Journal Article10.1007/S11065-009-9097-Y
Cognitive Remediation in Schizophrenia
Alice Medalia,Jimmy Choi +1 more
TL;DR: Cognitive remediation is a therapy which engages the patient in learning activities that enhance the neurocognitive skills relevant to their chosen recovery goals, and programs vary in the extent to which they reflect these narrow or broader perspectives.
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Abstract: Cognitive deficits are routinely evident in schizophrenia, and are of sufficient magnitude to influence functional outcomes in work, social functioning and illness management. Cognitive remediation is an evidenced-based non-pharmacological treatment for the neurocognitive deficits seen in schizophrenia. Narrowly defined, cognitive remediation is a set of cognitive drills or compensatory interventions designed to enhance cognitive functioning, but from the vantage of the psychiatric rehabilitation field, cognitive remediation is a therapy which engages the patient in learning activities that enhance the neurocognitive skills relevant to their chosen recovery goals. Cognitive remediation programs vary in the extent to which they reflect these narrow or broader perspectives but six meta-analytic studies report moderate range effect sizes on cognitive test performance, and daily functioning. Reciprocal interactions between baseline ability level, the type of instructional techniques used, and motivation provide some explanatory power for the heterogeneity in patient response to cognitive remediation.
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Citations
Cognitive dysfunction in psychiatric disorders: characteristics, causes and the quest for improved therapy
Millan Mark,Yves Agid,Martin Brüne,Edward T. Bullmore,Cameron S. Carter,Nicola S. Clayton,Richard C. Connor,Sabrina Davis,Bill Deakin,Robert J. DeRubeis,Bruno Dubois,Mark A. Geyer,Guy M. Goodwin,Philip Gorwood,Thérèse M. Jay,Marian Joëls,Isabelle M. Mansuy,Andreas Meyer-Lindenberg,Declan G. Murphy,Edmund T. Rolls,Bernd Saletu,Michael Spedding,John A. Sweeney,Miles A. Whittington,Larry J. Young +24 more
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Designing Serious Game Interventions for Individuals with Autism
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RESEARCH: Cognitive rehabilitation for bipolar disorder: An open trial for employed patients with residual depressive symptoms.
Thilo Deckersbach,Andrew A. Nierenberg,Ronald C. Kessler,Hannah G. Lund,Rebecca M. Ametrano,Gary S. Sachs,Scott L. Rauch,Scott L. Rauch,Darin D. Dougherty +8 more
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TL;DR: Evaluated IPT under varying treatment and research conditions in academic and nonacademic sites indicates that IPT is an effective rehabilitation approach for schizophrenia that is robust across a wide range of patients and treatment conditions.
Effects on the brain of a psychological treatment: cognitive remediation therapy: functional magnetic resonance imaging in schizophrenia.
Til Wykes,Michael Brammer,John D. C. Mellers,Peter Bray,Clare Reeder,Clare Williams,Julia Corner +6 more
TL;DR: This is the first time that brain activation changes in a seriously disabled group of patients with schizophrenia can be associated clearly with psychological rather than pharmacological therapy.
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What Predicts a Good Response to Cognitive Remediation Interventions
Alice Medalia,Randall Richardson +1 more
TL;DR: There is evidence that to some extent patient and treatment variables intertwine to produce a positive response to cognitive remediation, and treatment intensity appears to be especially salient.
Approaches to cognitive remediation of neuropsychological deficits in schizophrenia: a review and meta-analysis.
TL;DR: A review and critique of the literature pertaining to the use of cognitive remediation techniques in patients with schizophrenia is presented, with mixed evidence suggesting that practice-based attention drills can improve performance on measures of sustained attention in schizophrenia.
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Cognitive remediation therapy (CRT) for young early onset patients with schizophrenia: An exploratory randomized controlled trial
TL;DR: Evaluating the efficacy of CRT in alleviating cognitive deficits compared to treatment as usual and exploring the mediating and moderating effects of cognitive improvement found it can contribute to the improvement in WCST even in adolescents.
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