Evidence map›Paper›PMID 24089423›Full record

Trial reportAutism : the international journal of research and practice2014

Group cognitive behavioural therapy and group recreational activity for adults with autism spectrum disorders: a preliminary randomized controlled trial.

Eva Hesselmark, Stephanie Plenty, Susanne Bejerot

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Autism : the international journal of research and practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01655173 nacompletednot on this map

Cognitive Behavioural Therapy and Recreational Activity for Adults With Autism Spectrum Disorders. A Randomized Controlled Trial.

TypeinterventionalSponsorKarolinska InstitutetRan2005 to 2011Enrolled68ConditionsAsperger Syndrome, Autistic Disorder, Atypical AutismArmsCognitive behaviour therapy, Recreational activity intervention
NCT03570372 nacompletednot on this mapstarted 2018, after this paper: background citation

Internet-based Treatment for Adults With Autism Spectrum Disorder (MILAS)

TypeinterventionalSponsorÖrebro County CouncilRan2018 to 2020Enrolled84ConditionsAutism Spectrum DisorderArmsInternet-based treatment for adults with autism spectrum, Psychoeducation about autism spectum disorder
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Interventions to address health outcomes among autistic adults: A systematic review.Autism : the international journal of research and practice · 2020
    Pooled it
  5. Trial
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  13. Involvement of Autistic Adults in Recreational Activities.Journal of autism and developmental disorders · 2026
    Article
  14. Article
  15. Advances in neurodevelopmental disorders · 2025
    Article
  16. MilitaryAdvances in neurodevelopmental disorders · 2025
    Article
  17. Advances in neurodevelopmental disorders · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Eva HesselmarkDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden ehesselmark@gmail.com.
Stephanie PlentyDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Susanne BejerotDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden Northern Stockholm Psychiatry, VUB/KogNUS, St Göran Hospital, Stockholm, Sweden.
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although adults with autism spectrum disorder are an increasingly identified patient population, few treatment options are available. This preliminary randomized controlled open trial with a parallel design developed two group interventions for adults with autism spectrum disorders and intelligence within the normal range: cognitive behavioural therapy and recreational activity. Both interventions comprised 36 weekly 3-h sessions led by two therapists in groups of 6-8 patients. A total of 68 psychiatric patients with autism spectrum disorders participated in the study. Outcome measures were Quality of Life Inventory, Sense of Coherence Scale, Rosenberg Self-Esteem Scale and an exploratory analysis on measures of psychiatric health. Participants in both treatment conditions reported an increased quality of life at post-treatment (d = 0.39, p < 0.001), with no difference between interventions. No amelioration of psychiatric symptoms was observed. The dropout rate was lower with cognitive behavioural therapy than with recreational activity, and participants in cognitive behavioural therapy rated themselves as more generally improved, as well as more improved regarding expression of needs and understanding of difficulties. Both interventions appear to be promising treatment options for adults with autism spectrum disorder. The interventions' similar efficacy may be due to the common elements, structure and group setting. Cognitive behavioural therapy may be additionally beneficial in terms of increasing specific skills and minimizing dropout.

Indexed as

AdultAsperger SyndromeAutistic DisorderChild Development Disorders, PervasiveCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPsychotherapy, GroupQuality of LifeRecreation TherapyYoung AdultadultAsperger disorderautismcognitive behaviour therapygrouprandomized controlled trial

Identifiers

PMID24089423
PMCPMC4230566
OpenAlexW2111548096

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.