Specific vs general cognitive remediation for executive functioning in schizophrenia: A multicenter randomized trial

Franck, Nicolás; Duboc, Chloé; Sundby, Charlotte; Amado, Isabelle; Wykes, Til; Demily, Caroline; Launay, C; Roy, Vincent; Bloch, Pascal; Willard, Dominique; Todd, Aurélia; Petitjean, François; Foullu, Sandrine; Briant, Patrick; Grillon, Marie-Laure; Deppen, Patricia; Verdoux, Hélène; Bralet, Marie-Cécile; Januel, Dominique; Riche, Benjamin; Roy, Pascal; Vianin, Pascal

doi:10.1016/j.schres.2013.03.009

Cited by 78 publications

(50 citation statements)

References 27 publications

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“…The procedures used in this way in France are attention-concentration, topological memory, logical reasoning and shopping in the domain of executive functions. In a randomized trial with control patients [18,19], cognitive performance concerning Attention/vigilance, verbal working memory and verbal learning memory and problem solving improved significantly in the remediation condition when no difference was report in the control condition. But, this study shows that benefits of training did not generalize to functional outcome measures.…”

Section: Cognitive Neuropsychology Of Psychosis and Cognitive Remediamentioning

confidence: 90%

“…After a neuropsychological evaluation for each patient, exercises are adapted to improve only altered cognitive functions: working, verbal and visual space memory, attention an problems solving for example. In a multicenter randomized trial between RECOS and CRT [18], they are both effective in improving cognitive functioning in schizophrenia. The collateral positive effects on symptoms, the awareness of cognitive troubles in both groups, the working memory in CRT arm, and the self-esteem in RECOS arm are concrete benefits for patients.…”

Section: Cognitive Neuropsychology Of Psychosis and Cognitive Remediamentioning

confidence: 99%

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Cognitive Remediation to Take Care of Schizophrenic Patients Today

Lacoste¹

2015

J Neurol Disord

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This article is about specificity of schizophrenia care with the evolution of these last years and the help of Cognitive Remediation to improve the quality of life and the insertion of these patients. First, we describe the criteria of international classifications (DSM V and ICD 10) and the fact that they are not completely the same. To illustrate this limit, we define the frequent case of brief psychosis, it can be an isolate episode in a life or not. Sometimes, the evolution is the chronic illness. Then, the cognitive approach is a new definition of psychotic disorders. The question is how to help these patients to adapt their cognition with the society and how to help them to compensate their deficits. Here, are described more precisely IPT, CRT, RECOS, REHACOM® and RC2S programs with the necessity of a personal accompaniment. Explain them the trouble is essential and depend of the singularity of each subject in his own culture and family history. Randomized studies show that Cognitive Remediation, new medications and psychotherapies are supplementary to cure schizophrenia and psychosis as an illness like any other.

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Section: Cognitive Neuropsychology Of Psychosis and Cognitive Remediamentioning

confidence: 90%

Section: Cognitive Neuropsychology Of Psychosis and Cognitive Remediamentioning

confidence: 99%

Cognitive Remediation to Take Care of Schizophrenic Patients Today

Lacoste¹

2015

J Neurol Disord

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“…In the field of neurocognition, the use of specific computer programs for cognitive remediation has become very popular within the past few years (Lindenmayer et al, 2008; Franck et al, 2013; Vianin, 2013). These programs have many advantages, such as their ability to adapt the difficulty level to the specific skills of each patient, to give immediate feedback concerning performance, and to readjust the reinforcement methods used (Tomas et al, 2010).…”

Section: Advantages Of Computer Technologies In Cognitive Remediationmentioning

confidence: 99%

RC2S: A Cognitive Remediation Program to Improve Social Cognition in Schizophrenia and Related Disorders

Peyroux

Franck

2014

Front. Hum. Neurosci.

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In people with psychiatric disorders, particularly those suffering from schizophrenia and related illnesses, pronounced difficulties in social interactions are a key manifestation. These difficulties can be partly explained by impairments in social cognition, defined as the ability to understand oneself and others in the social world, which includes abilities such as emotion recognition, theory of mind (ToM), attributional style, and social perception and knowledge. The impact of several kinds of interventions on social cognition has been studied recently. The best outcomes in the area of social cognition in schizophrenia are those obtained by way of cognitive remediation programs. New strategies and programs in this line are currently being developed, such as RC2S (cognitive remediation of social cognition) in Lyon, France. Considering that the social cognitive deficits experienced by patients with schizophrenia are very diverse, and that the main objective of social cognitive remediation programs is to improve patients’ functioning in their daily social life, RC2S was developed as an individualized and flexible program that allows patients to practice social interaction in a realistic environment through the use of virtual reality techniques. In the RC2S program, the patient’s goal is to assist a character named Tom in various social situations. The underlying idea for the patient is to acquire cognitive strategies for analyzing social context and emotional information in order to understand other characters’ mental states and to help Tom manage his social interactions. In this paper, we begin by presenting some data regarding the social cognitive impairments found in schizophrenia and related disorders, and we describe how these deficits are targeted by social cognitive remediation. Then we present the RC2S program and discuss the advantages of computer-based simulation to improve social cognition and social functioning in people with psychiatric disorders.

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“…One study found gains in all cognitive domains, but significantly greater ones in trained domains [10]. Another study compared higher-level training that targets specific deficit areas (Recos) to general higher-level CR training and found both groups improved on executive functioning, and there was no evidence to support either a specific or general approach to higher-level CR [11]. Regarding generalization to functional outcomes, the recent research also indicates that gains tend to generalize to real-world skills.…”

Section: Higher-level Cr Approachesmentioning

confidence: 99%