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The effects of cognitive remediation therapy using the frontal/executive program for autism spectrum disorder
Title: | The effects of cognitive remediation therapy using the frontal/executive program for autism spectrum disorder |
Authors: | Miyajima, Maki Browse this author | Omiya, Hidetoshi Browse this author | Yamashita, Kiyoko Browse this author | Miyata, Tomoki Browse this author | Yambe, Kenji Browse this author | Matsui, Mie Browse this author | Denda, Kenzo Browse this author →KAKEN DB |
Keywords: | cognitive disorders | autism spectrum disorder | executive function | rehabilitation |
Issue Date: | Apr-2016 |
Publisher: | SAGE Publications |
Journal Title: | International journal of psychiatry in medicine |
Volume: | 51 |
Issue: | 3 |
Start Page: | 223 |
End Page: | 235 |
Publisher DOI: | 10.1177/0091217416651254 |
PMID: | 27284115 |
Abstract: | Objective: The cognitive features and treatment of autism spectrum disorder have been the subject of much debate in recent years. Therapeutic approaches to date have focused on skills acquisition, support tailored to the characteristics of autism spectrum disorder, and interventions in social cognitive functioning; there have been few reports describing interventions aimed at neurocognitive dysfunction. In this study, we focus on impairment of executive functioning in autism spectrum disorder patients and investigate improvements in executive functioning and their generalization to social functioning. Method: The intervention adopted for this study was cognitive remediation therapy using the frontal/executive program. To investigate the effectiveness of frontal/executive program, 15 subjects who consented to participate in the study were randomly assigned to an intervention group or control group. Frontal/executive program was administered to the intervention group for about six months. Both groups were evaluated using the same scales: BACS-J, WCST, and CPT for cognitive assessment; SCoRS-J, GAF, and LASMI for social functioning; and GSE for self-efficacy. Results: Both groups had lower scores for cognitive functioning than normal individuals at baseline. After completion of frontal/executive program, the intervention group showed improved performance on BACS-J for overall score, digit sequencing, verbal fluency, and Tower of London tasks. Improvements were also seen on SCoRS-J and LASMI scales of social functioning. Conclusions: This was the first study to use frontal/executive program to focus on neurocognitive dysfunction in autism spectrum disorder patients. Frontal/executive program is effective in improving impaired executive functioning in autism spectrum disorder patients and may also lead to improvements in some aspects of social functioning. |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/62621 |
Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 傳田 健三
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