as flexibility, planning, working memory, and emotion regulation demonstrated cross-rater relationships with self-determination. Skills such as organization of materials and inhibition appeared to be uniquely important for understanding opportunities provided for teens to be self-determined at home.Conclusions
The current study replicates and extends prior findings linking EF to self-determination in autism, by highlighting possible EF subdomains that relate to self-determination capacity and opportunity, and demonstrating that some of these relations are robust enough to be seen across teen and parent raters. Findings suggest that supporting specific EF skills such as flexibility, planning, initiation, inhibition, and emotional control may be important for facilitating self-determination. Findings also underscore the importance of providing opportunities for teens to play a central role in developing and executing plans toward their goals.Clinical trial registration
#NCT05131659, #NCT05017779.
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BibTeX
@article{bertollo2026self,
title = {{Self- and parent-reported executive function and self-determination in autistic teens: domain-specific relationships and cross-rater considerations.}},
author = {Jennifer R Bertollo and Lauren Baczewski and Hannah Behar and Elizabeth R Black and Tara Anderson and K Sharp and Andrea Lopez and Chloe C Neuman and Alyssa Verbalis and Cara E Pugliese and Lauren Kenworthy},
journal = {Journal of neurodevelopmental disorders},
year = {2026},
month = aug,
doi = {10.1186/s11689-026-09703-2},
url = {https://europepmc.org/article/MED/42958037},
note = {CC BY},
}
RIS
TY - JOUR
TI - Self- and parent-reported executive function and self-determination in autistic teens: domain-specific relationships and cross-rater considerations.
AU - Jennifer R Bertollo
AU - Lauren Baczewski
AU - Hannah Behar
AU - Elizabeth R Black
AU - Tara Anderson
AU - K Sharp
AU - Andrea Lopez
AU - Chloe C Neuman
AU - Alyssa Verbalis
AU - Cara E Pugliese
AU - Lauren Kenworthy
PY - 2026
DA - 2026/08/03
JO - Journal of neurodevelopmental disorders
DO - 10.1186/s11689-026-09703-2
UR - https://europepmc.org/article/MED/42958037
AB - Background Self-determination, or the degree to which an individual perceives they have "causal agency" over their life plans, is an important predictor of quality of life, employment, and education for autistic people. However, little research has explored predictors of self-determination in autism. Limited research links executive function (EF) to self-determination, but tends to focus on EF globally and fails to address specific EF subdomains. Report of cross-rater links between EF and self-determination (e.g., parent-report EF and self-report self-determination) is also missing. As such, the current study evaluates the relation between real-world EF subdomains and self-determination, both within and between raters.Methods 226 autistic teens ages 14-22 years (M = 16.17; 73% male, 75% white, 89% non-Hispanic) and their parent/caregiver completed rating scales about the teens' EF and self-determination at enrollment for one of two EF intervention studies. Through a series of linear regressions, the relationship between EF subscales on the BRIEF-2 and Self-Determination capacity and opportunity at home (on the AIR Self-Determination Scale) were evaluated within each rater (self or parent). Exploratory analyses repeated these models across rater.Results Within self-report, greater EF challenges with flexibility and planning predicted lower capacity for self-determination. Within parent-report, relationships with self-determination capacity were generalized across EF subdomains (e.g., self-monitoring, flexibility, initiation, working memory, planning/organizing). EF subdomains such as flexibility, planning, working memory, and emotion regulation demonstrated cross-rater relationships with self-determination. Skills such as organization of materials and inhibition appeared to be uniquely important for understanding opportunities provided for teens to be self-determined at home.Conclusions The current study replicates and extends prior findings linking EF to self-determination in autism, by highlighting possible EF subdomains that relate to self-determination capacity and opportunity, and demonstrating that some of these relations are robust enough to be seen across teen and parent raters. Findings suggest that supporting specific EF skills such as flexibility, planning, initiation, inhibition, and emotional control may be important for facilitating self-determination. Findings also underscore the importance of providing opportunities for teens to play a central role in developing and executing plans toward their goals.Clinical trial registration #NCT05131659, #NCT05017779.
SN - 1866-1947
SN - 1866-1955
ER -