Cognitive Remediation for Psychological Disorders

Medalia, Alice; Revheim, Nadine; Herlands, Tiffany

doi:10.1093/med:psych/9780195383713.001.0001

Cited by 91 publications

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“…Functional achievement of the patients with psychotic disorders is reported to be less than 85% of the general population's scores in cognitive tests (1). Thus, cognitive impairment persists even after the patient is clinically stable; on the other hand, medications do not significantly improve cognitive impairments in schizophrenia (2).…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Computer-Assisted Cognitive Remediation on Improving Cognitive Functions in Patients with Schizophrenia: A Before-After Study

Sharifi

Sedighnia

Ataie

et al. 2016

Iran J Psychiatry Behav Sci

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Background: Cognitive impairment is a chronic and disabling manifestation of schizophrenia. Objectives: This before-after study was conducted to examine the effect of a short course computer-assisted cognitive remediation on improving cognitive functions of patients with schizophrenia. Materials and Methods: Twenty patients with schizophrenia were enrolled into the study. The intervention consisted of 10 onehour sessions held 2-3 times a week, using the Cogpack software that includes tasks to improve attention, memory, and executive function. The patients' cognitive functioning was assessed before and after the remediation, using tests in the CANTAB battery, including stop signal task (SST) and choice reaction time (CRT) to assess attention levels, pattern recognition memory (PRM) and Paired associate learning (PAL) to examine memory, and stocking of Cambridge (SOC) and intra-extra dimensional task (IED) to evaluate executive function. Results: IED and SOC revealed a statistically significant improvement in executive function after the intervention. PAL revealed a significant improvement in memory functioning in most aspects after the intervention, while PRM did not. CRT showed a significant improvement in some aspects of attention and concentration after the intervention, while SST did not. Conclusions: This before-after study revealed that a relatively short course of a computer-assisted cognitive remediation can be applied to improve several aspects of cognitive functioning in patients with schizophrenia. A randomized controlled trial is required to establish the effectiveness of the intervention.

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Section: Introductionmentioning

confidence: 99%

The Effect of a Computer-Assisted Cognitive Remediation on Improving Cognitive Functions in Patients with Schizophrenia: A Before-After Study

Sharifi

Sedighnia

Ataie

et al. 2016

Iran J Psychiatry Behav Sci

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“…Cognitive Remediation Therapy (CRT) is a treatment that focuses on the process rather than the content of thought and perception [1]- [4]. Presently, almost all hospitals have been using the CRT games to treat their mental illness patients.…”

Section: Introductionmentioning

confidence: 99%

Game Based Learning on Android Platform: Cognitive Remediation Therapy Games

Hamzah¹,

Khairil²

2017

IJCTE

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“…Entre estos dos tipos de tratamiento, se ha comprobado la eficacia de los tratamiento neurocognitivos (Wykes y Reeder, 1999;Delahunty y Morice, 1996;Roder, 2006;Moritz, et al, 2007;Medalia et al, 2009;Penadés y Gastó, 2010) y la baja eficacia de los tratamientos farmacológicos (miyamoto et al, 2004;Goff et al, 2011) en reducir las alteraciones cognitivas. Nace así el concepto de rehabilitación neurocognitiva, como el conjunto de técnicas psicológicas empleadas para la mejora de las funciones neurocognitivas como la atención, la memoria, el lenguaje y las funciones ejecutivas con un claro objetivo de generalización y durabilidad (Penadés y Gastó, 2009).…”

Section: Introductionunclassified

“…Dentro del variado abanico de programas de rehabilitación cognitiva (Delahunty y Morice, 1996;Roder, 2006;Moritz et al, 2007;Medalia et al, 2009), destaca la terapia denominada por las autoras Wykes y Reeder «Terapia de rehabilitación cognitiva» («Cognitive Remediation Therapy», 2007). La cRt se basa en la enseñanza individualizada de una serie de estrategias de procesamiento de la información a través de la práctica de una serie de ejercicios o problemas como medio para aprender estrategias cognitivas que facilitarán procesos de compensación y recuperación neurocognitiva en un ambiente de aprendizaje sin error.…”

Section: Introductionunclassified

Programa de rehabilitación neurocognitiva para pacientes con trastorno mental grave

Sutu¹,

Moro-Ipola²,

Mezquita³

2015

AgoraSalut

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ResumenIntroducción: El deterioro cognitivo es un síntoma central en trastornos mentales graves como la esquizofrenia y el trastorno bipolar, con un impacto negativo en el funcionamiento psicosocial. En la literatura científica reciente se destaca la importancia de encontrar un método no farmacológico que mejore estas funciones. El objetivo del presente estudio es dar un primer apoyo empírico a la eficacia del programa de rehabilitación cognitiva, «Pon en forma tus neuronas», desarrollado para tratar las alteraciones cognitivas en pacientes con trastorno mental grave. Método: La muestra está formada por 6 hombres y 2 mujeres, con una edad media de 35,9 años (Dt = 8,47). Los diagnósticos son de esquizofrenia en 6 casos, 1 síndrome de Asperger y otro trastorno esquizoafectivo. Se administró una batería de pruebas neuropsicológicas antes y después del tratamiento neurocognitivo. Se calcularon correlaciones, pruebas T y las des de Cohen entre las puntuaciones obtenidas en las pruebas antes y después del tratamiento. Resultados: Los resultados mostraron correlaciones significativas y en la dirección esperada entre la evaluación pre-y el postratamiento en aVlt, Figura de Rey, y Clave de números y Dígitos del wais-iii. Además, encontramos tamaños del efecto moderados para el aVlt a largo plazo (0,73) y tamaños del efecto elevados en Figuras Incompletas del wais (0,92). Conclusiones: Aunque se trata de un estudio piloto con una muestra muy pequeña, los resultados indican que el tratamiento neurocognitivo mejora las funciones de percepción y memoria (de trabajo, visual y verbal) en personas con trastorno mental grave.Palabras clave: trastorno mental grave, rehabilitación neurocognitiva, alteraciones cognitivas, funciones cognitivas. abstract Introduction: Cognitive impairment is a core symptom in severe mental disorders like schizophrenia and bipolar disorders, with a significant impact on psychosocial function. Recent scientific literature on this topic points out the importance of discovering a nonpharmacological treatment to improve these functions. The objective of the present study is to bring empirical evidence on the efficacy of a cognitive remediation program, «Pon en forma tus neuronas», developed to treat cognitive impairment in patients suffering from a severe mental disorder. method: The sample was formed by six men and two women with a median age of 35,9 years old (SD= 8,47). Six of them suffer from Schizophrenia, whereas one suffers from Asperger's Syndrome and another one from Schizoaffective Disorder. They were administered various neuropsychological tests pre» and post» treatment. The difference between the baseline and post treatment measures was evaluated by correlation analysis and Cohen's «ds». Results: Baseline and post-treatment results correlated significantly in the expected direction in aVlt, Rey Figure Test, Numbers key and wais-iii Numbers. Moreover, moderate effect size was found for long term aVlt (0.73) and for «Incomplete figures» (0.92). Conclusion: Although we stay in front of a pilot st...

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Cognitive Remediation for Psychological Disorders

Cited by 91 publications

References 0 publications

The Effect of a Computer-Assisted Cognitive Remediation on Improving Cognitive Functions in Patients with Schizophrenia: A Before-After Study

The Effect of a Computer-Assisted Cognitive Remediation on Improving Cognitive Functions in Patients with Schizophrenia: A Before-After Study

Game Based Learning on Android Platform: Cognitive Remediation Therapy Games

Programa de rehabilitación neurocognitiva para pacientes con trastorno mental grave

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