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Effectiveness of Cognitive Enhancement Therapy for Young Adults With Autism Spectrum Disorders
This study is currently recruiting participants.
Study NCT00902798   Information provided by National Institute of Mental Health (NIMH)
First Received: May 13, 2009   Last Updated: July 7, 2009   History of Changes

May 13, 2009
July 7, 2009
April 2009
May 2014   (final data collection date for primary outcome measure)
Cognitive Assessment Battery, including the NIMH-Measurement and Treatment Research to Improve Cognition in Schizophrenia (NIMH-MATRICS) Battery and the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) [ Time Frame: Measured at baseline and at 9 and 18 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00902798 on ClinicalTrials.gov Archive Site
Functional Assessment Battery (Social, Role, Vocational) [ Time Frame: Measured at baseline and at 9 and 18 months ] [ Designated as safety issue: No ]
Same as current
 
Effectiveness of Cognitive Enhancement Therapy for Young Adults With Autism Spectrum Disorders
Adapting Cognitive Enhancement Therapy for ASD

This study will test a therapy for improving thinking and brain function in people with autism, Asperger's syndrome, or pervasive developmental disorder.

Autism, Asperger's syndrome, and pervasive developmental disorder are all autism spectrum disorders (ASD), which are characterized by specific impairments in social interactions, communication, and imaginative play and by restricted and repetitive interests and behavior. These impairments stem from problems in underlying cognition and information processing. ASDs are often treated in childhood, but no attempt has been made to improve cognition and brain deficits in adults with ASDs, who often experience difficulty in understanding social situations, thinking abstractly, and taking the perspective of others. Cognitive enhancement therapy (CET) is a treatment that has proved effective in improving cognition in individuals with schizophrenia. This study will test whether CET can improve cognition and brain functioning in adults with ASDs.

Participation in this study will last 18 months. Potential participants must be able to attend weekly treatment sessions in Pittsburgh, PA. The first 12 participants will be assigned to receive CET. All other participants will be randomly assigned to receive either CET or usual care as part of the control group. Some participants will also be randomly selected to complete a magnetic resonance imaging (MRI) assessment, which will involve performing tasks while undergoing a brain scan. Participants assigned to receive CET will complete three different weekly study visits: a group, an individual, and a computer visit. Participants will receive training in attention, memory, and problem solving abilities through computer training and will develop problem solving and communication skills through the group sessions. The CET treatment will require approximately 3 to 3.5 hours a week for up to 18 months.

All participants will complete assessments at baseline and after 9 and 18 months. Assessments will include a cognitive testing session, in which participants complete a reading and intelligence test; an interview with a researcher, in which participants will be asked about the symptoms of their disorder; and an interview with a family member or close friend of the participant, which will involve questions about the participant's disorder. Participants assigned to MRI will undergo the procedure at baseline and 18 months.

Phase I
Interventional
Treatment, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Autistic Disorder
  • Behavioral: Cognitive Enhancement Therapy
  • Behavioral: Treatment as Usual
  • Experimental: Participants will receive cognitive enhancement therapy.
  • Active Comparator: Participants will receive treatment as usual.

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
67
May 2014
May 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Diagnosis of autism, Asperger's syndrome, or pervasive developmental disorder not otherwise specified (NOS) verified by the autism diagnostic observation schedule (ADOS) and autism diagnostic interview-revised (ADI-R)
  • Presence of significant social and cognitive disability, based on the cognitive style and social cognition eligibility interview
  • Intelligence quotient (IQ) greater than 80
  • Ability to read and speak fluent English
  • Ability to attend weekly treatment sessions in Pittsburgh, PA

Exclusion Criteria:

  • Organic brain syndrome
  • English language skills below a sixth grade level
  • Persistent suicidal or homicidal behavior
  • History of substance abuse or dependence within the past 3 months
  • Comorbid attention deficit hyperactivity disorder (ADHD)
Both
18 Years to 30 Years
No
Contact: Dave Maloney 1-866-647-3436 autismrecruiter@upmc.edu
United States
 
NCT00902798
Allen A. DiPalma, Director of Research, University of Pittsburgh
R21 MH085851, DDTR B2-MBA, GRANT00475979, NIH #1R21MH085851-01
National Institute of Mental Health (NIMH)
 
Principal Investigator: Nancy J. Minshew, MD University of Pittsburgh
Principal Investigator: Shaun M. Eack, PhD University of Pittsburgh
National Institute of Mental Health (NIMH)
July 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP