A randomized study of cognitive remediation for forensic and mental health patients with schizophrenia

作者: Anthony O. Ahmed , Kristin M. Hunter , Nada M. Goodrum , Nancy-Jane Batten , Denis Birgenheir

DOI: 10.1016/J.JPSYCHIRES.2015.05.013

关键词: SchizophreniaClinical psychologySchizoaffective disorderPoison controlHuman factors and ergonomicsCognitive remediation therapyPsychologyMental healthAggressionPsychiatryNeurocognitive

摘要: Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive on neurocognition, functioning, psychotic symptoms, and aggression a sample forensic mental health patients. Care recipients schizophrenia or schizoaffective disorder (N = 78) receiving services units state hospital were randomized to participate versus computer games control activities. Participants' functional capacity, experiential recovery, incidents assessed at baseline posttreatment. was associated improvements several neurocognitive domains circumscribed capacity. People assigned experiences greater reductions negative agitation/excitement, verbal physical aggression. In addition long-term hospitalized patients, may enhance efforts reducing emotion dysregulation, incidents. Forensic settings represent new frontier clinical dissemination remediation.

参考文章(73)
Anthony O. Ahmed, P. Alex Mabe, Peter F. Buckley, Recovery in Schizophrenia: Perspectives, Evidence, and Implications Handbook of Schizophrenia Spectrum Disorders, Volume III. pp. 1- 22 ,(2011) , 10.1007/978-94-007-0834-1_1
Gibbon Miriam, Janet B. W. Williams, Robert L. Spitzer, Michael B. First, Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet American Psychiatric Press. ,(1997)
Martin Lepage, Michael Bodnar, Christopher R Bowie, Neurocognition: Clinical and Functional Outcomes in Schizophrenia: The Canadian Journal of Psychiatry. ,vol. 59, pp. 5- 12 ,(2014) , 10.1177/070674371405900103
Elizabeth W. Twamley, Cynthia H. Zurhellen, Lea Vella, Compensatory Cognitive Training Karger Publishers. ,vol. 177, pp. 50- 60 ,(2010) , 10.1159/000284378
Philip D. Harvey, Christopher R. Bowie, Cognitive Enhancement in Schizophrenia Psychiatric Clinics of North America. ,vol. 35, pp. 683- 698 ,(2012) , 10.1016/J.PSC.2012.06.008
Stuart C Yudofsky, Jonathan M Silver, Wynn Jackson, Jean Endicott, Daniel Williams, The Overt Aggression Scale for the objective rating of verbal and physical aggression. American Journal of Psychiatry. ,vol. 143, pp. 35- 39 ,(1986) , 10.1176/AJP.143.1.35
ALICE MEDALIA, BRYAN FREILICH, The Neuropsychological Educational Approach to Cognitive Remediation (NEAR) model: Practice principles and outcome studies American Journal of Psychiatric Rehabilitation. ,vol. 11, pp. 123- 143 ,(2008) , 10.1080/15487760801963660
Jean-Pierre Lindenmayer, Susan Regina McGurk, Kim T. Mueser, Anzalee Khan, Deborah Wance, Lisa Hoffman, Rosemarie Wolfe, Haiyi Xie, A Randomized Controlled Trial of Cognitive Remediation Among Inpatients With Persistent Mental Illness Psychiatric Services. ,vol. 59, pp. 241- 247 ,(2008) , 10.1176/PS.2008.59.3.241
Elizabeth W. Twamley, Lea Vella, Cynthia Z. Burton, Robert K. Heaton, Dilip V. Jeste, Compensatory Cognitive Training for Psychosis The Journal of Clinical Psychiatry. ,vol. 73, pp. 1212- 1219 ,(2012) , 10.4088/JCP.12M07686