Effects of a combined neuropsychological and cognitive behavioral group therapy on young adults with Fragile X Syndrome: An explorative study

IF 2.9 2区医学 Q1 EDUCATION, SPECIAL

Research in Developmental Disabilities Pub Date : 2024-09-26 DOI:10.1016/j.ridd.2024.104839

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引用次数: 0

Abstract

Background

Fragile X Syndrome (FXS) is an X-linked neurodevelopmental disorder that leads to intellectual disability (ID) along with cognitive-behavioral difficulties. Research on psychosocial treatments in individuals FXS and ID is still lacking. This study aimed to investigate the effectiveness of a combined neuropsychological and cognitive behavioral group therapy (nCBT) among young adults with FXS.

Method

Ten young adults diagnosed with FXS took part in the second stage intervention of "Corp-osa-Mente" (CoM II), a group nCBT program previously outlined by Montanaro and colleagues in an earlier study, with the participants being the same as in the previous research. This report details the outcomes of an additional twelve-month group sections aimed at enhancing the ability to manage emotions and the socio-communicative skills of these young adults. Caregivers completed measures of adaptive functioning, emotional and behavior problems, executive function, communication skills and family quality of life at pre-treatment (T0) and post-treatment (T1).

Results

CoM II showed a decrease in depressive and anxiety symptoms from T0 to T1, along with increased socio-pragmatic and communication skills from pre-test to post-test intervention. Additionally, our analysis revealed improvements in the adapative behavior of participants and in the family quality of life.

Conclusions

These preliminary findings suggest that young adults with FXS and ID experienced positive outcomes through participation in CoM II, a group nCBT. However, it is recommended to undertake additional methodologically rigorous studies, such as randomized controlled trials (RCTs), to substantiate these initially promising findings.

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神经心理和认知行为联合小组疗法对脆性 X 综合征年轻成人的影响：探索性研究

背景脆弱X综合征（FXS）是一种X连锁神经发育障碍，会导致智力残疾（ID）和认知行为障碍。目前还缺乏针对 FXS 和 ID 患者的社会心理治疗研究。本研究旨在调查神经心理学和认知行为联合小组疗法（nCBT）在 FXS 患者中的有效性。方法十名被诊断患有 FXS 的年轻人参加了 "Corp-osa-Mente"（CoM II）的第二阶段干预，CoM II 是 Montanaro 及其同事在早期研究中概述的一种 nCBT 小组项目，参与者与之前的研究相同。本报告详细介绍了为期 12 个月的额外小组项目的成果，该项目旨在提高这些年轻人的情绪管理能力和社会交际技能。照顾者在治疗前（T0）和治疗后（T1）完成了适应功能、情绪和行为问题、执行功能、沟通技巧和家庭生活质量的测量。结果CoM II显示，从T0到T1，抑郁症状和焦虑症状有所减轻，社会实用性和沟通技巧也从治疗前提高到治疗后。此外，我们的分析还显示，参与者的适应行为和家庭生活质量都有所改善。结论这些初步研究结果表明，患有 FXS 和 ID 的年轻人通过参加 CoM II（一种 nCBT 小组疗法）取得了积极的成果。然而，我们建议开展更多方法严谨的研究，如随机对照试验（RCTs），以证实这些初步研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.