Investigating the Effectiveness of the Rehabilitation Package on the Cognitive Flexibility and Social Interaction of Students with Autism Spectrum Disorder Based on Executive Functions

Document Type : Research Paper

Authors

1 Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Educational, University of Tehran, Tehran, Iran.

2 Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Education, University of Tehran, Tehran, Iran.

3 Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Education, University of Tehran, Tehran, Iran

4 Department of Educational Psychology and Counseling, Faculty of Psychology and Education, University of Tehran, Tehran, Iran.

Abstract

This study aimed to investigate the effectiveness of the rehabilitation package based on executive functions on cognitive flexibility and social interaction of students with autism spectrum disorder. This research was semi-experimental, involving a pre-test, post-test and control group, and follow-up period. The statistical population comprised all male pupils diagnosed with autism spectrum disorder in the academic year 2022-2023 in Tehran. Available sampling method was employed to select 20 male students from a special school for autism spectrum disorder, based on the criteria for admission and the existence of the study. These students were inadvertently divided into two groups: the control and experimental. The individual underwent 20 sessions of cognitive rehabilitation intervention that focused on executive functions,each lasting 20 minutes. The experimental group and the control group did not receive any intervention. Data was collected before, after, and two months after the cognitive rehabilitation program was implemented using the Wisconsin Card Sorting Test (WCST) and the Gilliam Autism Rating Scale (GARS) (Social Interaction Subscale). T​he SPSS software version 24 was employed to conduct data analysis using the repeated measurement method. The results revealed that the cognitive rehabilitation package, which is founded on executive functions, has had an impact on the social interaction and cognitive flexibility of students with autism spectrum disorder (P<0/001). The cognitive rehabilitation program mentioned above was found to have enhanced cognitive flexibility and increased social interaction among students with autism spectrum disorder. It is suggested that this program be used to enhance and enhance executive functions and mitigate behavioral symptoms in academic environments for children with autism spectrum disorder.

Keywords

References

احمدی، س. ج.، صفری، ط.، همتیان، م.، و خلیلی، ز. (1390). بررسی شاخص‌های روان‌سنجی آزمون تشخیصی اوتیسم (GARZ)؛ مرکز آموزش و توان‌بخشی کودکان اوتیسم اصفهان. پژوهش‌های شناختی و رفتاری. 1(1)، 104-87. https://cbs.ui.ac.ir/article_17282.html
شاهقلیان، م.، آزاد فلاح، پ.، فتحی آشتیانی، ع.، و خدادادی، م. (1390). طراحی نسخۀ نرم‌افزاری آزمون دسته‌بندی کارت‌های ویسکانسین (WCST): مبانی نظری، نحوۀ ساخت و ویژگی‌های روان‌سنجی. مطالعات روان‌شناسی بالینی. 1(4)، 134-110. https://jcps.atu.ac.ir/article_2078.html
عبدی، ا.، عربانی دانا، ع.، حاتمی، ج.، و پرند، ا. (1399). اثربخشی بازی‌های رایانه‌ای شناختی بر بهبود حافظۀ کاری، توجه و انعطاف‌پذیری شناختی در کودکان مبتلا به نقص‌توجه بیش فعالی. فصلنامۀ کودکان استثنایی. 4(1)، 33-19. http://joec.ir/article-1-198-fa.html
قاسمی، س.، ارجمندنیا، ع. ا.، و غلامعلی لواسانی، م. (1398). طراحی بستۀ توان‌بخشی شناختی خانواده‌محور و بررسی تأثیر آن بر کارکردهای اجرایی دانش‌آموزان نارساخوان. نشریۀ توانمندسازی کودکان استثنایی. 10(2)، 215-200. https://doi.org/10.22034/ceciranj.2019.95990
گرجی، ر.، حسن‌زاده، س.، قاسم‌زاده، س.، و غلامعلی لواسانی، م. (1400). بررسی ویژگی‌های روان‌سنجی مقیاس رتبه‌بندی اوتیسم گیلیام برای تشخیص اوتیسم در جامعۀ ایرانی. نشریۀ علمی پژوهشی دانشگاه علوم پزشکی البرز. 10(4)، 450-439. http://aums.abzums.ac.ir/article-1-1400-fa.html
مینایی، ا.، و ناظری، س. (1397). ویژگی‌های روان‌سنجی مقیاس درجه‌بندی اوتیسم گیلیام-ویرایش سوم (گارز-۳) در مبتلایان به اوتیسم: یک مطالعۀ مقدماتی. کودکان استثنایی. 18(2)، 122-113.‌ http://joec.ir/article-1-847-fa.html
هاشمی زرینی، ه‍.، و کرم‌پور، م. (1394). اثربخشی آموزش کارکردهای اجرایی بر مهارت اجتماعی و ارتباطی کودکان طیف اوتیسم. فصلنامۀ مطالعات روان‌شناسی بالینی. 5(20)، 186-162. https://jcps.atu.ac.ir/article_1868.html?lang=fa
References
Abdi, A., Arabani Dana, A., Hatami, J., & Parand, A. (2014). The Effect of Cognitive Computer Games on Working Memory, Attention and Cognitive Flexibility in Students with Attention Deficit/Hyperactivity Disorder. Journal of Exeptional Children, 14(1), 19-34. http://joec.ir/article-1-198-fa.html (In Persian)
Ahmad, J. I., Yusof, S. M., & Talib, N. H. A. (2019). Multimedia learning tools for Autism children. Paper presented at the Proceedings of the Third International Conference on Computing, Mathematics and Statistics, Singapore. https://doi.org/10.1007/978-981-13-7279-7_72
Ahmadi, S., Safari, T., Hemmatian, M., & Khalili, Z. (2011). The Psychometric Properties of Gilliam Autism Rating Scale (GARS). Research in Cognitive and Behavioral Sciences, 1(1), 87-104. https://cbs.ui.ac.ir/article_17282.html?lang=en (In Persian)
American Psychiatric Association (APA). (2022). Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V-TR). Washington, DC: American Psychiatric Press. https://www.psychiatry.org/psychiatrists/practice/dsm
Apter, B. J. (2012). Do computerised training programmes designed to improve working memory work? Educational Psychology in Practice, 28(3), 257–272. https://doi.org/10.1080/02667363.2012.712915
Barceló, F. (2001). Does the Wisconsin card sorting test measure prefrontal function? The Spanish Journal of Psychology, 4(1), 79-100. https://doi.org/10.1017/s1138741600005680
Benyakorn, S., Calub, C. A., Riley, S. J., Schneider, A., Iosif, A. M., Solomon, M., Hessl, D., & Schweitzer, J. B. (2018). Computerized cognitive training in children with autism and intellectual disabilities: Feasibility and satisfaction study. Journal of Medical Internet Research, 5(2), e40. https://doi.org/10.2196/mental.9564
Bergen, D., & Woodin, M. (2017). Brain Research and Childhood Education Implications for Educators, Parents, and Society. New York: Routledge. https://doi.org/10.4324/9781315465173
Blumberg, S. J., Bramlett, M. D., Kogan, M. D., Schieve, L. A., Jones, J. R., & Lu, M. C. (2013). Changes in prevalence of parent-reported autism spectrum disorder in school-aged U.S. children: 2007 to 2011-2012. National Health Statistics Reports, 65, 1–11. https://pubmed.ncbi.nlm.nih.gov/24988818/
Cortese, S. (2020). Pharmacologic treatment of attention deficit–hyperactivity disorder. New England Journal of Medicine, 383(11), 1050-1056. https://doi.org/10.1056/nejmra1917069
Cragg, L., & Nation, K. (2010). Language and the development of cognitive control. Topics in Cognitive Science, 2(4), 631–642. https://doi.org/10.1111/j.1756-8765.2009.01080.x
Craig, F., Margari, F., Legrottaglie, A. R., Palumbi, R., De Giambattista, C., & Margari, L. (2016). A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder. Neuropsychiatric Disease and Treatment, 12, 1191-1202. https://doi.org/10.2147/NDT.S104620
Dagenais, E., Rouleau, I., Tremblay, A., Demers, M., Roger, É., Jobin, C., & Duquette, P. (2016). Role of executive functions in prospective memory in multiple sclerosis: Impact of the strength of cue–action association. Journal of Clinical and Experimental Neuropsychology, 38(1), 127-140. https://doi.org/10.1080/13803395.2015.1091063
De Souza Uema, J. T., de Oliveira, F, L., Silva, L, R., Toda, A, M., & Isotani, S. (2020). The impact of serious games on the learning of students with Autism Spectrum Disorder. Congresso Brasileiro de Informática na Educação, 459-468. https://doi.org/10.5753/cbie.wie.2020.459
Demetriou, E. A., DeMayo, M. M., & Guastella, A. J. (2019). Executive function in autism spectrum disorder: history, theoretical models, empirical findings, and potential as an endophenotype. Front Psychiatry, 10, 753. https://doi.org/10.3389/fpsyt.2019.00753
Demetriou, E. A., Lampit, A., Quintana, D. S., Naismith, S. L., Song, Y. J. C., Pye, J. E., Hickie, I., & Guastella, A. J. (2019). Autism spectrum disorders: A meta-analysis of executive function. Molecular Psychiatry, 23(5), 1198-1204. https://doi.org/10.1038/mp.2017.75
Faja, S., & Darling, L. N. (2018). Variation in restricted and repetitive behaviors and interests relates to inhibitory control and shifting in children with autism spectrum disorder. Autism, 3(5), 1262–1272. https://doi.org/10.1177/1362361318804192
Fatzer, S. T., & Roebers, C. M. (2012). Language and executive functions: The effect of articulatory suppression on executive functioning in children. Journal of Cognition and Development, 13(4), 454–472. https://doi.org/10.1080/15248372.2011.608322
Friedman, L., & Sterling, A. (2019). A review of language, executive function, and intervention in autism spectrum disorder. Seminars in Speech and Language (Thieme Medical Publishers), 40(4), 291-304. https://doi.org/10.1055/s-0039-1692964
Fujino, J., Tei, S., Jankowski, K. F., Kawada, R., Murai, T., Takahashi, H. (2017). Role of spontaneous brain activity in explicit and implicit aspects of cognitive flexibility under socially conflicting situations: a resting-state fMRI study using fractional amplitude of low-frequency fluctuations. Neuroscience, 367, 60–71. https://doi.org/10.1016/j.neuroscience.2017.10.025
Fuller, E. A., & Kaiser, A. P. (2020). The effects of early intervention on social communication outcomes for children with autism spectrum disorder: A Meta-analysis. Journal of Autism Developmental Disorder, 50(5), 1638-1700. https://doi.org/10.1007/s10803-019-03927-z
Ghasemi, S., Arjmandnia, A. A., & Gholamali lavasani, M. (2019). Designing family-based cognitive rehabilitation package and evaluating its effectiveness on executive functions of dyslexic students. Empowering Exceptional Children, 10(2), 200-215. https://doi: 10.22034/ceciranj.2019.95990. (In Persian)
Gorji, R., Hassanzadeh, S., Ghasemzadeh, S., & GholamAli Lavasani, M. (2021). Gilliam Autism Rating Scale Psychometric Characteristics Investigation for Diagnosing People as Having Autism in the Iranian Community. Alborz University Medical Journal, 10(4), 439-450. http://aums.abzums.ac.ir/article-1-1400-fa.html (In Persian)
Granader, Y., Wallace, G. L., Hardy, K. K., Yerys, B. E., Lawson, R. A., Rosenthal, M., ... & Kenworthy, L. (2014). Characterizing the factor structure of parent reported executive function in autism spectrum disorders: The impact of cognitive inflexibility. Journal of Autism and Developmental Disorder, 44(12), 3056–3062. https://doi.org/10.1037/t31298-000
Grant, D. A., & Berg, E. A. (1993). Wisconsin card sorting test. Journal of Experimental Psychology, 38, 404. https://doi.org/10.1037/t31298-000
Guralnick, M. J. (2019). Effective early intervention: The developmental systems approach. Maryland, Paul H. Brookes Publishing Co. https://products.brookespublishing.com/Effective-Early-Intervention-P1102.aspx
Hashemi Razini, H., & Karampoor, M. (2015). The Effectiveness of Executive Functions Training Program on Social and Communication Skills of Children who have Autism spectrum disorders. Clinical Psychology Studies, 5(20), 161-185. https://jcps.atu.ac.ir/article_1868.html (In Persian)
Hatta, K., Hosozawa, M., Tanaka, K., & Shimizu, T. (2019). Exploring traits of autism and their impact on functional disability in children with somatic symptom disorder. Journal of Autism and Developmental Disorders, 49, 729–737. https://doi.org/10.1007/s10803-018-3751-2
John, T. S., Dawson, G., & Estes, A. (2018). Brief report: Executive function as a predictor of academic achievement in school age children with ASD. Journal of Autism and Developmental Disabilities, 48(1), 276–283. https://doi.org/10.1007/s10803-017-3296-9
Johnson, K., Murray, K., Spain, D., Walker, I., & Russell, A. (2019). Executive function: Cognition and behaviour in adults with autism spectrum disorders (ASD). Journal of Autism and Developmental Disorders, 49(10), 4181–4192. https://doi.org/10.1007/s10803-019-04133-7
Joon, P., Kumar, A., & Parle, M. (2021). What is autism? Pharmacological Reports, 73, 1255-1264. https://doi.org/10.1007/s43440-021-00244-0
Kaland, N., Smith, L., & Mortensen, E. L. (2008). Brief report: cognitive flexibility and focused attention in children and adolescents with Asperger syndrome or high-functioning autism as measured on the computerized version of the Wisconsin Card Sorting Test. Journal of Autism and Developmental Disorders, 38, 1161-1165. https://doi.org/10.1007/s10803-007-0474-1
Kanellopoulos, A., Andersson, S., Zeller, B., Tamnes, C. K., Fjell, A. M., Walhovd, K. B., Westlye, L. T., Fosså, S. D., & Ruud, E. (2016). Neurocognitive outcome in very long-term survivors of childhood acute lymphoblastic leukemia after treatment with chemotherapy only. Pediatr Blood Cancer, 63(1), 133-138. https://doi.org/10.1002/pbc.25690
Karren, B. C. (2017). A Test Review: Gilliam, J. E. (2014). Gilliam Autism Rating Scale–Third Edition (GARS-3). Journal of Psychoeducational Assessment, 35(3), 342-346. https://doi.org/10.1177/0734282916635465
Kelly, M., P., & Reed, P. (2020). Examination of stimulus over-selectivity in children with autism spectrum disorder and Its relationship to stereotyped behaviors and cognitive flexibility. Focus on Autism and Other Developmental Disabilities, 36(1), 47–56. https://doi.org/10.1177/1088357620943504
Kenny, L., Cribb, S. J., & Pellicano, E. (2019). Childhood executive function predicts later autistic features and adaptive behaviour in young autistic people: A 12-year prospective study. Journal of Abnormal Child Psychology, 47, 1089–1099. https://doi.org/10.1007/s10802-018-0493-8
Kenworthy, L., Anthony, L. G., Naiman, D. Q., Cannon, L., Wills, M. C., Luong‐Tran, C., ... & Wallace, G. L. (2014). Randomized controlled effectiveness trial of executive function intervention for children on the autism spectrum. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 55, 374–383. https://doi.org/10.1111/jcpp.12161
Kercood, S., Lineweaver, T. T., Frank, C. C., & Fromm, E. D. (2017). Cognitive flexibility and its relationship to academic achievement and career choice of college students with and without attention deficit hyperactivity disorder. Journal of Postsecondary Education and Disability, 30(4), 327-342. https://files.eric.ed.gov/fulltext/EJ1172788.pdf
Kerns, K. A., Macoun, S. J., MacSween, J., Pei, J., & Hutchinson, M. (2016). Attention and working memory training: A feasibility study in children with neurodevelopmental disorders. Applied Neuropsychology: Child, 6(2), 120–137. https://doi.org/10.1080/21622965.2015.1109513
Klingberg, T. (2010). Training and plasticity of working memory. Trends in Cognitive Sciences, 14(7), 317–324. https://doi.org/10.1016/j.tics.2010.05.002
Kolomoiets, H. T., & Kassim, A. D. (2019). Using the augmented reailty to teach of golobal of preschoolers with autism spectrum disorder. Pedagogy of Higher and Middle School, 51, 304-315. https://doi.org/10.31812/pedag.v51i0.3678
Lai, C. L. E., Lau, Z., Lui, S. S., Lok, E., Tam, V., Chan, Q., ... & Cheung, E. F. (2017). Meta-analysis of neuropsychological measures of executive functioning in children and adolescents with high-functioning autism spectrum disorder. Autism research: official journal of the International Society for Autism Research, 10(5), 911–939. https://doi.org/10.1002/aur.1723
Lee, C. S., Pei, J., Andrew, G., Kerns, K., & Rasmussen, C. (2016). Effects of working memory training on children born preterm. Applied Neuropsychology: Child, 6(4), 281-296. https://doi.org/10.1080/21622965.2016.1161513
Leontine, W., de Nijs, P. F., Duvekot, J., Greaves-Lord, K., Hillegers, M. H., Brouwer, W. B., & Hakkaart-van Roijen, L. (2020). Children with an autism spectrum disorder and their caregivers: Capturing health-related and care-related quality of life. Journal of Autism and Developmental Disorders, 50, 263–277. https://doi.org/10.1007/s10803-019-04249-w
Lezak, M. D., Howieson, D. B., Loring, D. W., & Fischer, J. S. (2004). Neuropsychological assessment. Oxford University Press, USA. https://doi.org/10.1007/s00415-005-0003-0
Macoun, S. J., Pyne, S., MacSween, J., Lewis, J., & Sheehan, J. (2020). Feasibility and potential benefits of an attention and executive function intervention on metacognition in a mixed pediatric sample. Applied Neuropsychology: Child, 11(3), 240–252. https://doi.org/10.1080/21622965.2020.1794867
Melby-Lervag, M., & Hulme, C. (2016). There is no convincing evidence that working memory training is effective: A reply to Au et al. (2014) and Karbach and Verhaeghen (2014). Psychonomic Bulletin and Review, 23(1), 324–330. https://doi.org/10.3758/s13423-015-0862-z
Minaei, A., & Nazeri, S. (2018). Psychometric properties of the Gilliam Autism Rating Scale–Third Edition (GARS-3) in individuals with autism: A pilot study. Journal of Exeptional Chidren, 18(2), 113-122. http://jo http://joec.ir/article-1-847-fa.html (In Persian)
Morrison, A. B., & Chein, J. M. (2011). Does working memory training work? The promise and challenges of enhancing cognition by training working memory. Psychonomic Bulletin & Review, 18(1), 46–60. https://doi.org/10.3758/s13423-010-0034-0
Ozsivadjian, A., Hollocks, M. J., Magiati, I., Happé, F., Baird, G., & Absoud, M. (2021). Is cognitive inflexibility a missing link? The role of cognitive inflexibility, alexithymia and intolerance of uncertainty in externalising and internalizing behaviours in young people with autism spectrum disorder. Journal of Child Psychology and Psychiatry and Allied Disciplines, 62(6), 715–724. https://doi.org/10.1111/jcpp.13295
Pérez-Martín, M. Y., González-Platas, M., Eguía-del Río, P., Croissier-Elías, C., & Sosa, A. J. (2017). Efficacy of a short cognitive training program in patients with multiple sclerosis. Neuropsychiatric Disease and Treatment, 13, 245-252. https://doi.org/10.2147/ndt.s124448
Rabipour, S., & Raz, A. (2012). Training the brain: Fact and fad in cognitive and behavioral remediation. Brain and Cognition, 79(2), 159-179. https://doi.org/10.1016/j.bandc.2012.02.006
Rempfer, Melisa A., B, Edna Hamera, C., Catana Brown, D., Rebecca, J., & Bothwell, D. (2006). Learning proficiency on the isconsin Card Sorting Test in people with serious mental illness: what are the cognitive characteristics of good learner? Schizophrenia Research, 87(1-3). 316-322. https://doi.org/10.1016/j.schres.2006.05.012
Roberts, N. K. (2019). The relationship between behavior problems, language development, and parental stress in children with autism. Published Doctoral dissertation, University of Fielding Graduate. https://www.proquest.com/openview/c1bee69a25f9d5a95cf871de8d1f52ae/1?pq-origsite=gscholar&cbl=18750&diss=y
Rodgers, J., Goodwin, J., Parr, J. R., Grahame, V., Wright, C., Padget, J., Garland, D., Osborne, M., Labus, M., Kernohan, A., & Freeston, M. (2019). Coping with Uncertainty in Everyday Situations (CUES©) to address intolerance of uncertainty in autistic children: Study protocol for an intervention feasibility trial. Trials, 20(1), Article number 385. https://doi.org/10.1186/s13063-019-3479-0
Sadeghi, S., & Pouretemad, H. R. (2022). Executive functions predict restricted and repetitive behaviors in toddlers under 36 months old with autism spectrum disorder. Infant Behavior and Development, 67, 101721. https://doi.org/10.1016/j.infbeh.2022.101721
Seven, S. (2007). Effects of Family Related Factors on Social Behavior Problems of Six Years Old Children. Kuram ve Uygulamada Eğitim Yönetimi, 51(51), 477-499. Retrieved from https://dergipark.org.tr/tr/pub/kuey/issue/10346/126731
Shahgholian, M., Azadfallah, P., Fathi-Ashtiani, A., & Khodadadi, M. (2012). Design of the Wisconsin Card Sorting Test (WCST) computerized version: Theoretical fundamental, developing and psychometrics characteristics. Clinical Psychology Studies, 1(4), 110-134. https://jcps.atu.ac.ir/article_2078.html?lang=en (In Persian)
Shahmoradi, L., & Rezayi, S. (2022). Cognitive rehabilitation in people with autism spectrum disorder: A systematic review of emerging virtual reality-based approaches. Journal of NeuroEngineering and Rehabilitation, 19(1), 91. https://doi.org/10.1186/s12984-022-01069-5
Shamsuddin, S., Yussof, H., Ismail, L. I., Mohamed, S., Hanapiah, F. A., & Zahari, N. I. (2012). Initial response in HRI-a case study on evaluation of child with autism spectrum disorders interacting with a humanoid robot Nao. Procedia Engineering, 41, 1448-1455. https://doi.org/10.1016/j.proeng.2012.07.334
Shipstead, Z., Hicks, K. L., & Engle, R. W. (2012). Cogmed working memory training: Does the evidence support the claims? Journal of Applied Research in Memory and Cognition, 1(3), 185–193. https://doi.org/10.1016/j.jarmac.2012.06.003
Smith, T., & Iadarola, S. (2015). Evidence base update for autism spectrum disorder. Journal of Clinical Child & Adolescent Psychology, 44(6), 897–922. https://doi.org/10.1080/15374416.2015.1077448
Smith-Spark, J. H., Henry, L. A., Messer, D. J., Edvardsdottir, E., & Zięcik, A. P. (2016). Executive functions in adults with developmental dyslexia. Research in Developmental Disabilities, 53, 323-341. https://doi.org/10.1016/j.ridd.2016.03.001
South, M., Ozonoff, S., & Mcmahon, W. M. (2007). The relationship between executive functioning, central coherence, and repetitive behaviors in the high functioning autism spectrum. Autism, 11(5), 437–451. https://doi.org/10.1177/1362361307079606
Takacs, Z. K., & Kassai, R. (2019). The efficacy of different interventions to
foster children’s executive function skills: A series of meta-analyses. Psychological Bulletin, 145(7), 653-697. https://doi.org/10.1037/bul0000195
Van Eylen, L., Boets, B., Steyaert, J., Evers, K., Wagemans, J., & Noens, I. (2011), “Cognitive flexibility in autism spectrum disorder: explaining the inconsistencies?”, Research in Autism Spectrum Disorders, 5(4), 1390-1401. https://doi.org/10.1016/j.rasd.2011.01.025
Wan, Y. T., Chiang, C. S., Chen, S. C., & Wuang, Y, P. (2017). The effectiveness of the computerized visual perceptual training program on individuals with Down syndrome: An fMRI study. Research in Developmental Disabilities, 66, 1-15. https://doi.org/10.1016/j.ridd.2017.04.015
Watkins, L., Kuhn, M., Ledbetter-Cho, K., Gevarter, C., & O’Reilly, M. (2017). Evidence-based social communication interventions for children with autism spectrum disorder. The Indian Journal of Pediatrics, 84(1), 68-75. https://doi.org/10.1007/s12098-015-1938-5
Weckstein, S. M., Weckstein, E. J., Parker, C. D., & Westerman, M. W. (2017). A retrospective chart analysis with follow-up of Cogmed working memory training in children and adolescents with Autism Spectrum Disorder. Medical Science Monitor Basic Research, 23, 336–343. https://doi.org/10.12659/msmbr.904930
Yerys, B. E., Wallace, G. L., Harrison, B., Celano, M. J., Giedd, J. N., & Kenworthy, L. E. (2009). Set-shifting in children with autism spectrum disorders: Reversal shifting deficits on the Intradimensional/Extradimensional Shift Test correlate with repetitive behavior. Autism, 13(5), 523–539. https://doi.org/10.1177/1362361309335716
 
Journal of Applied Psychological Research
Volume 15, Issue 4
December 2024

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  • Receive Date: 02 August 2023
  • Revise Date: 08 October 2023
  • Accept Date: 21 November 2023
  • First Publish Date: 21 October 2024
  • Publish Date: 21 December 2024

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