A Controlled Trial of Cognitive Remediation in Schizophrenia

A randomized, controlled trial of a 3-month cognitive remediation program was examined for its efficacy at ameliorating deficits in social and emotion perception in 42 hospitalized patients with schizophrenia. Generalization of training effects to attention, memory, and executive functioning was als...

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Bibliographic Details
Published in:Schizophrenia bulletin 2002, Vol.28 (1), p.167-176
Main Authors: van der Gaag, Mark, Kern, Robert S., van den Bosch, Robert J., Liberman, Robert P.
Format: Article
Language:English
Subjects:
Adult
Attention
Biological and medical sciences
Cognition Disorders - diagnosis
Cognition Disorders - psychology
Cognition Disorders - rehabilitation
Cognitive Ability
Cognitive Rehabilitation
Cognitive Remediation
Emotions
Female
Generalization (Psychology)
Human
Humans
Male
Medical sciences
Memory
Mental Recall
Neuropsychological Tests
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reeducation. Readaptation. Sociotherapy
Remedial Teaching
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - rehabilitation
Schizophrenic Psychology
Social Perception
Treatments
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Description
Summary:A randomized, controlled trial of a 3-month cognitive remediation program was examined for its efficacy at ameliorating deficits in social and emotion perception in 42 hospitalized patients with schizophrenia. Generalization of training effects to attention, memory, and executive functioning was also examined. The program included an eclectic mix of self-instruction, memory enhancement, inductive reasoning, and compensatory training procedures, while the control condition included participation in a leisure group that was matched to the experimental group for staff involvement time. Patient care management, including type and dose of antipsychotic medication, remained constant throughout the study period. The results indicated that the cognitive training program improved emotion perception, with some evidence of generalization to measures of executive functioning; other areas of neurocognitive functioning were largely unaffected. While cognitive training programs may improve targeted areas of neurocognitive processing, broad generalization effects to domains outside those targeted for intervention are not likely concomitants.
ISSN:0586-7614
1745-1701
DOI:10.1093/oxfordjournals.schbul.a006919