Rehabilitation of Executive Functions in a Real-Life Setting: Goal Management Training Applied to a Person with Schizophrenia

Levaux, Marie‐Noëlle; Larøi, Frank; Malmedier, M.; Offerlin-Meyer, I.; Danion, Jean-Marie; Linden, Martial Van der

doi:10.1155/2012/503023

Cited by 31 publications

(25 citation statements)

References 34 publications

(48 reference statements)

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“…The MPT (Levaux, Larøi, et al ., ; Levaux, Van der Linden, et al ., ) is a real‐life activity task designed to take into account the complex, multitasking nature of unfamiliar everyday life activities. Participants are required to prepare a room for a meeting that nine people (a manager, a secretary, and seven guests) will attend.…”

Section: Methodsmentioning

confidence: 98%

Does multitasking mediate the relationships between episodic memory, attention, executive functions and apathetic manifestations in traumatic brain injury?

Arnould

Rochat

Dromer

et al. 2016

Journal of Neuropsychology

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Apathy is frequently described in patients with traumatic brain injury (TBI); its negative consequences particularly affect functional independence. Among apathetic manifestations, lack of initiative and lack of interest have mainly been associated with cognitive impairments. However, few studies have been conducted to precisely identify the underlying cognitive processes. Our aims were (1) to determine the best predictor of apathy from among several cognitive processes, including episodic memory and attention/executive mechanisms and multitasking, and (2) to examine to what extent multitasking could mediate the relationships between specific cognitive processes and lack of initiative/interest. Seventy participants (34 patients with TBI matched with 36 control participants) were given a questionnaire to assess anxio-depressive symptoms, four tasks to assess specific cognitive processes, and one task to assess real-life multitasking. Participants' relatives completed an apathy questionnaire. Multitasking, as assessed by the number of goals not achieved, was the only significant predictor of apathetic manifestations. In addition, the mediation analyses revealed that multitasking performance mediated the relationships between verbal episodic memory and lack of initiative/interest, whereas executive and attentional functions were only indirectly related to lack of initiative/interest due to their significant impacts on multitasking. These results shed new light on the aetiology of apathetic manifestations in patients with TBI, indicating how specific cognitive deficits are expressed in real-life multitasking, and consequently, how they may lead to the development and/or maintenance of apathetic manifestations.

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Section: Methodsmentioning

confidence: 98%

Does multitasking mediate the relationships between episodic memory, attention, executive functions and apathetic manifestations in traumatic brain injury?

Arnould

Rochat

Dromer

et al. 2016

Journal of Neuropsychology

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“…However, as encouraging as those data are, long-term maintenance of improvement is typically not assessed. Actually, only one case report (i.e., 2 years: Levaux et al, 2012) and one group-based GMT (i.e., 2 years: Loya et al, 2017) study have reported followup analyses more than 7 months post-intervention, limiting the evidence for long-term effects. In the study by Loya et al's (2017), 16 participants with ABI were interviewed by phone 20 months following completion of a multifaceted intervention with elements from GMT (Goal-Oriented Attentional Self-Regulation (GOALS) training).…”

Section: Introductionmentioning

confidence: 99%

Use It or Lose It? A 5-Year Follow-up Study of Goal Management Training in Patients with Acquired Brain Injury

Tornås

Løvstad

Solbakk

et al. 2019

J Int Neuropsychol Soc

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Objectives:To determine the perceived 5-year outcome of Goal Management Training (GMT) for individuals with chronic acquired brain injury and executive dysfunction, when compared to a nonspecific psychoeducational intervention (Brain Health Workshop, BHW).Methods:Of the 67 subjects in the initial randomized controlled trial [Tornås et al. (2016). Journal of the International Neuropsychological Society, 1–17], 50 (GMT, n = 21; BHW, n = 29) subjects returned written consent and questionnaires (54% male, age 45.8 ± 10.9 years). The 5-year follow-up consisted of two questionnaires, including the Behavior Rating Inventory of Executive Function for daily life executive function (EF) and Quality of Life after Brain Injury to assess health-related quality of life (HRQoL). Changes related to daily life EF and HRQoL were assessed pre-treatment, post-treatment, 6-month follow-up, and 5-year follow-up. Data were analyzed using a 2 × 4 mixed-design ANOVA.Results:The findings indicate that GMT is efficacious in improving EF and HRQoL 6-month post-treatment. However, these changes failed to remain significant at 5-year follow-up.Conclusions:Data from 50 participants receiving either GMT or BHW suggested that the significant GMT-related improvements on perceived EF and HRQoL observed at 6-month follow-up were no longer present at 5-year follow-up. These findings indicate a need to promote maintenance of interventions post-treatment.

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“…This concept can also contribute to novel remedial methods, as some data suggest that programs focusing on goal-directed behaviors, such as individualized Goal Management Training, can help people with schizophrenia to manage everyday issues in a sustainable manner. 53 Thus, we believe that further investigation of goal-directed behaviors in patients with schizophrenia is warranted. It is therefore important to define a framework that will be useful to both experimental and clinical fields of study.…”

Section: Conclusion: An Updated Model Of Goal-directed Behaviors In Pmentioning

confidence: 99%

“…An understanding of the production and representations of goal‐directed behavior allows an integrative perspective on the various deficits encountered in people with schizophrenia that is largely compatible with previous dimensional approaches to schizophrenic symptoms. This concept can also contribute to novel remedial methods, as some data suggest that programs focusing on goal‐directed behaviors, such as individualized Goal Management Training, can help people with schizophrenia to manage everyday issues in a sustainable manner . Thus, we believe that further investigation of goal‐directed behaviors in patients with schizophrenia is warranted.…”

Section: Conclusion: An Updated Model Of Goal‐directed Behaviors In Pmentioning

confidence: 99%

Goal‐directed behaviors in patients with schizophrenia: Concept relevance and updated model

Rinaldi

Lefèbvre

2016

Psychiatry Clin Neurosci

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Goal-directed behaviors are formulated to pursue a given objective by constructing a plan and selecting actions that lead to the intended goal, either immediately or over an extended period. This concept is important to the study of human behavior because of its involvement in the majority of complex or novel situations that an individual may encounter, regardless of the cognitive, affective, or social abilities required. In this paper, we aim to demonstrate the relevance of goal-directed behaviors to our understanding of the cognitive deficits and other symptoms associated with schizophrenia. A systematic analysis of this relation may allow us to develop integrative hypotheses regarding positive, negative, and disorganized symptoms of schizophrenia rather than consider them to be distinct issues. In this article, we review previous studies of goal-directed actions in patients with schizophrenia in order to clarify the relevant concepts and provide a theoretical basis for the integration of existing results. Based on available theoretical models and data, we propose an updated model to facilitate further investigation of schizophrenia-related impairments in goal-directed behaviors.

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Rehabilitation of Executive Functions in a Real-Life Setting: Goal Management Training Applied to a Person with Schizophrenia

Cited by 31 publications

References 34 publications

Does multitasking mediate the relationships between episodic memory, attention, executive functions and apathetic manifestations in traumatic brain injury?

Does multitasking mediate the relationships between episodic memory, attention, executive functions and apathetic manifestations in traumatic brain injury?

Use It or Lose It? A 5-Year Follow-up Study of Goal Management Training in Patients with Acquired Brain Injury

Goal‐directed behaviors in patients with schizophrenia: Concept relevance and updated model

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