Lin Yaoyu, Qiu Yuxi, Gao Yuzhan, Wu Xuesen, Zeng Yi, Wu Jingsong
College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
Innovation and Transformation Center, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
J Autism Dev Disord. 2025 Jul 18. doi: 10.1007/s10803-025-06913-w.
Autism spectrum disorder (ASD) is a prevalent neurodevelopmental disorder often accompanied by cognitive impairments. Computerized cognitive training (CCT) has emerged as a scalable and engaging intervention to address these deficits. This systematic review evaluates the efficacy of CCT in improving cognitive functions among children and adolescents with ASD. A comprehensive search across seven databases was conducted from inception to February 24, 2025, supplemented by manual searches. A total of 15 studies involving 763 children and adolescents with ASD, aged 3 to 15 years, were included. CCT significantly improved social cognition, executive function, and attention. However, long-term follow-up data were limited. CCT holds potential as a complementary intervention for cognitive deficits in ASD, particularly through adaptive and immersive technologies. Future research should prioritize longitudinal designs, ecological validity, and standardized protocols to optimize clinical utility.
自闭症谱系障碍（ASD）是一种常见的神经发育障碍，常伴有认知障碍。计算机化认知训练（CCT）已成为一种可扩展且引人入胜的干预措施，以解决这些缺陷。本系统评价评估了CCT对改善ASD儿童和青少年认知功能的疗效。从数据库建立至2025年2月24日，对七个数据库进行了全面检索，并辅以手工检索。共纳入15项研究，涉及763名3至15岁的ASD儿童和青少年。CCT显著改善了社会认知、执行功能和注意力。然而，长期随访数据有限。CCT作为ASD认知缺陷的辅助干预措施具有潜力，特别是通过自适应和沉浸式技术。未来的研究应优先考虑纵向设计、生态效度和标准化方案，以优化临床应用。
