Specific cognitive flexibility rehabilitation in schizophrenia

Delahunty, Ann; Morice, Rodney; Frost, Barry P.

doi:10.1017/s0033291700039015

Cited by 76 publications

(36 citation statements)

References 33 publications

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“…A review of treatments to address impairments in cognitive flexibility in other clinical populations (schizophrenia, pathological gambling, anorexia nervosa) indicates that both pharmacological interventions (Grant, Chamberlain, Odlaug, Potenza, & Kim, 2010;Pardo et al, 2011) and cognitive remediation (Delahunty, Morice, & Frost, 1993;Tchanturia, Davies, & Campbell, 2007;Wykes et al, 2007) can be effective.…”

Section: Treating Impairments In Cognitive Flexibilitymentioning

confidence: 99%

Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review

Whiting

Deane

Simpson

et al. 2015

Neuropsychological Rehabilitation

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This paper provides a selective review of cognitive and psychological flexibility in the context of treatment for psychological distress after traumatic brain injury, with a focus on acceptance-based therapies. Cognitive flexibility is a component of executive function that is referred to mostly in the context of neuropsychological research and practice. Psychological flexibility, from a clinical psychology perspective, is linked to health and well-being and is an identified treatment outcome for therapies such as acceptance and commitment therapy (ACT). There are a number of overlaps between the constructs. They both manifest in the ability to change behaviour (either a thought or an action) in response to environmental change, with similarities in neural substrate and mental processes. Impairments in both show a strong association with psychopathology. People with a traumatic brain injury (TBI) often suffer impairments in their cognitive flexibility as a result of damage to areas controlling executive processes but have a positive response to therapies that promote psychological flexibility. Overall, psychological flexibility appears a more overarching construct and cognitive flexibility may be a subcomponent of it but not necessarily a pre-requisite. Further research into therapies which claim to improve psychological flexibility, such as ACT, needs to be undertaken in TBI populations in order to clarify its utility in this group.

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Section: Treating Impairments In Cognitive Flexibilitymentioning

confidence: 99%

Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review

Whiting

Deane

Simpson

et al. 2015

Neuropsychological Rehabilitation

View full text Add to dashboard Cite

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“…Although the eventual performance goal is identical, the remediation curriculum can take either a sequential or parallel approach to the objective (Delahunty et al 1993;Velligan et al 2006). "Bottom-up" programs gradually progress through a hierarchy of abilities from the so-called elementary cognitive domains of basic attention, reaction time and working memory, to more complex executive abilities such as abstract reasoning, sequencing and problem-solving (Kurtz et al 2007;Rund and Borg 1999).…”

Section: Instructional Techniques and Cognitive Remediation Outcomesmentioning

confidence: 99%

Cognitive Remediation in Schizophrenia

2009

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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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“…The materials used were hand-picked from the set-shifting module in Delahunty & Morice’s “ A training programme for the remediation of cognitive deficits in schizophrenia ” [26], and gradually thereafter, novel materials were developed and assembled in CRT manuals specifically tailored to remediate cognitive weaknesses in females with AN (e.g. [27]).…”

Section: Introductionmentioning

confidence: 99%

A systematic review of cognitive remediation therapy for anorexia nervosa - development, current state and implications for future research and clinical practice

Dahlgren

Rø

2014

J Eat Disord

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ObjectiveTo systematically review studies of cognitive remediation therapy (CRT) for anorexia nervosa (AN), and to discuss findings with references to clinical practice and future research.MethodThe literature was reviewed using the PubMed, Web of Science and PsycINFO search terms “cognitive remediation therapy” AND “anorexia nervosa”. Papers published online between 2005 and 2013 were selected on the basis of three inclusion criteria: 1) studies of any design focusing on CRT for AN, 2) papers that were written in English or had an available published English translation, and 3) papers published in peer reviewed journals.ResultsA total of 45 papers were identified of which 21 were recognized as being relevant for the review. Relevant papers were divided into three different categories 1) single case reports, 2) case series and 3) randomised controlled trials (RCTs). Single case studies and case series yielded strong evidence of feasibility and acceptability of CRT for AN despite great variety in sample compositions. Four RCTs demonstrate that CRT has the potential of enhancing the effectiveness of current treatments, reduce attrition, increase cognitive set-shifting abilities and quality of life, as well as reduce eating disorder psychopathology.DiscussionThe number of CRT studies published is growing rapidly, in particular RCTs. Further research is needed to define the primary aim of delivering CRT to patients with eating disorders, and to establish how to best measure the effect of the intervention. Moreover, researchers and clinicians should focus on identifying and assessing specific versus non-specific CRT contributions, and explore long-term effects of the intervention. It is imperative that adolescent RCTs are conducted to evaluate how CRT may be effective as a treatment for this young patient group.

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Specific cognitive flexibility rehabilitation in schizophrenia

Cited by 76 publications

References 33 publications

Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review

Cognitive and psychological flexibility after a traumatic brain injury and the implications for treatment in acceptance-based therapies: A conceptual review

Cognitive Remediation in Schizophrenia

A systematic review of cognitive remediation therapy for anorexia nervosa - development, current state and implications for future research and clinical practice

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