ArticleJournal of autism and developmental disorders2017
The Flexibility Scale: Development and Preliminary Validation of a Cognitive Flexibility Measure in Children with Autism Spectrum Disorders.
Article in Journal of autism and developmental disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A comparison of methods for measuring camouflaging in autism.Autism research : official journal of the International Society for Autism Research · 2023Pooled it
- Examining the relationship between cognitive inflexibility and internalizing and externalizing symptoms in autistic children and adolescents: A systematic review and meta-analysis.Autism research : official journal of the International Society for Autism Research · 2022Pooled it
- Correlates of Feeding Difficulties Among Children with Autism Spectrum Disorder: A Systematic Review.Journal of autism and developmental disorders · 2022Pooled it
- Executive Functioning Is Linked to Internalizing Symptoms in Autistic Adults With Higher Support Needs.Autism : the international journal of research and practice · 2026Article
- A Multimodal Investigation of Flexibility and Socialization in Autistic Children With and Without ADHD.Journal of autism and developmental disorders · 2026Article
- Cultural Adaptation and Validation of the Chinese Behavioral Inflexibility Scale: Clinical Interview Version for Children Aged 3-8 Years With Autism Spectrum Disorder in Mainland China.Journal of autism and developmental disorders · 2026Article
- Measuring Cognitive Flexibility in Chinese Individuals with Obsessive-Compulsive Disorder: Psychometric Validation and Factor Structure of the Chinese Version of the Flexibility in Daily Life Scale.Psychology research and behavior management · 2026Article
- The Cognitive Flexibility Scale for Individuals With Autism Spectrum Disorder: A Turkish Adaptation and Validation Study.Journal of autism and developmental disorders · 2025Article
- Cognitive Flexibility Mediates the Associations Between Perceived Stress, Social Camouflaging and Mental Health Challenges in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2025Article
- Characterising Insistence on Sameness and Circumscribed Interests: A Qualitative Study of Parent Perspectives.Journal of autism and developmental disorders · 2025Article
- The Role of Everyday Executive Function in Observed Social Symptoms of Autism Spectrum Disorder.Journal of autism and developmental disorders · 2025Article
- The Development of the Food Averse Questionnaire: A Measure of Food Avoidance in Children With and Without Autistic Spectrum Conditions.Maternal & child nutrition · 2025Article
- Development of the Flexibility in Daily Life scale to measure multidimensional cognitive and behavioural flexibility in health and disease.The British journal of clinical psychology · 2025Article
- Study protocol for a randomized controlled trial of Regulating Together (RT), a group therapy for emotion dysregulation in school-age autistic youth and their caregivers.BMC psychology · 2025Article
- Investigating the Effects of Transdiagnostic Processes on Anxiety and Depression Symptoms in Autistic Young People: the Mediating Role of Emotion Dysregulation.Journal of autism and developmental disorders · 2025Article
- Disentangling the association between cognitive flexibility and anxiety in autistic youth: real-world flexibility versus performance-based task switching.Frontiers in psychiatry · 2025Article
- Refining our Understanding of Anxiety in Autistic Youth: Examining the Role of Behavioral Inflexibility.Journal of autism and developmental disorders · 2024Article
- Examining the feasibility and utility of heart rate variability on intervention outcomes targeting emotion regulation in autism: a brief report.Scientific reports · 2024Article
- Autistic Traits as Predictors of Increased Obsessive-Compulsive Disorder Severity: The Role of Inflexibility and Communication Impairment.Brain sciences · 2024Article
- Cultural adaptation and preliminary validation of the Flexibility Scale for Spain.Frontiers in psychiatry · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Flexibility is a key component of executive function, and is related to everyday functioning and adult outcomes. However, existing informant reports do not densely sample cognitive aspects of flexibility; the Flexibility Scale (FS) was developed to address this gap. This study investigates the validity of the FS in 221 youth with ASD and 57 typically developing children. Exploratory factor analysis indicates a five-factor scale: Routines/rituals, transitions/change, special interests, social flexibility, and generativity. The FS demonstrated convergent and divergent validity with comparative domains of function in other measures, save for the Generativity factor. The FS discriminated participants with ASD and controls. Thus, this study suggests the FS may be a viable, comprehensive measure of flexibility in everyday settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.