Supported employment improves cognitive performance in adults with Autism

Supported employment improves cognitive performance in adults with Autism
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DOI:
10.1111/j.1365-2788.2006.00854.x
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发表时间:
2007-02-01
影响因子:
3.6
通讯作者:
Hughes, C.
Hughes, C.
中科院分区:
医学3区
文献类型:
--
作者:
Garcia-Villamisar, D.;Hughes, C.

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背景:本研究的目的是研究支持就业计划对44名自闭症成年人执行功能的影响,在计划开始和结束时进行评估。社区就业时间平均为30个月。结果:根据他们在研究期间的主要工作活动,参与者被分为两组:支持就业和失业。在项目开始时,两组在任何认知测量上都没有差异。结果:重复测量方差分析(ANOVA)显示,在项目结束时,支持就业组在CANTAB(空间跨度任务-记忆跨度长度;空间工作记忆任务-策略;计划任务“剑桥长袜”-以最小的动作解决问题;计划任务“剑桥长袜”-平均计划时间)和其他任务(如轨迹测试- B部分,时间;匹配熟悉的数字(第一个答案和错误)。相比之下,失业组的认知表现没有随着时间的推移而变化。结论:本研究结果表明,职业康复计划对自闭症患者的认知表现有有益的影响。
Background: The purpose of this study was to examine the effects of a supported employment programme on measures of executive functions for 44 adults with autism, assessed at the beginning and the end of the programme period. The average length of time of the community employment was 30 months.Results: Based on their predominant work activity over the study period, participants were classified into two groups: supported employment and unemployed. At the start of the programme, the groups did not differ on any of the cognitive measures.Results: Repeated measures analysis of variance (ANOVA) demonstrated that by the end of the programme, the supported employment group showed higher scores for executive functions on variables of CANTAB (Spatial Span Task - span length recalled; Spatial Working Memory Task - strategy; Planning task 'Stockings of Cambridge' - problems solved in minimum moves; Planning task 'Stockings of Cambridge' - mean planning time) and other tasks such as Trail Making Test - part B, time; Matching Familiar Figures (first answer and errors). In contrast, the unemployed group showed no change over time in their cognitive performance.Conclusions: Results of this study suggested that vocational rehabilitation programmes have a beneficial impact upon cognitive performance in people with autism.