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| Research article summary (published 30 May 2003): |
Central coherence and cognitive shifting in relation to social improvement in high-functioning young adults with autism.
Full Abstract
The objective of this prospective study was to evaluate the possible role of two cognitive styles--weak central coherence and poor cognitive shifting--in predicting social improvement in patients with autistic disorder. Thirty patients, largely similar in age (young adults), intelligence (high-functioning) and living conditions (residential treatment in the same unit) were assessed at two separate time points with a 3-year interval between pretest and posttest. At pretest central coherence, cognitive shifting and several aspects of social functioning--symptom severity, social intelligence and social competence--were measured. At posttest social functioning was reassessed. Unlike central coherence, cognitive shifting was identified as a significant prognostic marker. This differential outcome might be an indication that patients with poor cognitive shifting and patients with weak central coherence have different prognoses with the current, highly structured treatment milieu; it is unknown whether patients with poor cognitive flexibility might benefit more from treatments specifically designed to address this problem.
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Author information
Author/s: Berger, Hans J C (HJ); Aerts, Francisca H T M (FH); van Spaendonck, Karel P M (KP); Cools, Alexander R (AR); Teunisse, Jan-Pieter (JP);
Affiliation: Department of Medical Psychology, Medical Centre, University of Nijmegen, Nijmegen, The Netherlands. H.Berger(-atsign-)neuro.umcn.nl
Journal and publication information
Publication Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
Journal: Journal of clinical and experimental neuropsychology (J Clin Exp Neuropsychol), published in Netherlands. (Language: eng)
Reference: 2003-Jun; vol 25 (issue 4) : pp 502-11
Dates: Created 2003/08/12; Completed 2003/09/17; Revised 2008/04/14;
PMID: 12911104, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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