Cognitive remediation for adolescents with early onset psychosis: a 1‐year follow‐up study

Ueland, Torill; Rund, Bjørn Rishovd

doi:10.1111/j.1600-0447.2004.00503.x

Cited by 76 publications

(52 citation statements)

References 45 publications

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“…Two such issues deserve special consideration: the evaluation of the persistence of remediation effects on cognitive functioning and the assessment of the impact of remediation on functional outcomes. Despite the number of controlled studies of cognitive remediation, only six studies (16,19,21,(28)(29)(30) examined whether improvements in cognitive functioning were maintained at a posttreatment follow-up, precluding the exploration of moderators of treatment effects. The relative lack of data addressing this question may be important because different program, patient, or setting factors could influence the long-term maintenance of cognitive effects compared to short-term effects.…”

Section: Discussionmentioning

confidence: 99%

“…Six studies also reported cognitive data at follow-up (16,19,21,(28)(29)(30). For these studies, the average effect size at posttreatment was 0.56 (t=4.8, df=5, p<0.001, CI=0.33-0.79; Q=3.4, df=5, n.s.…”

Section: Effects On Cognitive Performancementioning

confidence: 99%

“…Some programs that provided training in social cognition employed a combination of cognitive remediation and other rehabilitation approaches, such as social skills training (19,20), whereas others employed strictly cognitive remediation methods, such as computerbased training tasks (21). The number of hours of social cognition training was included in the total number of cognitive remediation hours only for the programs that did not combine the training with another rehabilitation approach.…”

Section: Moderator Variablesmentioning

confidence: 99%

See 2 more Smart Citations

A Meta-Analysis of Cognitive Remediation in Schizophrenia

McGurk¹,

Twamley²,

Sitzer³

et al. 2007

AJP

1,067

830

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Objective-This study evaluated the effects of cognitive remediation for improving cognitive performance, symptoms, and psychosocial functioning in schizophrenia.Method-A meta-analysis was conducted of 26 randomized, controlled trials of cognitive remediation in schizophrenia including 1,151 patients.Results-Cognitive remediation was associated with significant improvements across all three outcomes, with a medium effect size for cognitive performance (0.41), a slightly lower effect size for psychosocial functioning (0.36), and a small effect size for symptoms (0.28). The effects of cognitive remediation on psychosocial functioning were significantly stronger in studies that provided adjunctive psychiatric rehabilitation than in those that provided cognitive remediation alone.Conclusions-Cognitive remediation produces moderate improvements in cognitive performance and, when combined with psychiatric rehabilitation, also improves functional outcomes.Cognitive impairment is a core feature of schizophrenia, with converging evidence showing that it is strongly related to functioning in areas such as work, social relationships, and independent living (1, 2). Furthermore, cognitive functioning is a robust predictor of response to psychiatric rehabilitation (i.e., systematic efforts to improve the psychosocial functioning of persons with severe mental illness) (3), including outcomes such as work, social skills, and self-care (1,4,5). Because of the importance of cognitive impairment in schizophrenia, it has been identified as an appropriate target for interventions (6).Currently available pharmacological treatments have limited effects on cognition in schizophrenia (7,8) and even less impact on community functioning (9). To address the problem of cognitive impairment in schizophrenia, a range of cognitive remediation programs has been developed and evaluated over the past 40 years. These programs employ a variety of methods, such as drill and practice exercises, teaching strategies to improve cognitive functioning, compensatory strategies to reduce the effects of persistent cognitive impairments, and group discussions. Several reviews of research on cognitive rehabilitation in schizophrenia have been published (10-13). The general conclusions from these reviews have been that cognitive remediation NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript leads to modest improvements in performance on neuropsychological tests but has no impact on functional outcomes. However, these reviews were limited by the relatively small number of studies that actually measured psychosocial functioning, precluding any definitive conclusions about the effects of cognitive remediation on psychosocial adjustment or the identification of program characteristics that may contribute to such effects. The rationale for cognitive remediation is chiefly predicated on its presumed effects on psychosocial functioning and improved response to rehabilitation. Therefore, a critical examination of the effects of cognitive ...

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Section: Discussionmentioning

confidence: 99%

Section: Effects On Cognitive Performancementioning

confidence: 99%

Section: Moderator Variablesmentioning

confidence: 99%

See 1 more Smart Citation

A Meta-Analysis of Cognitive Remediation in Schizophrenia

McGurk¹,

Twamley²,

Sitzer³

et al. 2007

AJP

1,067

830

View full text Add to dashboard Cite

show abstract

“…Although five previous trials examined the utility of cognitive remediation in patients with major psychiatric disorders, only one of them focused on BD [94][95][96][97][98][99]. The evidence base is currently insufficient to recommend cognitive remediation for wider implementation in BD, although it is possible that it may prove more beneficial for psychosocial functioning than for cognitive rehabilitation [99].…”

Section: Addressing Functional Impairment In Severe Bipolar Disordermentioning

confidence: 97%

Staging Models and Functional Outcomes in Bipolar Disorder: Clinical Implications

Passos

Kapczinski

Quevedo

et al. 2015

Curr Treat Options Psych

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“…Additionally, given that people in early schizophrenia experience impairments in cognition and functioning similar or equivalent to those evidenced by individuals in the later stages of their illness, it is thought beneficial to implement CRT as early in the course of illness as possible. Only a handful of studies examining efficacy and durability of CRT in the ARMS 55,56 and FEP 53,54,57,58 have been done to date with early evidence suggesting favourable effects.…”

Section: Cognitive Remediation Therapymentioning

confidence: 99%

Conventional and alternative preventive treatments in the first stages of schizophrenia

et al. 2015

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AUSTRALIAABSTRACT -Background and Objectives: Schizophrenia is a progressive disorder that moves through multiple stages starting from non-specific risk factors to at-risk mental state (ARMS) (also known as ultra-high risk of psychosis or UHR) to first episode of psychosis (FEP) to chronic course marred by frequent relapses and varying degrees of disability. In order to prevent a deteriorating course, treatments designed to address and possibly even correct the abnormal neuronal system functioning and psychosocial deficits need to be implemented early before potentially irreversible and maladaptive changes take place.Methods: A literature search was conducted in the electronic databases Pub-Med and MEDLINE for relevant empirical and review articles published in peer reviewed journals.Results: The review of literature suggests that a range of pharmacological and psychosocial interventions are being used and trialled in treatment of early stages of schizophrenia with varying degrees of success.Conclusions: There is a variety of therapies for schizophrenia ranging in scope from improving symptom profiles to functional recovery and a good rationale for their use early in the course of illness. Treatments that focus on integrating pharmacological, psychological and psychosocial interventions with a strong evidence base for effectiveness need to be integrated for the best chance to avert or hinder schizophrenia. Schizophrenia research is moving towards a notion that early intervention can interact with existing and intact neuroplasticity mechanisms that can be harnessed in an adaptive manner to promote healthier neural system functioning and increased stress resiliency, which will in turn lead to symptom reduction and functional recovery.

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Cognitive remediation for adolescents with early onset psychosis: a 1‐year follow‐up study

Cited by 76 publications

References 45 publications

A Meta-Analysis of Cognitive Remediation in Schizophrenia

A Meta-Analysis of Cognitive Remediation in Schizophrenia

Staging Models and Functional Outcomes in Bipolar Disorder: Clinical Implications

Conventional and alternative preventive treatments in the first stages of schizophrenia

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