A Randomized Clinical Trial of Cognitive Enhancement Therapy for Adults with Autism Spectrum Disorders

Abstract

This project is focused on conducting the first randomized-controlled trial of Cognitive Enhancement Therapy (CET) in 54 verbal adults with autism spectrum disorders and assessing the efficacy of this approach in comparison to an active Enriched Supportive Therapy (EST) intervention. Major findings to date have demonstrated considerable and broad cognitive impairments in adults actively enrolled in the trial (n=24) as well as promising initial results on the effects of CET. Despite high levels of intelligence (average IQ = 112), this sample is performing at the 36th percentile on overall neurocognitive function, indicating a clear need for cognitive rehabilitation. Preliminary analyses of interim 9-month treatment effects among the initial cohort of participants (n=12) in this clinical trial has suggested a strong advantage of CET for improving social cognition (d>.77) and adaptive function (d>1.14), and a medium advantage of CET for improving processing speed (d>.40), compared to those receiving the EST control condition. These findings suggest both the need and potential for CET to result in a significant treatment advance for underserved adults with autism, and this project holds the potential to considerably improver the lives of the many individuals and families living with these conditions.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2012
Accession Number
ADA582498

Entities

People

  • Nancy J. Minshew
  • Shaun M. Each

Organizations

  • University of Pittsburgh

Tags

DTIC Thesaurus Topics

  • Alzheimer Disease
  • Autism
  • Clinical Trials
  • Cognition
  • Cognitive Impairment
  • Diseases And Disorders
  • Feasibility Studies
  • Information Processing
  • Intelligence Tests
  • Intervention
  • Learning
  • Mental Processes
  • Psychology
  • Rehabilitation
  • Spectra
  • Therapy
  • Training

Fields of Study

  • Medicine
  • Psychology

Readers

  • Child and Adolescent Substance Abuse Science in Autism Spectrum Disorders.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Systems Analysis and Design