Effects of Computerized Cognitive Training in Children and Adolescents with Autism Spectrum Disorder: A Systematic Review.

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.