Neurocognitive and Self-efficacy Benefits of Cognitive Remediation in Schizophrenia: A Randomized Controlled Trial

Abstract

Computer-assisted drill-and-strategy CR in schizophrenia improved cognitive test performance, while participation in both CR and CG playing promoted enhancements in everyday self-efficacy. Changes in independent living skills did not appear to result from CR, however. Adjunctive psychosocial rehabilitation is likely necessary for improvements in real-world community functioning to be achieved. (JINS, 2018, 24, 549-562).

Compensatory Cognitive Training for Psychosocial Outcomes and Self-Stigma in Individuals With Schizophrenia: A Randomized Controlled Trial Study

“…Contrary to initial predictions, there were no significant effects in self-efficacy between CCT and TAU groups. Bryce et al indicated that participants in cognitively and socially engaging groups may have enhanced confidence in their abilities to undertake activities 7. Because both CCT and TAU groups contained cognitive and social activities, participants in both groups may report improvements in self-efficacy at 10 weeks in our study.…”

Compensatory Cognitive Training for Psychosocial Outcomes and Self-Stigma in Individuals With Schizophrenia: A Randomized Controlled Trial Study

“…Contrary to initial predictions, there were no significant effects in self-efficacy between CCT and TAU groups. Bryce et al indicated that participants in cognitively and socially engaging groups may have enhanced confidence in their abilities to undertake activities 7. Because both CCT and TAU groups contained cognitive and social activities, participants in both groups may report improvements in self-efficacy at 10 weeks in our study.…”

Factors Impacting Access and Engagement of Cognitive Remediation Therapy for People with Schizophrenia: A Systematic Review

“…No significant differences were observed in demographic variables (gender, 47,48 age, 13,47–49 years of education, 13,48 IQ, 13 employment/occupational status, 47,49 or living situation 47 ) in all studies comparing dropouts to completers.…”

Exploring Heterogeneity on the Wisconsin Card Sorting Test in Schizophrenia Spectrum Disorders: A Cluster Analytical Investigation

“…Participants classified as having relatively intact performance on the WCST were more likely to be either employed or currently studying, with the two impaired subgroups exhibiting similar levels of functional impairment. The identification of three distinct profiles of cognitive flexibility also encourages the consideration of EF heterogeneity when developing, implementing, and evaluating psychosocial and cognitive interventions (Bryce et al, 2018;Cella et al, 2014;Wykes et al, 2007). Several studies report the functional benefits of interventions targeting cognitive flexibility (Farreny et al, 2012;Penadés et al, 2010), which could likely be influenced by the within-group variability identified here.…”

Compensatory Cognitive Training for Psychosocial Outcomes and Self-Stigma in Individuals With Schizophrenia: A Randomized Controlled Trial Study

“…Contrary to initial predictions, there were no significant effects in self-efficacy between CCT and TAU groups. Bryce et al indicated that participants in cognitively and socially engaging groups may have enhanced confidence in their abilities to undertake activities 7. Because both CCT and TAU groups contained cognitive and social activities, participants in both groups may report improvements in self-efficacy at 10 weeks in our study.…”

Factors Impacting Access and Engagement of Cognitive Remediation Therapy for People with Schizophrenia: A Systematic Review

“…No significant differences were observed in demographic variables (gender, 47,48 age, 13,47–49 years of education, 13,48 IQ, 13 employment/occupational status, 47,49 or living situation 47 ) in all studies comparing dropouts to completers.…”

Exploring Heterogeneity on the Wisconsin Card Sorting Test in Schizophrenia Spectrum Disorders: A Cluster Analytical Investigation

“…Participants classified as having relatively intact performance on the WCST were more likely to be either employed or currently studying, with the two impaired subgroups exhibiting similar levels of functional impairment. The identification of three distinct profiles of cognitive flexibility also encourages the consideration of EF heterogeneity when developing, implementing, and evaluating psychosocial and cognitive interventions (Bryce et al, 2018;Cella et al, 2014;Wykes et al, 2007). Several studies report the functional benefits of interventions targeting cognitive flexibility (Farreny et al, 2012;Penadés et al, 2010), which could likely be influenced by the within-group variability identified here.…”

Compensatory Cognitive Training for Psychosocial Outcomes and Self-Stigma in Individuals With Schizophrenia: A Randomized Controlled Trial Study

“…Contrary to initial predictions, there were no significant effects in self-efficacy between CCT and TAU groups. Bryce et al indicated that participants in cognitively and socially engaging groups may have enhanced confidence in their abilities to undertake activities 7. Because both CCT and TAU groups contained cognitive and social activities, participants in both groups may report improvements in self-efficacy at 10 weeks in our study.…”

Factors Impacting Access and Engagement of Cognitive Remediation Therapy for People with Schizophrenia: A Systematic Review

“…No significant differences were observed in demographic variables (gender, 47,48 age, 13,47–49 years of education, 13,48 IQ, 13 employment/occupational status, 47,49 or living situation 47 ) in all studies comparing dropouts to completers.…”

Exploring Heterogeneity on the Wisconsin Card Sorting Test in Schizophrenia Spectrum Disorders: A Cluster Analytical Investigation

“…Participants classified as having relatively intact performance on the WCST were more likely to be either employed or currently studying, with the two impaired subgroups exhibiting similar levels of functional impairment. The identification of three distinct profiles of cognitive flexibility also encourages the consideration of EF heterogeneity when developing, implementing, and evaluating psychosocial and cognitive interventions (Bryce et al, 2018;Cella et al, 2014;Wykes et al, 2007). Several studies report the functional benefits of interventions targeting cognitive flexibility (Farreny et al, 2012;Penadés et al, 2010), which could likely be influenced by the within-group variability identified here.…”