The effects of cognitive remediation therapy using the frontal/executive program for autism spectrum disorder

Miyajima, Maki; Omiya, Hidetoshi; Yamashita, Kiyoko et al.

International journal of psychiatry in medicine, 2016, 51(3), 223-235

Permalink : https://hdl.handle.net/2115/62621

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アクセス権
open access
URI
https://hdl.handle.net/2115/62621
タイトル
The effects of cognitive remediation therapy using the frontal/executive program for autism spectrum disorder
著者
Miyajima, Maki ; Omiya, Hidetoshi ; Yamashita, Kiyoko ; Miyata, Tomoki ; Yambe, Kenji ; Matsui, Mie ; Denda, Kenzo
著者名
Miyajima, Maki
著者名
Omiya, Hidetoshi
著者名
Yamashita, Kiyoko
著者名
Miyata, Tomoki
著者名
Yambe, Kenji
著者名
Matsui, Mie
e-Rad_Researcher
10227548
著者名
Denda, Kenzo
言語
英語
キーワード
cognitive disorders
autism spectrum disorder
executive function
rehabilitation
発行日
2016-04
出版者
SAGE Publications
収録物名
International journal of psychiatry in medicine
巻(号)
51(3)
ページ
223-235
抄録
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.
資源タイプ
学術雑誌論文
出版タイプ
Accepted Manuscript
PISSN
0091-2174
関連情報
PMID
27284115
関連情報 (isVersionOf)
出版社版DOI
https://doi.org/10.1177/0091217416651254