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Cognitive enhancement therapy for adult autism spectrum disorder: Results of an 18-month randomized clinical trial / S. M. EACK in Autism Research, 11-3 (March 2018)
[article]
Titre : Cognitive enhancement therapy for adult autism spectrum disorder: Results of an 18-month randomized clinical trial Type de document : Texte imprimé et/ou numérique Auteurs : S. M. EACK, Auteur ; S. S. HOGARTY, Auteur ; D. P. GREENWALD, Auteur ; M. Y. LITSCHGE, Auteur ; S. A. PORTON, Auteur ; C. A. MAZEFSKY, Auteur ; N. J. MINSHEW, Auteur Article en page(s) : p.519-530 Langues : Anglais (eng) Mots-clés : adult autism cognitive enhancement cognitive remediation neurocognition social cognition Index. décimale : PER Périodiques Résumé : Cognitive remediation is a promising approach to treating core cognitive deficits in adults with autism, but rigorously controlled trials of comprehensive interventions that target both social and non-social cognition over a sufficient period of time to impact functioning are lacking. This study examined the efficacy of cognitive enhancement therapy (CET) for improving core cognitive and employment outcomes in adult autism. Verbal adult outpatients with autism spectrum disorder (N = 54) were randomized to an 18-month, single-blind trial of CET, a cognitive remediation approach that integrates computer-based neurocognitive training with group-based training in social cognition, or an active enriched supportive therapy (EST) comparison focused on psychoeducation and condition management. Primary outcomes were composite indexes of neurocognitive and social-cognitive change. Competitive employment was a secondary outcome. Intent-to-treat analyses indicated that CET produced significant differential increases in neurocognitive function relative to EST (d = .46, P = .013). Both CET and EST were associated with large social-cognitive improvements, with CET demonstrating an advantage at 9 (d = .58, P = 0.020), but not 18 months (d = .27, P = 0.298). Effects on employment indicated that participants treated with CET were significantly more likely to gain competitive employment than those in EST, OR = 6.21, P = 0.023, which was mediated by cognitive improvement. CET is a feasible and potentially effective treatment for core cognitive deficits in adult autism spectrum disorder. The treatment of cognitive impairments in this population can contribute to meaningful improvements in adult outcomes. Autism Res 2018, 11: 519-530. (c) 2017 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Cognitive enhancement therapy (CET), an 18-month cognitive remediation intervention designed to improve thinking and social understanding, was found to be more effective than supportive therapy at improving mental quickness, attention, and employment in adults living with autism. Social understanding was equally improved in CET and supportive therapy. Cognitive remediation interventions are feasible and may confer significant functional benefits to adults with autism. En ligne : http://dx.doi.org/10.1002/aur.1913 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=352
in Autism Research > 11-3 (March 2018) . - p.519-530[article] Cognitive enhancement therapy for adult autism spectrum disorder: Results of an 18-month randomized clinical trial [Texte imprimé et/ou numérique] / S. M. EACK, Auteur ; S. S. HOGARTY, Auteur ; D. P. GREENWALD, Auteur ; M. Y. LITSCHGE, Auteur ; S. A. PORTON, Auteur ; C. A. MAZEFSKY, Auteur ; N. J. MINSHEW, Auteur . - p.519-530.
Langues : Anglais (eng)
in Autism Research > 11-3 (March 2018) . - p.519-530
Mots-clés : adult autism cognitive enhancement cognitive remediation neurocognition social cognition Index. décimale : PER Périodiques Résumé : Cognitive remediation is a promising approach to treating core cognitive deficits in adults with autism, but rigorously controlled trials of comprehensive interventions that target both social and non-social cognition over a sufficient period of time to impact functioning are lacking. This study examined the efficacy of cognitive enhancement therapy (CET) for improving core cognitive and employment outcomes in adult autism. Verbal adult outpatients with autism spectrum disorder (N = 54) were randomized to an 18-month, single-blind trial of CET, a cognitive remediation approach that integrates computer-based neurocognitive training with group-based training in social cognition, or an active enriched supportive therapy (EST) comparison focused on psychoeducation and condition management. Primary outcomes were composite indexes of neurocognitive and social-cognitive change. Competitive employment was a secondary outcome. Intent-to-treat analyses indicated that CET produced significant differential increases in neurocognitive function relative to EST (d = .46, P = .013). Both CET and EST were associated with large social-cognitive improvements, with CET demonstrating an advantage at 9 (d = .58, P = 0.020), but not 18 months (d = .27, P = 0.298). Effects on employment indicated that participants treated with CET were significantly more likely to gain competitive employment than those in EST, OR = 6.21, P = 0.023, which was mediated by cognitive improvement. CET is a feasible and potentially effective treatment for core cognitive deficits in adult autism spectrum disorder. The treatment of cognitive impairments in this population can contribute to meaningful improvements in adult outcomes. Autism Res 2018, 11: 519-530. (c) 2017 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Cognitive enhancement therapy (CET), an 18-month cognitive remediation intervention designed to improve thinking and social understanding, was found to be more effective than supportive therapy at improving mental quickness, attention, and employment in adults living with autism. Social understanding was equally improved in CET and supportive therapy. Cognitive remediation interventions are feasible and may confer significant functional benefits to adults with autism. En ligne : http://dx.doi.org/10.1002/aur.1913 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=352 Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD) / Rini VOHRA in Journal of Autism and Developmental Disorders, 46-4 (April 2016)
[article]
Titre : Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD) Type de document : Texte imprimé et/ou numérique Auteurs : Rini VOHRA, Auteur ; Suresh MADHAVAN, Auteur ; Usha SAMBAMOORTHI, Auteur Article en page(s) : p.1441-1454 Langues : Anglais (eng) Mots-clés : Autism Emergency department Emergency room Autism trends Expenditures Adult autism Autism injury Medical conditions in autism Index. décimale : PER Périodiques Résumé : A cross-sectional analyses using Nationwide Emergency Department Sample (2006–2011) was conducted to examine the trends, type of ED visits, and mean total ED charges for adults aged 22–64 years with and without ASD (matched 1:3). Around 0.4 % ED visits (n = 25,527) were associated with any ASD and rates of such visits more than doubled from 2006 to 2011 (2549–6087 per 100,000 admissions). Adults with ASD visited ED for: primary psychiatric disorder (15 %ASD vs. 4.2 %noASD), primary non-psychiatric disorder (16 %ASD vs. 14 %noASD), and any injury (24 %ASD vs. 28 %noASD). Mean total ED charges for adults with ASD were 2.3 times higher than for adults without ASD. Findings emphasize the need to examine the extent of frequent ED use in this population. En ligne : http://dx.doi.org/10.1007/s10803-015-2692-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=284
in Journal of Autism and Developmental Disorders > 46-4 (April 2016) . - p.1441-1454[article] Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD) [Texte imprimé et/ou numérique] / Rini VOHRA, Auteur ; Suresh MADHAVAN, Auteur ; Usha SAMBAMOORTHI, Auteur . - p.1441-1454.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 46-4 (April 2016) . - p.1441-1454
Mots-clés : Autism Emergency department Emergency room Autism trends Expenditures Adult autism Autism injury Medical conditions in autism Index. décimale : PER Périodiques Résumé : A cross-sectional analyses using Nationwide Emergency Department Sample (2006–2011) was conducted to examine the trends, type of ED visits, and mean total ED charges for adults aged 22–64 years with and without ASD (matched 1:3). Around 0.4 % ED visits (n = 25,527) were associated with any ASD and rates of such visits more than doubled from 2006 to 2011 (2549–6087 per 100,000 admissions). Adults with ASD visited ED for: primary psychiatric disorder (15 %ASD vs. 4.2 %noASD), primary non-psychiatric disorder (16 %ASD vs. 14 %noASD), and any injury (24 %ASD vs. 28 %noASD). Mean total ED charges for adults with ASD were 2.3 times higher than for adults without ASD. Findings emphasize the need to examine the extent of frequent ED use in this population. En ligne : http://dx.doi.org/10.1007/s10803-015-2692-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=284 'You don't look autistic': A qualitative exploration of women's experiences of being the 'autistic other' / K. SEERS in Autism, 25-6 (August 2021)
[article]
Titre : 'You don't look autistic': A qualitative exploration of women's experiences of being the 'autistic other' Type de document : Texte imprimé et/ou numérique Auteurs : K. SEERS, Auteur ; R. C. HOGG, Auteur Article en page(s) : p.1553-1564 Langues : Anglais (eng) Mots-clés : Adult Aged Autism Spectrum Disorder Autistic Disorder Female Gender Identity Humans Qualitative Research adult autism female autism gender social constructionism Index. décimale : PER Périodiques Résumé : Most autism spectrum condition research addresses the neurological and biological causes of autism spectrum condition, focusing upon deficits associated with autism spectrum condition and behavioural interventions designed to minimise these deficits. Little is known about the lived experiences of adult women on the autism spectrum and how they navigate social expectations around gender, autism spectrum condition and gendered understandings of autism spectrum condition. The lived experiences of eight women on the AS will be shared here, with attention to how gendered expectations influence women's experiences of autism spectrum condition, their sense of self and well-being. Findings showed these women struggled to reconcile the expectations of others, particularly early in life. The women had difficultly conforming to stereotypical ideals of femininity, yet as they aged, they felt less need to conform, valuing their unique style and behaviours. The women also rejected deficit-oriented descriptions of autism spectrum condition generated by the medical community, preferring to focus on their strengths and unique characteristics. It is hoped this article helps psychologists and the wider community to understand and meet the needs of women on the AS. En ligne : http://dx.doi.org/10.1177/1362361321993722 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451
in Autism > 25-6 (August 2021) . - p.1553-1564[article] 'You don't look autistic': A qualitative exploration of women's experiences of being the 'autistic other' [Texte imprimé et/ou numérique] / K. SEERS, Auteur ; R. C. HOGG, Auteur . - p.1553-1564.
Langues : Anglais (eng)
in Autism > 25-6 (August 2021) . - p.1553-1564
Mots-clés : Adult Aged Autism Spectrum Disorder Autistic Disorder Female Gender Identity Humans Qualitative Research adult autism female autism gender social constructionism Index. décimale : PER Périodiques Résumé : Most autism spectrum condition research addresses the neurological and biological causes of autism spectrum condition, focusing upon deficits associated with autism spectrum condition and behavioural interventions designed to minimise these deficits. Little is known about the lived experiences of adult women on the autism spectrum and how they navigate social expectations around gender, autism spectrum condition and gendered understandings of autism spectrum condition. The lived experiences of eight women on the AS will be shared here, with attention to how gendered expectations influence women's experiences of autism spectrum condition, their sense of self and well-being. Findings showed these women struggled to reconcile the expectations of others, particularly early in life. The women had difficultly conforming to stereotypical ideals of femininity, yet as they aged, they felt less need to conform, valuing their unique style and behaviours. The women also rejected deficit-oriented descriptions of autism spectrum condition generated by the medical community, preferring to focus on their strengths and unique characteristics. It is hoped this article helps psychologists and the wider community to understand and meet the needs of women on the AS. En ligne : http://dx.doi.org/10.1177/1362361321993722 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451 'You don't look autistic': A qualitative exploration of women's experiences of being the 'autistic other' / Kate SEERS in Autism, 26-6 (August 2022)
[article]
Titre : 'You don't look autistic': A qualitative exploration of women's experiences of being the 'autistic other' Type de document : Texte imprimé et/ou numérique Auteurs : Kate SEERS, Auteur ; Rachel C. HOGG, Auteur Article en page(s) : p.1553-1564 Langues : Anglais (eng) Mots-clés : Adult Aged Autism Spectrum Disorder Autistic Disorder Female Gender Identity Humans Qualitative Research adult autism female autism gender social constructionism Index. décimale : PER Périodiques Résumé : Most autism spectrum condition research addresses the neurological and biological causes of autism spectrum condition, focusing upon deficits associated with autism spectrum condition and behavioural interventions designed to minimise these deficits. Little is known about the lived experiences of adult women on the autism spectrum and how they navigate social expectations around gender, autism spectrum condition and gendered understandings of autism spectrum condition. The lived experiences of eight women on the AS will be shared here, with attention to how gendered expectations influence women's experiences of autism spectrum condition, their sense of self and well-being. Findings showed these women struggled to reconcile the expectations of others, particularly early in life. The women had difficultly conforming to stereotypical ideals of femininity, yet as they aged, they felt less need to conform, valuing their unique style and behaviours. The women also rejected deficit-oriented descriptions of autism spectrum condition generated by the medical community, preferring to focus on their strengths and unique characteristics. It is hoped this article helps psychologists and the wider community to understand and meet the needs of women on the AS. En ligne : http://dx.doi.org/10.1177/1362361321993722 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484
in Autism > 26-6 (August 2022) . - p.1553-1564[article] 'You don't look autistic': A qualitative exploration of women's experiences of being the 'autistic other' [Texte imprimé et/ou numérique] / Kate SEERS, Auteur ; Rachel C. HOGG, Auteur . - p.1553-1564.
Langues : Anglais (eng)
in Autism > 26-6 (August 2022) . - p.1553-1564
Mots-clés : Adult Aged Autism Spectrum Disorder Autistic Disorder Female Gender Identity Humans Qualitative Research adult autism female autism gender social constructionism Index. décimale : PER Périodiques Résumé : Most autism spectrum condition research addresses the neurological and biological causes of autism spectrum condition, focusing upon deficits associated with autism spectrum condition and behavioural interventions designed to minimise these deficits. Little is known about the lived experiences of adult women on the autism spectrum and how they navigate social expectations around gender, autism spectrum condition and gendered understandings of autism spectrum condition. The lived experiences of eight women on the AS will be shared here, with attention to how gendered expectations influence women's experiences of autism spectrum condition, their sense of self and well-being. Findings showed these women struggled to reconcile the expectations of others, particularly early in life. The women had difficultly conforming to stereotypical ideals of femininity, yet as they aged, they felt less need to conform, valuing their unique style and behaviours. The women also rejected deficit-oriented descriptions of autism spectrum condition generated by the medical community, preferring to focus on their strengths and unique characteristics. It is hoped this article helps psychologists and the wider community to understand and meet the needs of women on the AS. En ligne : http://dx.doi.org/10.1177/1362361321993722 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484