A role for cognitive remediation therapy for job seekers with neuropsychiatric disorders

2020 ◽  
Vol 26 (1) ◽  
pp. 22-25
Author(s):  
Kamonnet Wannasewok
Keyword(s):  
Cognitive Processes ◽  
Cognitive Deficits ◽  
Cognitive Impairments ◽  
Cognitive Remediation ◽  
Neuropsychiatric Disorders ◽  
Cognitive Tasks ◽  
Cognitive Remediation Therapy ◽  
Job Seekers ◽  
People With Mental Illness ◽  
Attention Memory

AbstractPeople with mental illness and traumatic brain injury experience difficulties in gaining and maintaining employment and have a higher unemployment rate because of their symptoms and poor social skills including cognitive impairments. Cognitive remediation is an intervention developed to improve cognitive functioning such as attention, memory, and problem-solving, by providing them with specific designed cognitive exercises. After practicing those cognitive tasks repetitively and massively, people with cognitive deficits will improve cognitive processes which lead to better cognitive performance. There is evidence supporting the benefits of cognitive remediation in improving employment-related outcome. Thus, it might have a role for job seekers with neuropsychiatric disorders and cognitive dysfunctions.

scholarly journals Longitudinal studies of cognition in schizophrenia: Meta-analysis

2008 ◽  
Vol 192 (4) ◽  
pp. 248-257 ◽  
Author(s):  
Andrei Szöke ◽  
Anca Trandafir ◽  
Marie-Estelle Dupont ◽  
Alexandre Méary ◽  
Franck Schürhoff ◽  
...  
Keyword(s):  
Longitudinal Studies ◽  
Cognitive Deficits ◽  
Verbal Fluency ◽  
Meta Analysis ◽  
Cognitive Remediation ◽  
Cognitive Tasks ◽  
Longitudinal Course ◽  
Semantic Verbal Fluency ◽  
Wide Range ◽  
Available Information

BackgroundA wide range of cognitive deficits have been demonstrated in schizophrenia, but their longitudinal course remains unclear.AimsTo bring together all the available information from longitudinal studies of cognitive performance in people with schizophrenia.MethodWe carried out a meta-analysis of 53 studies. Unlike previous reviewers, we included all studies (regardless of the type of medication), analysed each variable separately and compared results with data from controls.ResultsParticipants with schizophrenia showed a significant improvement in most cognitive tasks. The available data for controls showed, with one exception (the Stroop test), a similar or greater improvement. Performance in semantic verbal fluency remained stable in both individuals with schizophrenia and controls.ConclusionsParticipants with schizophrenia displayed improvement in most cognitive tasks, but practice was more likely than cognitive remediation to account for most of the improvements observed. Semantic verbal fluency may be the best candidate cognitive endophenotype.

scholarly journals An Overview of Cognitive Remediation Therapy for People with Severe Mental Illness

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Cherrie Galletly ◽  
Ashlee Rigby
Keyword(s):  
Mental Illness ◽  
Cognitive Function ◽  
Mental Disorders ◽  
Severe Mental Illness ◽  
Cognitive Deficits ◽  
Cognitive Remediation ◽  
Mental Illnesses ◽  
Cognitive Remediation Therapy ◽  
Severe Mental Disorders ◽  
Varying Length

Cognitive remediation refers to nonpharmacological methods of improving cognitive function in people with severe mental disorders. Cognitive remediation therapy (CRT) can be delivered via computerised programs, of varying length and complexity, or can be undertaken one-on-one by a trained clinician. There has been a considerable interest in cognitive remediation, driven by recognition that cognitive deficits are a major determinant of outcome in people with severe, chronic mental illnesses. CRT has been shown to be effective, especially if combined with vocational rehabilitation.

Cognitive Enhancement in Schizophrenia

2017 ◽  
Author(s):  
James Gilleen
Keyword(s):  
Drug Development ◽  
Cognitive Training ◽  
Cognitive Deficits ◽  
Negative Symptoms ◽  
Cognitive Enhancement ◽  
Cognitive Impairments ◽  
Cognitive Remediation ◽  
Current Status ◽  
Positive Symptoms ◽  
Social Deficits

Schizophrenia is characterized by a constellation of heterogeneous symptoms including hallucinations and delusions, motivational and social deficits, and cognitive impairments. Although positive symptoms have historically been the target for drug development, in recent years, attention has turned to cognitive and negative symptoms. Cognitive deficits in schizophrenia are associated with significant impairments in functional, social, and employment outcomes, and although they are widely researched and relatively well understood, there are no currently approved compounds to treat them. This chapter provides a selective review of the current status of approaches developed to improve cognition in schizophrenia. It covers pharmacological approaches as well as cognitive training and cognitive remediation techniques. It also explores the various study design issues and challenges that contribute to the difficulties in discovering reliable ways to improve the cognitive deficits present in schizophrenia.

Cognitive remediation therapy for schizophrenia: what is it and does it work?

2011 ◽  
Vol 28 (4) ◽  
pp. 217-221
Author(s):  
Gary Donohoe ◽  
Heike Schmidt ◽  
Ian H Robertson
Keyword(s):  
Cognitive Deficits ◽  
Clinical Symptoms ◽  
Empirical Support ◽  
Cognitive Remediation ◽  
Cognitive Remediation Therapy ◽  
Cognitive Interventions ◽  
Core Feature ◽  
Impaired Cognition ◽  
New Generation ◽  
Behavioural Strategies

AbstractImpaired cognition is a core feature of schizophrenia (SZ) that precedes, accompanies, and often outlasts a patient's clinical symptoms. The success of new generation antipsychotics, as well as their failure to ameliorate the persistent disabilities associated with the disorder are well documented. Consequently, a number of psychosocial and cognitive interventions have been developed to address specific aspects of disability not adequately alleviated by medication.Among these, interventions adapted from the acquired brain literature that target cognitively based disability (cognitive remediation therapy; CRT) have received significant empirical support both for ameliorating specific deficits in memory, attention and executive function, and improving real world outcome. CRT strategies have focused either on providing drill-based training aimed at increasing capacity or providing behavioural strategies for compensating for cognitive deficits, or a mixture of both. Nonetheless, these interventions have varied widely and several questions remain.This review provides a brief overview of cognitive remediation therapies in psychosis, discusses evidence for its success, and outlines a number of questions that remain about its implementation. Given the current unavailability of cognitive remediation as part of standard care in Irish mental health services, we conclude by describing one such intervention developed within our clinical research group and the questions we hope to address in making this programme more widely available to Irish patients.

Factors Influencing AAC Usage by Individuals With Aphasia

2010 ◽  
Vol 19 (3) ◽  
pp. 70-78 ◽  
Author(s):  
Mary Purdy ◽  
Aimee Dietz
Keyword(s):  
Executive Functioning ◽  
Training Program ◽  
Cognitive Deficits ◽  
Communicative Competence ◽  
Cognitive Impairments ◽  
Communication Training ◽  
Factors Influencing ◽  
Wide Range ◽  
Attention Memory ◽  
The Impact

Abstract Instructing individuals with aphasia in the usage of AAC strategies and devices is a challenging endeavor. Not only does this population present with a wide range of linguistic impairments, but many individuals also demonstrate cognitive deficits, which may adversely affect communication. This paper will summarize the wide variety of cognitive deficits demonstrated by individuals with aphasia, specifically attention, memory and executive functioning problems. In addition, we will review the impact of these cognitive impairments on communicative competence. Finally, we will discuss an intervention, the Multimodality Communication Training Program (MCTP), designed to address the cognitive impairments that influence AAC intervention.

scholarly journals Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study

2017 ◽  
Vol 2017 ◽  
pp. 1-15 ◽  
Author(s):  
Élisabeth Thibaudeau ◽  
Caroline Cellard ◽  
Clare Reeder ◽  
Til Wykes ◽  
Hans Ivers ◽  
...  
Keyword(s):  
Theory Of Mind ◽  
Cognitive Deficits ◽  
Cognitive Remediation ◽  
Mental States ◽  
Limiting Factor ◽  
Cognitive Remediation Therapy ◽  
Social Abilities ◽  
Multiple Case ◽  
The Relationship

Schizophrenia is associated with deficits in theory of mind (ToM) (i.e., the ability to infer the mental states of others) and cognition. Associations have often been reported between cognition and ToM, and ToM mediates the relationship between impaired cognition and impaired functioning in schizophrenia. Given that cognitive deficits could act as a limiting factor for ToM, this study investigated whether a cognitive remediation therapy (CRT) that targets nonsocial cognition and metacognition could improve ToM in schizophrenia. Four men with schizophrenia received CRT. Assessments of ToM, cognition, and metacognition were conducted at baseline and posttreatment as well as three months and 1 year later. Two patients reached a significant improvement in ToM immediately after treatment whereas at three months after treatment all four cases reached a significant improvement, which was maintained through 1 year after treatment for all three cases that remained in the study. Improvements in ToM were accompanied by significant improvements in the most severely impaired cognitive functions at baseline or by improvements in metacognition. This study establishes that a CRT program that does not explicitly target social abilities can improve ToM.

scholarly journals Processing of novel stimuli as cognitive remediation therapy in patients with eating disorder / Procesamiento de estímulos novedosos como terapia de remediación cognitiva en pacientes con trastorno alimentario

2018 ◽  
Vol 9 (1) ◽  
pp. 95-106
Author(s):  
Diana Matallana ◽  
Juanita Gempeler Rueda ◽  
Maritza Rodríguez Guarín ◽  
Pilar Otero ◽  
Diana Giraldo Arango ◽  
...  
Keyword(s):  
Cognitive Flexibility ◽  
Cognitive Processes ◽  
Creative Thinking ◽  
Cognitive Remediation ◽  
Cognitive Remediation Therapy ◽  
Post Intervention ◽  
Cognitive Domains ◽  
Complex Figure ◽  
Global Coherence ◽  
New Processing

Abstract Previous studies have shown the usefulness of cognitive remediation therapy (CRT) in patients with eating disorders (ED). The objective of this study was to assess a new cognitive technique called "With the head in the clouds" (WHC). A total of 22 women with ED (13 with anorexia nervosa and 9 with bulimia nervosa), between 14 and 29 years (M = 19.0, SD = 3.4), completed the six group sessions of this technique. Under a design pre-post intervention, participants were assessed in: visuo-constructive functions (Copy of the Rey-Osterrieth Complex Figure [CRCF]), creative thinking (Torrance Creative Thinking Test [TCTT]), cognitive flexibility (CRCF and TCTT) and cognitive control (Stroop Test). The intervention improved different cognitive domains, such as: greater global coherence, creative thinking and resistance to closure, as well as less fragmentation. Based on CRT, aimed at stimulating the new processing of visual stimuli, the technique WHC showed an improvement in some of the cognitive processes involved in the onset of symptoms in patients with ED. Resumen Estudios previos han indicado la utilidad de la terapia de remediación cognitiva (TRC) en pacientes con trastornos de conducta alimentaria (TCA). El objetivo de este estudio fue evaluar una nueva técnica de innovación cognitiva llamada “Con la cabeza en las nubes” (CCN). Participaron 22 mujeres con TCA (13 con anorexia nerviosa y 9 con bulimia nerviosa), de entre 14 y 29 años de edad (M = 19.0, DE = 3.4), quienes completaron las seis sesiones grupales de que consta dicha técnica. Bajo un diseño pre-post intervención, las participantes fueron evaluadas en cuanto a: funciones viso-constructivas (Copia de la Figura Compleja de Rey-Osterrieth [CFCR]), pensamiento creativo (Test de Pensamiento Creativo de Torrance [TPCT]), flexibilidad cognitiva (CFCR y TPCT) y control cognitivo (Test de Stroop). La intervención generó una mejora en distintos dominios cognitivos, como son: mayor coherencia global, pensamiento creativo y  resistencia al cierre, así como menor fragmentación. Basada en la TRC, encaminada a estimular el procesamiento novedoso de estímulos visuales, la técnica CCN mostró mejorar algunos de los procesos cognitivos implicados en la generación de los síntomas de pacientes con TCA.  

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