The Relation between Cognitive and Emotional Processes in Children and Adolescents with Neurodevelopmental Disorders—A Meta-Analysis

Author:

Costescu Cristina1ORCID,Roșan Adrian1,David Carmen1,Cozma Lia1,Calota Andrada1

Affiliation:

1. Special Education Department, Faculty of Psychology and Educational Sciences, Babeș-Bolyai University, 400029 Cluj Napoca, Romania

Abstract

Background: Up to 80% of children with autism spectrum disorders (ASDs) have mental health issues—either emotional or behavioral problems. The underlying mechanisms are still unknown, even if emotional regulation (ER) is considered to play a major role in child and adolescent psychopathology. Several studies link the ability to regulate the intensity and quality of emotions with executive functioning. Therefore, we aimed to investigate the association between executive functions (EFs) and ER and affective problems in children with ASD. Methods: This meta-analysis is based on a literature search of peer-reviewed journals from the following databases: Scopus, ProQuest, Ebsco, Science Direct, Springer Link and Clarivate. We analyzed 15 studies that investigated the link between EF, ER or affective problems (APs) in children and adolescents with ASD aged between 2 and 18 y with ASD. To assess the effect size of the relationship between EF and ER, and EF and AP, 15 studies comprising 54 effect sizes were analyzed. Results: Our findings revealed a small effect size regarding the association between EF and ER, r = 0.331, p = 0.034, and a small effect size regarding the association between EF and AP, r = −0.213, p = 0.024. No significant moderators were found. The results are presented in regard to the two analyses developed, as well as a short review of the studies included in the meta-analysis. Conclusion: Even if there are several limitations of this study, especially considering the small number of studies included, the results suggest that it is worth considering EF as an underlying mechanism for the appearance of emotional or behavioral problems in children with ASD. These findings have important implications for the development of ASD intervention plans, as well as for increasing awareness among specialists about the importance of executive functions in school adjustment and social functioning.

Funder

UEFISCDI

Publisher

MDPI AG

Subject

Applied Psychology,Clinical Psychology,Developmental and Educational Psychology

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