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Journal of Autism and Developmental Disorders

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01-09-2013 | Brief Report

Brief Report: Is Cognitive Rehabilitation Needed in Verbal Adults with Autism? Insights from Initial Enrollment in a Trial of Cognitive Enhancement Therapy

Auteurs: Shaun M. Eack, Amber L. Bahorik, Susan S. Hogarty, Deborah P. Greenwald, Maralee Y. Litschge, Carla A. Mazefsky, Nancy J. Minshew

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 9/2013

Abstract

Cognitive rehabilitation is an emerging set of potentially effective interventions for the treatment of autism spectrum disorder, yet the applicability of these approaches for “high functioning” adults who have normative levels of intelligence remains unexplored. This study examined the initial cognitive performance characteristics of 40 verbal adults with autism enrolled in a pilot trial of Cognitive Enhancement Therapy to investigate the need for cognitive rehabilitation in this population. Results revealed marked and broad deficits across neurocognitive and social-cognitive domains, despite above-average IQ. Areas of greatest impairment included processing speed, cognitive flexibility, and emotion perception and management. These findings indicate the need for comprehensive interventions designed to enhance cognition among verbal adults with autism who have intact intellectual functioning.

vorige artikel Brief Report: The Autism Spectrum Quotient has Convergent Validity with the Social Responsiveness Scale in a High-Functioning Sample

volgende artikel Asperger’s in the Holmes Family

Abrahams, B. S., & Geschwind, D. H. (2008). Advances in autism genetics: On the threshold of a new neurobiology. Nature Reviews Genetics, 9(5), 341–355.PubMedCrossRef

Ben-Yishay, Y., Piasetsky, E. B., & Rattok, J. (1985). A systematic method for ameliorating disorders in basic attention. In M. J. Meir, A. L. Benton, & L. Diller (Eds.), Neuropsychological rehabilitation (pp. 165–181). New York: Guilford Press.

Carter, C. S., Barch, D. M., Gur, R., Gur, R., Pinkham, A., & Ochsner, K. (2009). CNTRICS final task selection: Social cognitive and affective neuroscience-based measures. Schizophrenia Bulletin, 35(1), 153–162.PubMedCrossRef

Cicerone, K. D., Dahlberg, C., Malec, J. F., Langenbahn, D. M., Felicetti, T., Kneipp, S., et al. (2005). Evidence-based cognitive rehabilitation: Updated review of the literature From 1998 Through 2002. Archives of Physical Medicine and Rehabilitation, 86(8), 1681–1692.PubMedCrossRef

Eack, S. M., Greeno, C. G., Pogue-Geile, M. F., Newhill, C. E., Hogarty, G. E., & Keshavan, M. S. (2010a). Assessing social-cognitive deficits in schizophrenia with the Mayer-Salovey-Caruso Emotional Intelligence Test. Schizophrenia Bulletin, 36(2), 370–380.PubMedCrossRef

Eack, S. M., Hogarty, G. E., Cho, R. Y., Prasad, K. M. R., Greenwald, D. P., Hogarty, S. S., et al. (2010b). Neuroprotective effects of cognitive enhancement therapy against gray matter loss in early schizophrenia: Results from a 2-year randomized controlled trial. Archives of General Psychiatry, 67(7), 674–682.PubMedCrossRef

Green, M. F., Nuechterlein, K. H., Gold, J. M., Barch, D. M., Cohen, J., Essock, S., et al. (2004). Approaching a consensus cognitive battery for clinical trials in schizophrenia: The NIMH-MATRICS conference to select cognitive domains and test criteria. Biological Psychiatry, 56(5), 301–307.PubMedCrossRef

Heaton, R. K., Chelune, G. J., Talley, J. L., Kay, G. G., & Curtiss, G. (1993). Wisconsin card sorting test manual: Revised and expanded. Odessa, FL: Psychological Assessment Resources Inc.

Hogarty, G.E, & Greenwald, D.P (2006). Cognitive enhancement therapy: The training manual. University of Pittsburgh Medical Center, Authors. Available through www.CognitiveEnhancementTherapy.com.

Hogarty, G. E., Flesher, S., Ulrich, R., Carter, M., Greenwald, D., Pogue-Geile, M., et al. (2004). Cognitive enhancement therapy for schizophrenia. Effects of a 2-year randomized trial on cognition and behavior. Archives of General Psychiatry, 61(9), 866–876.PubMedCrossRef

Howlin, P. (2000). Outcome in adult life for more able individuals with autism or Asperger syndrome. Autism, 4(1), 63–83.CrossRef

Kanner, L. (1971). Follow-up study of eleven autistic children originally reported in 1943. Journal of Autism and Developmental Disorders, 1(2), 119–145.CrossRef

Kasari, C., & Lawton, K. (2010). New directions in behavioral treatment of autism spectrum disorders. Current Opinion in Neurology, 23(2), 137–143.PubMedCrossRef

Kohler, C. G., Turner, T. H., Bilker, W. B., Brensinger, C. M., Siegel, S. J., Kanes, S. J., et al. (2003). Facial emotion recognition in schizophrenia: Intensity effects and error pattern. American Journal of Psychiatry, 160, 1768–1774.PubMedCrossRef

Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule—generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.PubMedCrossRef

Mayer, J. D., Salovey, P., Caruso, D. R., & Sitarenios, G. (2003). Measuring emotional intelligence with the MSCEIT V2.0. Emotion, 3(1), 97–105.PubMedCrossRef

Minshew, N. J., & Williams, D. L. (2007). The new neurobiology of autism. Archives of Neurology, 64(7), 945–950.PubMedCrossRef

Sitzer, D. I., Twamley, E. W., & Jeste, D. V. (2006). Cognitive training in Alzheimer’s disease: A meta-analysis of the literature. Acta Psychiatrica Scandinavica, 114(2), 75–90.PubMedCrossRef

Wechsler, D. (1999). Manual for the wechsler abbreviated intelligence scale. San Antonio, T: The Psychological Corporation.

Wykes, T., Huddy, V., Cellard, C., McGurk, S. R., & Czobor, P. (2011). A meta-analysis of cognitive remediation for schizophrenia: Methodology and effect sizes. American Journal of Psychiatry, 168(5), 472–485.PubMedCrossRef

Titel: Brief Report: Is Cognitive Rehabilitation Needed in Verbal Adults with Autism? Insights from Initial Enrollment in a Trial of Cognitive Enhancement Therapy
Auteurs: Shaun M. Eack
Amber L. Bahorik
Susan S. Hogarty
Deborah P. Greenwald
Maralee Y. Litschge
Carla A. Mazefsky
Nancy J. Minshew
Publicatiedatum: 01-09-2013
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 9/2013
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-013-1774-2

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