scholarly journals Does Change in Cognitive Function Predict Change in Costs of Care for People With a Schizophrenia Diagnosis Following Cognitive Remediation Therapy?

2014 ◽  
Vol 40 (6) ◽  
pp. 1472-1481 ◽  
Author(s):  
C. Reeder ◽  
V. Harris ◽  
A. Pickles ◽  
A. Patel ◽  
M. Cella ◽  
...  
2021 ◽  
Vol 5 (1) ◽  
pp. 24-35
Author(s):  
Sadarwati Sadarwati ◽  
Warih Andan Puspitosari

Background: People with schizophrenia experience a change especially in the cognitive aspect, and therefore require immediate intervention to improve their cognitive and other aspects. Cognitive remediation is a program that has been developed with promising results. Objective: to review the literature on outcomes in general from the provision of cognitive remediation in people with schizophrenia.Method: Searching relevant literature on relevant databases, i.e., Pubmed, Ebsco, Cochrane, JSTOR, and the Google Scholar search engine, using keywords: cognitive remediation, schizophrenia, therapy.Result: Taken from reviewing 21 relevant articles. Cognitive remediation affects cognitive function, functional ability and problem-solving, social skill and cognition, clinical symptoms, neural outcome, quality of life, self-esteem, and cost-utility analysis.Conclusions: Common outcomes in CRT (Cognitive Remediation Therapy) administration in people with schizophrenia have been identified. Improvement of cognitive function was defined to be the most commonly measured outcome in the study.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Cherrie Galletly ◽  
Ashlee Rigby

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.


2019 ◽  
Author(s):  
Lia Juniarni ◽  
Wini Hadiyani ◽  
Winda Ratna Wulandari ◽  
Heni Herdianti ◽  
Rizal Ilbert

Many people are diagnosed with schizophrenia, which is characterized by having a significant deficit neurocognitive, especially in the areas of attention, memory and executive function. This deficit can worsen patients with psychiatric symptoms. Schizophrenia disorders such as behavioral disorders, cognitive will cause the client can not solve the problems that exist in independently. The combination of nursing interventions to deal with cognitive decline is with cognitive remediation therapy to reach its maximum potential in improving neurocognitive function and can cause improvements in psychiatric symptoms in people with schizophrenia. Objective: The purpose of this literature is to determine the effectiveness of cognitive remediation therapy in patients with schizophrenia. Methods on this researsch Using several databases which are used as search sources related to research, namely ”Pubmed”, ”NCBI”, and ”EBSCO”. The results show that cognitive remediation therapy can affect the independence of improving the cognitive function of patients in meeting their daily needs. Cognitive Remediation Therapy (CRT) is believed to improve cognitive function in verbal memory, problem-solving skills, executive functions, attention, social perception and performance.


2016 ◽  
Vol 09 (1) ◽  
pp. 121-128 ◽  
Author(s):  
Hidetoshi Omiya ◽  
Kiyoko Yamashita ◽  
Tomoki Miyata ◽  
Yukie Hatakeyama ◽  
Maki Miyajima ◽  
...  

Introduction:Cognitive Remediation Therapy is a new rehabilitation approach that has been created in order to improve cognitive functions such as attention, memory and executive function. We aimed to investigate the effects of one type of Cognitive Remediation Therapy, the Frontal/Executive Program, on cognitive function, social function, and psychiatric symptoms in the chronic phase schizophrenia patients.Methods:Seventeen participants who gave consent were randomly assigned to an intervention group (n=8) or control group (n=9). The intervention consisted of 44 sessions of FEP over a period of approximately six months. Cognitive function, social function, and psychiatric symptoms were evaluated before and after the intervention and before and after a roughly six-month long period for controls. Results: The present study showed improvements in Brief Assessment of Cognition in Schizophrenia-Japanese version composite score and subscales of verbal memory and working memory. Improvements were also observed in overall evaluation in the Schizophrenia Cognition Rating Scale-Japanese version, total Positive and Negative Syndrome Scale score and the Global Assessment of Functioning Scale score. FEP is considered to improve the performance of cognitive function tests and social function tests and psychiatric symptoms tests that are the target of this training.Conclusion:Intervention by Frontal/Executive Program improved cognitive function and psychiatric symptoms in patients with chronic schizophrenia with long disease duration who require large doses of medication. Significant effects of intervention were observed in overall patient, informant and interviewer evaluation in social function test. FEP is a training method the primary means pencil and paper, it is possible to inexpensively implement when compared to the other CRT that uses a computer. There is an advantage that less economic cost.


2017 ◽  
Vol 12 (3) ◽  
pp. 182-186 ◽  
Author(s):  
Fatemeh Mohammadi ◽  
Yadollah Abolfathi Momtaz ◽  
Seyedeh Ameneh Motalebi ◽  
Shahnaz Boosepasi

Background: There are limited scientific investigations on cognitive remediation in elderly patients with schizophrenia. The present study was aimed to examine the efficacy of cognitive remediation therapy on social skills in institutionalized elderly patients with schizophrenia. Methods: The study employed a randomized clinical trial. A total of 60 institutionalized elderly patients with schizophrenia from Razi Psychiatric Hospital, Tehran were selected and randomly allocated into two equal groups (control and intervention). The intervention group attended to cognitive remediation therapy for 8 weeks. The Evaluation of Living Skills Scale for psychiatric patients was used for data collection. The Chi Square, independent and paired t-tests using SPSS, version 22, were employed to analyze the data. Results: The mean age of 60 elderly patients participated in the study was 65.25 &#177; 4.19 years. No significant differences were found between two groups at baseline. However, independent t-tests showed significant differences between the intervention and the control group in social skills after implementation of intervention. Additionally, the results of paired t-tests revealed significant improvements in intervention group on communication skills (t=5.50, p<0.001), behavioral problems with others (t=5.44, p<0.001), and self-care (t=4.70, p<0.001). No significant differences were observed from pretest to post test in control group. Conclusion: The results of the present study may support the efficacy of cognitive remediation therapy on social skills of elderly patients with schizophrenia.


2012 ◽  
Vol 24 (2) ◽  
pp. 91-100 ◽  
Author(s):  
Triptish Bhatia ◽  
Akhilesh Agarwal ◽  
Gyandeepak Shah ◽  
Joel Wood ◽  
Jan Richard ◽  
...  

Background:Yoga therapy (YT) improves cognitive function in healthy individuals, but its impact on cognitive function among persons with schizophrenia (SZ) has not been investigated.Objective:To evaluate the adjunctive YT for cognitive domains impaired in SZ.Methods:Patients with SZ received YT or treatment as usual (TAU;n= 65,n= 23, respectively). Accuracy and speed for seven cognitive domains were assessed using a computerised neurocognitive battery (CNB), thus minimising observer bias. Separately, YT was evaluated among patients with bipolar I disorder (n= 40), major depressive disorder (n= 37) and cardiology outpatients (n= 68). All patients also received routine pharmacotherapy. Patients were not randomised to YT or TAU.Results:In comparison with the SZ/TAU group, the SZ/YT group showed significantly greater improvement with regard to measures of attention following corrections for multiple comparisons; the changes were more prominent among the men. In the other diagnostic groups, differing patterns of improvements were noted with small-to-medium effect sizes.Conclusions:Our initial analyses suggest nominally significant improvement in cognitive function in SZ with adjunctive therapies such as YT. The magnitude of the change varies by cognitive domain and may also vary by diagnostic group.


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