Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study

Tomoko Okuda,1,2 Kenichi Asano,1,3 Noriko Numata,4 Yoshiyuki Hirano,1,3 Tetsuya Yamamoto,5 Mari Tanaka,4 Daisuke Matsuzawa,4 Eiji Shimizu,1,3,4 Masaomi Iyo,5,6 Michiko Nakazato1,3,6 1Division of Cognitive Behavioral Science, United Graduate School of Child Development, Osaka University, Kanazawa Un...

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Autores principales:	Okuda T, Asano K, Numata N, Hirano Y, Yamamoto T, Tanaka M, Matsuzawa D, Shimizu E, Iyo M, Nakazato M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	autism spectrum disorders cognitive remediation therapy cognitive flexibility central coherence Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4ead78f240fb4d2fad71b8f679e74778
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spelling	oai:doaj.org-article:4ead78f240fb4d2fad71b8f679e747782021-12-02T00:36:26ZFeasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study1178-2021https://doaj.org/article/4ead78f240fb4d2fad71b8f679e747782017-08-01T00:00:00Zhttps://www.dovepress.com/feasibility-of-cognitive-remediation--therapy-for-adults-with-autism-s-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Tomoko Okuda,1,2 Kenichi Asano,1,3 Noriko Numata,4 Yoshiyuki Hirano,1,3 Tetsuya Yamamoto,5 Mari Tanaka,4 Daisuke Matsuzawa,4 Eiji Shimizu,1,3,4 Masaomi Iyo,5,6 Michiko Nakazato1,3,6 1Division of Cognitive Behavioral Science, United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Chiba-shi, Chiba, 2Department of Psychiatry, Chibaken Saiseikai Narashino Hospital, Narashino, 3Research Center for Child Mental Development, Chiba University, 4Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, 5Center for Forensic Mental Health, Chiba University, 6Department of Psychiatry, Graduate School of Medicine, Chiba University, Chiba, Japan Background: Set-shifting (SS) difficulties and weak central coherence (CC) are commonly associated with autism spectrum disorders (ASD). Cognitive remediation therapy (CRT) aims to improve such cognitive processing; however, there are no reports on CRT for patients with ASD. This pilot study aimed to provide preliminary evidence to support the use of CRT for individuals with ASD and provide data to inform future studies.Participants and methods: Nineteen individuals with ASD were recruited and administered a series of neuropsychological and questionnaire measures to examine cognitive function and clinical outcomes such as anxiety and depression. Participants received CRT, and cognitive function and clinical variables were re-evaluated at postintervention and after 3 months.Results: The participants demonstrated significant improvement in CC and anxiety at postintervention, which was maintained at 3-month follow-up. Although SS scores had improved with a large effect size, this was not statistically significant.Conclusion: CRT improved CC and anxiety scores for individuals with ASD, suggesting that CRT is an effective treatment for individuals with ASD. Keywords: autism spectrum disorders, cognitive remediation therapy, cognitive flexibility, central coherenceOkuda TAsano KNumata NHirano YYamamoto TTanaka MMatsuzawa DShimizu EIyo MNakazato MDove Medical Pressarticleautism spectrum disorderscognitive remediation therapycognitive flexibilitycentral coherenceNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 2185-2191 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	autism spectrum disorders cognitive remediation therapy cognitive flexibility central coherence Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	autism spectrum disorders cognitive remediation therapy cognitive flexibility central coherence Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Okuda T Asano K Numata N Hirano Y Yamamoto T Tanaka M Matsuzawa D Shimizu E Iyo M Nakazato M Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study
description	Tomoko Okuda,1,2 Kenichi Asano,1,3 Noriko Numata,4 Yoshiyuki Hirano,1,3 Tetsuya Yamamoto,5 Mari Tanaka,4 Daisuke Matsuzawa,4 Eiji Shimizu,1,3,4 Masaomi Iyo,5,6 Michiko Nakazato1,3,6 1Division of Cognitive Behavioral Science, United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Chiba-shi, Chiba, 2Department of Psychiatry, Chibaken Saiseikai Narashino Hospital, Narashino, 3Research Center for Child Mental Development, Chiba University, 4Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, 5Center for Forensic Mental Health, Chiba University, 6Department of Psychiatry, Graduate School of Medicine, Chiba University, Chiba, Japan Background: Set-shifting (SS) difficulties and weak central coherence (CC) are commonly associated with autism spectrum disorders (ASD). Cognitive remediation therapy (CRT) aims to improve such cognitive processing; however, there are no reports on CRT for patients with ASD. This pilot study aimed to provide preliminary evidence to support the use of CRT for individuals with ASD and provide data to inform future studies.Participants and methods: Nineteen individuals with ASD were recruited and administered a series of neuropsychological and questionnaire measures to examine cognitive function and clinical outcomes such as anxiety and depression. Participants received CRT, and cognitive function and clinical variables were re-evaluated at postintervention and after 3 months.Results: The participants demonstrated significant improvement in CC and anxiety at postintervention, which was maintained at 3-month follow-up. Although SS scores had improved with a large effect size, this was not statistically significant.Conclusion: CRT improved CC and anxiety scores for individuals with ASD, suggesting that CRT is an effective treatment for individuals with ASD. Keywords: autism spectrum disorders, cognitive remediation therapy, cognitive flexibility, central coherence
format	article
author	Okuda T Asano K Numata N Hirano Y Yamamoto T Tanaka M Matsuzawa D Shimizu E Iyo M Nakazato M
author_facet	Okuda T Asano K Numata N Hirano Y Yamamoto T Tanaka M Matsuzawa D Shimizu E Iyo M Nakazato M
author_sort	Okuda T
title	Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study
title_short	Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study
title_full	Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study
title_fullStr	Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study
title_full_unstemmed	Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study
title_sort	feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/4ead78f240fb4d2fad71b8f679e74778
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Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study

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