Current Status of Cognitive Remediation for Psychiatric Disorders: A Review

Abstract

Cognition is an important factor that affects daily functioning and quality of life. Impairment in cognitive function is a common symptom present in various psychological disorders, which hinders patients from functioning normally. Given that cognitive impairment has devastating effects, enhancing this in patients should lead to improvements in compromised quality of life and functioning, including vocational functioning. Over the past 50 years, several attempts have been made to improve impaired cognition, and empirical evidence for cognitive remediation (CR) has accumulated that supports its efficacy for treating schizophrenia. More recently, CR has been successfully applied in the treatment of depressive disorders, bipolar disorders, attention deficit/hyperactivity disorder, and anorexia nervosa. This study critically reviews recent CR studies and suggests their future direction. This study aimed to provide a modern definition of CR, and examine the current status of empirical evidence and representative CR programs that are widely used around the world.

Cognitive enhancement interventions for people with bipolar disorder: A systematic review of methodological quality, treatment approaches, and outcomes

“…Methodology varied significantly among the included reports and quality ratings were moderate on average. Cognitive enhancement interventions showed positive findings for cognitive and functional outcomes, but these were not robust and can only be considered preliminary, which is in line with recent relevant reviews …”

Cognitive remediation therapy of working memory in addictive disorders: An individualized, tailored, and recovery-oriented approach

“…Although this research is still in its infancy [26], increasing evidence suggests that patients with addictive disorders may benefit from cognitive remediation therapy of working memory (or other cognitive processes). Nevertheless, controversies regarding its efficacy have emerged.…”

Deconstructing Cognitive Heterogeneity in Puerto Rican Spanish-Speaking Children With ADHD

“…For example, findings may help provide direction for prescription of cognitive remediation interventions designed to target attention, working memory, and other cognitive deficits in ADHD. Currently, there is mixed support regarding whether not neurocognitive remediation training improves working memory and sustained attention in non-Hispanic children with ADHD (Johnstone et al, 2012;Kim et al, 2018;Orban et al, 2014;Rapport et al, 2013). Among Puerto Rican children, a recent study by Medina (2018) found preliminary evidence that cognitive training improves reading and other cognitive processes (e.g., attention, successive processing, and simultaneous processing).…”