Objective: The purpose of this study was to comparing executive functions in children with autistic and normal and relationship with math and reading ability.
Materials & Methods: Present descriptive-comparative study consisted of 132 students (16 autistic and 116 normal). Normal students had been selected by convenient sampling. Because the statistical population was limited, the whole individuals were recruited in the study. Two groups also were match. Cooldige and cornoldy, Key-Math and reading level scales were orderly used to assess executive functions, math and reading ability. Data were analyzed by multi-vitiates analyses of variance.
Results: The results showed that autistic children have weaker executive functions than healthy children. Also the results showed that organizing and planning-decision making are more influential in predicting mathematics ability and inhibition. Moreover active memory and inhibition are more influential in predicting reading ability.
Conclusion: Based on these findings, it can conclude that executive functions are disabled in autistic children and these disabilities are correlated with their weakness in mathematics and reading ability.
Objectives: The present study aims to investigate the efficacy of executive functions training (response inhibition) on the rate of impulsivity in preschool children with developmental coordination disorder in Isfahan city.
Materials & Methods: The participants of this study were three preschool children which were recognized to have developmental coordination disorder. To collect data, we used NEPSY neuropsychology test, Conner’s parent rating scale, Wechsler intelligence scale for children, basic motor ability tests and clinical interview. A single-subject method with MBD design research methodology was used as well.
Results: The results of the data chart analysis based on descriptive statistics' and visual analysis indices revealed that the intervention has been effective on the three participants (PND of 80%, 70% and 70% for test number one, two and three, respectively).
Conclusion: The results of the present study show that response inhibition executive function training can reduce level of impulsivity.
Objective: The relation between autism disorder’s symptoms and cognitive capabilities can help with a better phenotype description of this disorder and can facilitate its pathological evaluation and treatment. Destruction of executive functions seems to be one of the cognitive reasons of potential phenotype in autism disorder. Thus, the present paper aims to study the relationship between executive dysfunction and autism disorder’s symptoms.
Materials & Methods: In this cross-sectional research, 50 children with high-functioning autism were selected using convenience sampling method from Behara, Tehranpars and Roshd centers. Then, the GARS test and Autism Spectrum Screening Questionnaire was completed by therapists and neuropsychological tests of Strop and continuous performance test and shift attention were taken by the subjects. Pearson correlation coefficient and multi-variant regression were used for data analysis.
Results: There is a significant positive relationship between selective attention with communicative and social interaction symptoms, sustained attention with social interaction symptoms and repetitive behaviors, shifting attention with communicative, social interaction and repetitive behavior symptoms (P<0.001) (P<0.01) (P<0.05). In addition, the results of regression analysis also revealed that selective attention and shifting attention can predict communication, and sustained attention can predict social interaction and repetitive behaviors symptoms (P<0.01) (P<0.05).
Conclusion: The results obtained by this study indicate the significant role of executive functions in autistic symptoms. Thus, it is recommended to consider new treatment interventions in repairing executive functions for treatment of children with autistic disorder.
Objective One of the phenomena that have been observed among survivors of childhood cancers like leukemia is the late side effects of the applied treatments, such as chemotherapy, on executive cognitive functions. These problems lead to various complaints such as experiencing dullness while performing activities, encountering difficulties in conducting various tasks simultaneously, and having no interest in laying out plans. These issues will endanger and negate the advantage of any increase in survival rate. Therefore, the aim of this clinical trial is to evaluate the efficiency of using a series of cognitive rehabilitation exercises in improving executive functions on the level of hope in adolescents who survived leukemia.
Methods & Materials This research is a quasi-experimental study with pretest, posttest, and follow-up stages. The study population consisted of all the adolescents between the ages of 12 to 18 years, who survived leukemia, in Tehran city. Purposive sampling method was used. Based on the medical records and inclusion and exclusion criteria, 30 patients, who had been referred to the section of blood diseases at the Mofid hospital in the year 2013, were selected and accidentally classified into intervention (15) and wait list (15) groups. The participants of the intervention group received treatment offered as part of the cognitive rehabilitation program over a period of 12 sessions. The research data was collected using the Wechsler Intelligence Scale, Achenbach Behavior Scale, and the Miller Hope Test. These data were analyzed with the help of descriptive statistics (mean and standard deviation) and inferential statistics (multivariate analysis of covariance).
Results The mean treatment duration was found to be 23.27 months in the intervention group and 27.00 months in the waiting list group. The mean treatment completion time of the intervention group is obtained as 25.60, and in the waiting list group as 30.67. The findings of the Miller hope questionnaire revealed that executive functions witnessed a significant positive effect due to cognitive rehabilitation, in adolescents who survived leukemia (P<0.05). This effect remained stable, as shown in a follow-up of one month after the intervention (P<0.05).
Conclusion The results of this study have shown that the effect of cognitive rehabilitation on executive functions reaps significant dividends with regard to the promotion of hope in adolescents who survived leukemia and have been under the chemotherapy. The promotion of hope in participants belonging to the intervention group was more than in the participants of the wait list group. Given the fact that, today, one of the main goals of treatment of chronic diseases such as cancer is to enhance the quality of mental health of the surviving patients, the use of inexpensive and accessible programs like cognitive rehabilitation would be very effective. Consequently, healthcare professionals could attempt to reduce the side effects caused by chemotherapy and radiation, in addition to improving the cognitive issues of affected individuals, by placing emphasis on hope among the concerned patients. Therefore, it is recommended to conduct further research by considering the results of this work in order to develop effective cognitive rehabilitation interventions, thereby, enhancing the coping strategies, quality of life, and mental health of patients who are afflicted with cancer and those who survived cancer. Cognitive rehabilitation services should also be considered for post-treatment follow-up projects.
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