Supplementing intensive targeted computerized cognitive training with social cognitive exercises for people with schizophrenia: An interim report
| Autor: | Mor Nahum, Sophia Vinogradov, Abby Rowlands, Benjamin Brandrett, Elizabeth Howard, Joshua D. Woolley, Amy Kermott, Melissa Fisher |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 6.6 Psychological and behavioural Clinical Trials and Supportive Activities Clinical Sciences Health Professions (miscellaneous) Article 03 medical and health sciences 0302 clinical medicine Computer-Assisted Double-Blind Method Social cognition Clinical Research Behavioral and Social Science medicine Humans Cognitive rehabilitation therapy Psychiatry Rehabilitation Neurosciences Evaluation of treatments and therapeutic interventions Cognition Middle Aged medicine.disease Serious Mental Illness Cognitive training Cognitive Remediation 030227 psychiatry Brain Disorders Psychiatry and Mental health Treatment Outcome Mental Health Social Perception Psychotic Disorders Cognitive remediation therapy Schizophrenia Therapy Computer-Assisted Female Therapy Psychology Neurocognitive 030217 neurology & neurosurgery Social cognitive theory Clinical psychology |
| Zdroj: | Psychiatric rehabilitation journal, vol 40, iss 1 |
| Popis: | Objective Individuals with schizophrenia demonstrate cognitive, social cognitive, and motivational deficits that contribute to impairment in real-world functioning. In the current study, we investigated the effects of supplementing computerized neurocognitive training with social cognitive exercises, as compared with neurocognitive training alone. Method In this ongoing, double-blind, randomized controlled trial of 111 participants with psychosis, we compare the effects of supplementing intensive targeted cognitive training with social cognitive training exercises (TCT + SCT) with the effects of targeted cognitive training alone (TCT-only). Participants were assessed on cognition, symptoms, functional capacity, and functional outcomes, as well as social cognition and measures related to reward processing. Results Both treatment groups showed significant improvement in multiple cognitive domains and improvement in functional capacity. However, as predicted, TCT + SCT group participants showed significant improvement in prosody identification and reward processing relative to TCT-only participants. Conclusions and implications for practice Our findings indicate that supplementing intensive computerized cognitive training with social cognitive exercises in people with psychosis confers greater benefits in prosody identification and reward processing relative to cognitive training alone, even though both approaches drive significant improvements in cognition and functional capacity. Impairments in both prosody identification and reward processing have been associated with greater negative symptoms and poorer functional outcomes in schizophrenia, raising the possibility that this form of treatment may lead to better long-term outcomes than traditional cognitive training approaches. Follow-up assessments will determine whether results are durable and generalize over time to improvements in symptoms and functioning. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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