Place of cognitive remedition therapy in the management of autism spectrum disorder

Authors

  • Melek Hajri Child and Adolescent Psychiatry Department- Razi University Hospital Author

DOI:

https://doi.org/10.61841/te4n0d75

Keywords:

Autism, Child, Cognitive remediation, Cognitive Remediation Therapy, Executive function

Abstract

 Background : Autism Spectrum Disorder (ASD) is known to be associated with Cognitive impairment, especially executive dysfunction. Cognitive Remediation Therapy (CRT) is a novel rehabilitation method aiming to produce improvement in cognitive processes. CRT has been used in patients with schizophrenia. Taking into account the overlap between ASD and schizophrenia, the aim of our study was to adapt and apply the cognitive remediation program CRT for children and adolescents with autism spectrum disorder, and evaluate its effectiveness on the executive functions, clinical symptoms and school performance.

Methods: A cross-sectional study conducted with children and adolescents with autism spectrum disorder according to the DSM-5 criteria. The program called CRT was provided at the rate of one session (duration = 45 minutes) per week. The patients were evaluated before the beginning of the intervention and one week after its end. The evaluated parameters were intellectual abilities, cognitive flexibility, inhibition, working memory, planning, clinical symptoms and school results. 

Downloads

Download data is not yet available.

References

Barendse, E. M., Hendriks, M. P., Jansen, J. F., Backes, W. H., Hofman, P. A., Thoonen, G., . . . Aldenkamp, A. P. (2013). Working memory deficits in high-functioning adolescents with autism spectrum disorders: neuropsychological and neuroimaging correlates. J Neurodev Disord, 5(1), 14. doi: 10.1186/1866-1955-5-14

Bellaj, T., Salhi, I., Le Gall, D., & Roy, A. (2015). Development of executive functioning in school-age Tunisian children. Child Neuropsychol, 1-36. doi: 10.1080/09297049.2015.1058349

Bennetto, L., Pennington, B. F., & Rogers, S. J. (1996). Intact and impaired memory functions in autism. Child Dev, 67(4), 1816-1835.

Bernard-Opitz, V., Sriram, N., & Nakhoda-Sapuan, S. (2001). Enhancing social problem solving in children with autism and normal children through computer-assisted instruction. J Autism Dev Disord, 31(4), 377-384.

Breidbord, J., & Croudace, T. J. (2013). Reliability generalization for Childhood Autism Rating Scale. J Autism Dev Disord, 43(12), 2855-2865. doi: 10.1007/s10803-013-1832-9

Choi, J., & Medalia, A. (2005). Factors associated with a positive response to cognitive remediation in a community psychiatric sample. Psychiatr Serv, 56(5), 602-604. doi: 10.1176/appi.ps.56.5.602

Delahunty, A., & Morice, R. (1993). The Frontal Executive Program. A Neurocognitive Rehabilitation Program for Schizophrenia, Revised Edition. Albury, NSW, Australia: Department of Health.

Delahunty, A., & Morice, R. (1996). Rehabilitation of frontal/executive impairments in schizophrenia. Aust N Z J Psychiatry, 30(6), 760-767.

Delahunty, A., Morice, R., & Frost, B. (1993). Specific cognitive flexibility rehabilitation in schizophrenia. Psychol

Med, 23(1), 221-227.

Delahunty, A., Reeder, C., Wykes, T., Morice, R., & E., N. (2002). Revised Cognitive Remediation Therapy Manual. London: Institute of Psychiatry.

Eack, S. M., Bahorik, A. L., McKnight, S. A., Hogarty, S. S., Greenwald, D. P., Newhill, C. E., . . . Minshew, N. J. (2013). Commonalities in social and non-social cognitive impairments in adults with autism spectrum disorder and schizophrenia. Schizophr Res, 148(1-3), 24-28. doi: 10.1016/j.schres.2013.05.013

Fan, J., McCandliss, B. D., Sommer, T., Raz, A., & Posner, M. I. (2002). Testing the efficiency and independence of attentional networks. J Cogn Neurosci, 14(3), 340-347. doi: 10.1162/089892902317361886

Green, M. F., Kern, R. S., Braff, D. L., & Mintz, J. (2000). Neurocognitive deficits and functional outcome in schizophrenia: are we measuring the "right stuff"? Schizophr Bull, 26(1), 119-136.

Grynszpan, O., Martin, J., & Nadel, J. (2007). Exploring the influence of task assignment and output modalities on computerized training for autism. Interaction Studies, 8(2), 224–266.

Grynszpan, O., Perbal, S., Pelissolo, A., Fossati, P., Jouvent, R., Dubal, S., & Perez-Diaz, F. (2011). Efficacy and specificity of computer-assisted cognitive remediation in schizophrenia: a meta-analytical study. Psychol Med, 41(1), 163-173. doi: 10.1017/S0033291710000607

Hamza, M. (2014). Place of cognitive remediation in attention deficit hyperactivity disorder. (MD), Faculty of Medicine of Tunis, Tunis.

Heinrichs, R. W., & Zakzanis, K. K. (1998). Neurocognitive deficit in schizophrenia: a quantitative review of the evidence. Neuropsychology, 12(3), 426-445.

Hill, E. (2004). Evaluating the theory of executive dysfunction in autism. Developmental Review, 24(2), 189-233.

Kastner, A., Begemann, M., Michel, T. M., Everts, S., Stepniak, B., Bach, C., . . . Ehrenreich, H. (2015). Autism

beyond diagnostic categories: characterization of autistic phenotypes in schizophrenia. BMC Psychiatry,

15(1), 115. doi: 10.1186/s12888-015-0494-x

McGurk, S. R., Twamley, E. W., Sitzer, D. I., McHugo, G. J., & Mueser, K. T. (2007). A meta-analysis of cognitive

remediation in schizophrenia. Am J Psychiatry, 164(12), 1791-1802. doi: 10.1176/appi.ajp.2007.07060906

Medalia, A., & Lim, R. (2004). Treatment of cognitive dysfunction in psychiatric disorders. J Psychiatr Pract, 10(1), 17-25.

Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1991). Executive function deficits in high-functioning autistic individuals: relationship to theory of mind. J Child Psychol Psychiatry, 32(7), 1081-1105.

Pellicano, E., Maybery, M., Durkin, K., & Maley, A. (2006). Multiple cognitive capabilities/deficits in children with an autism spectrum disorder: "weak" central coherence and its relationship to theory of mind and executive control. Dev Psychopathol, 18(1), 77-98. doi: 10.1017/S0954579406060056

Penadés, R., & Catalán, R. (2012). Cognitive Remediation Therapy (CRT): Improving Neurocognition and Functioning in Schizophrenia. In T. H. J. Burne (Ed.), Schizophrenia in the 21st Century: InTech.

Penades, R., Catalan, R., Salamero, M., Boget, T., Puig, O., Guarch, J., & Gasto, C. (2006). Cognitive remediation therapy for outpatients with chronic schizophrenia: a controlled and randomized study. Schizophr Res, 87(13), 323-331. doi: 10.1016/j.schres.2006.04.019

Pilling, S., Bebbington, P., Kuipers, E., Garety, P., Geddes, J., Martindale, B., . . . Morgan, C. (2002). Psychological treatments in schizophrenia: II. Meta-analyses of randomized controlled trials of social skills training and cognitive remediation. Psychol Med, 32(5), 783-791.

Raven, J. (2000). Manual for Raven's Progressive Matrices and Vocabulary Scales: Research supplement no. 3, 2000

ed: Oxford Psychologists Press

Downloads

Published

30.04.2017

Issue

Section

Articles

How to Cite

Hajri, M. (2017). Place of cognitive remedition therapy in the management of autism spectrum disorder. International Journal of Psychosocial Rehabilitation, 21(1), 55-66. https://doi.org/10.61841/te4n0d75