Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocol

BackgroundThe cognitive impairments exhibited by people with ASD, threaten the development of social skills that are essential for establishing and maintaining harmonious social relationships. Cognitive remediation and social skills training are now considered as crucial therapeutic approaches in th...

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Main Authors: Jihene Bahri, Zeineb S. Abbes, Houda Ben Yahia, Soumeyya Halayem, Selima Jelili, Melek Hajri, Isabelle Amado, Alice Medalia, Asma Bouden
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.940066/full
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author Jihene Bahri
Jihene Bahri
Zeineb S. Abbes
Zeineb S. Abbes
Houda Ben Yahia
Soumeyya Halayem
Soumeyya Halayem
Selima Jelili
Selima Jelili
Melek Hajri
Melek Hajri
Isabelle Amado
Alice Medalia
Asma Bouden
Asma Bouden
author_facet Jihene Bahri
Jihene Bahri
Zeineb S. Abbes
Zeineb S. Abbes
Houda Ben Yahia
Soumeyya Halayem
Soumeyya Halayem
Selima Jelili
Selima Jelili
Melek Hajri
Melek Hajri
Isabelle Amado
Alice Medalia
Asma Bouden
Asma Bouden
author_sort Jihene Bahri
collection DOAJ
description BackgroundThe cognitive impairments exhibited by people with ASD, threaten the development of social skills that are essential for establishing and maintaining harmonious social relationships. Cognitive remediation and social skills training are now considered as crucial therapeutic approaches in the management of these disorders. Several programs have already been validated and have shown improvements in social skills or cognitive performance. However, the effects of these training methods seem to be difficult to generalize to other everyday life. The aim of our study is to alleviate cognitive and social deficiencies by using a socio-cognitive framework to adapt the Neuropsychological Educational Approach to Remediation (NEAR) method for adolescents with ASD.Methods/designAdolescents meeting the DSM-5 criteria for ASD, older than 13 years, and following a regular school curriculum will be recruited from clinical population at the Child and Adolescent Psychiatry in Razi University Hospital-Manouba- Tunisia. Our study is an open and non-randomized controlled trial including 30 patients: NEAR group / control group. The NEAR method combines computerized cognitive exercises and bridging groups inspired from cognitive behavioral therapy. NEAR group will be divided into three groups of five patients each. The duration of the sessions will vary according to the capacities of the participants and the exchanges between them (about 60–120 min). In our study, bridging groups will be amended by adding other tasks including planning role plays and scenarios of problematic social situations in autism, taking into account cultural particularities in order to promote social skills. Computerized exercises will be enriched by adding other tasks aiming to improve the recognition and expression of facial emotions by using digital videos and photographs expressing the six basic emotions. The duration of the program will be about 6 months. All selected patients will have an assessment of cognitive function: social cognition, neurocognition and pragmatic skills, social skills, self-esteem and global functioning at baseline, 1 week after the end of the NEAR program and 6 months later.ConclusionThis adaptive program is a promising socio-cognitive intervention that create new perspectives for adolescents with autism spectrum disorder.
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spelling doaj.art-f1a8057eaca24028988f6933ee09edf62023-05-24T04:34:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-05-011410.3389/fpsyt.2023.940066940066Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocolJihene Bahri0Jihene Bahri1Zeineb S. Abbes2Zeineb S. Abbes3Houda Ben Yahia4Soumeyya Halayem5Soumeyya Halayem6Selima Jelili7Selima Jelili8Melek Hajri9Melek Hajri10Isabelle Amado11Alice Medalia12Asma Bouden13Asma Bouden14Department of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaCH Sainte-Anne, C3RP & Services de Psychiatrie d'adultes HU & 75G17, Paris, FranceDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United StatesDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaBackgroundThe cognitive impairments exhibited by people with ASD, threaten the development of social skills that are essential for establishing and maintaining harmonious social relationships. Cognitive remediation and social skills training are now considered as crucial therapeutic approaches in the management of these disorders. Several programs have already been validated and have shown improvements in social skills or cognitive performance. However, the effects of these training methods seem to be difficult to generalize to other everyday life. The aim of our study is to alleviate cognitive and social deficiencies by using a socio-cognitive framework to adapt the Neuropsychological Educational Approach to Remediation (NEAR) method for adolescents with ASD.Methods/designAdolescents meeting the DSM-5 criteria for ASD, older than 13 years, and following a regular school curriculum will be recruited from clinical population at the Child and Adolescent Psychiatry in Razi University Hospital-Manouba- Tunisia. Our study is an open and non-randomized controlled trial including 30 patients: NEAR group / control group. The NEAR method combines computerized cognitive exercises and bridging groups inspired from cognitive behavioral therapy. NEAR group will be divided into three groups of five patients each. The duration of the sessions will vary according to the capacities of the participants and the exchanges between them (about 60–120 min). In our study, bridging groups will be amended by adding other tasks including planning role plays and scenarios of problematic social situations in autism, taking into account cultural particularities in order to promote social skills. Computerized exercises will be enriched by adding other tasks aiming to improve the recognition and expression of facial emotions by using digital videos and photographs expressing the six basic emotions. The duration of the program will be about 6 months. All selected patients will have an assessment of cognitive function: social cognition, neurocognition and pragmatic skills, social skills, self-esteem and global functioning at baseline, 1 week after the end of the NEAR program and 6 months later.ConclusionThis adaptive program is a promising socio-cognitive intervention that create new perspectives for adolescents with autism spectrum disorder.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.940066/fullautism spectrum disoderscognitive functionsocial skillsadolescentscognitive remediation
spellingShingle Jihene Bahri
Jihene Bahri
Zeineb S. Abbes
Zeineb S. Abbes
Houda Ben Yahia
Soumeyya Halayem
Soumeyya Halayem
Selima Jelili
Selima Jelili
Melek Hajri
Melek Hajri
Isabelle Amado
Alice Medalia
Asma Bouden
Asma Bouden
Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocol
Frontiers in Psychiatry
autism spectrum disoders
cognitive function
social skills
adolescents
cognitive remediation
title Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocol
title_full Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocol
title_fullStr Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocol
title_full_unstemmed Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocol
title_short Toward an integrative socio-cognitive approach in autism spectrum disorder: NEAR method adaptation—study protocol
title_sort toward an integrative socio cognitive approach in autism spectrum disorder near method adaptation study protocol
topic autism spectrum disoders
cognitive function
social skills
adolescents
cognitive remediation
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.940066/full
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