scholarly journals Pilot Study of the Effects of Cognitive Remediation Therapy Using the Frontal/Executive Program for Treating Chronic Schizophrenia

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.

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.


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.


2016 ◽  
Vol 626 ◽  
pp. 106-111 ◽  
Author(s):  
Shuping Tan ◽  
Yizhuang Zou ◽  
Til Wykes ◽  
Clare Reeder ◽  
Xiaolin Zhu ◽  
...  

2006 ◽  
Vol 87 (1-3) ◽  
pp. 323-331 ◽  
Author(s):  
Rafael Penadés ◽  
Rosa Catalán ◽  
Manel Salamero ◽  
Teresa Boget ◽  
Olga Puig ◽  
...  

2018 ◽  
Vol 31 (2) ◽  
pp. 69-75
Author(s):  
Maki Miyajima ◽  
Hidetoshi Omiya ◽  
Kiyoko Yamashita ◽  
Kenji Yambe ◽  
Mie Matsui ◽  
...  

Introduction Studies on autism spectrum disorder in recent years have controversially indicated similarities with schizophrenia. Cognitive dysfunction is present in both disorders, and while there is a rich array of interventions for cognitive dysfunction in schizophrenia, there are few such treatments for autism spectrum disorder. In this study, we have investigated a potentially useful approach in autism spectrum disorder by comparing autism spectrum disorder with schizophrenia in regard to the characteristics of cognitive dysfunction and therapeutic response to cognitive remediation therapy. Method We studied seven patients with autism spectrum disorder and eight patients with schizophrenia, using a frontal/executive programme as the intervention. The characteristics of cognitive dysfunction in autism spectrum disorder before frontal/executive programme and the therapeutic response to frontal/executive programme in autism spectrum disorder patients were compared with those in schizophrenia patients, based on evaluation of cognitive function and social function. The changes in cognitive and social function after treatment in each patient group were compared using the Mann–Whitney’s U test. Results The severity of cognitive dysfunction did not differ significantly between autism spectrum disorder and schizophrenia. Frontal/executive programme was effective in autism spectrum disorder, with subjects showing about the same therapeutic response as in schizophrenia. Conclusion Frontal/executive programme appears to be useful for patients with autism spectrum disorder. Furthermore, the similarities in cognitive dysfunction and therapeutic response between autism spectrum disorder and schizophrenia are highly relevant to the recent debate concerning the similarity between these two disease concepts.


2021 ◽  
pp. 474-481
Author(s):  
Noriko Kimura ◽  
Etsuko Maeshima ◽  
Sayaka Tomokane ◽  
Akiko Ikeshima ◽  
Megumi Maeda ◽  
...  

Although it is known that physical function differs depending on the state of cognitive function, there are no studies that consider changes in cognitive functions when evaluating physical functions of participants before and after an exercise program. In this study, it was observed changes in cognitive function and physical functions of elderly people who participated in a community-based exercise program for 6 months, and examined changes in physical functions that took into account changes in cognitive functions. Forty-nine participants, whose cognitive and physical functions were both measured before and after the exercise program, were included in the analysis. The Japanese version of the Montreal Cognitive Assessment (MoCA-J) was used to assess participants' cognitive function and to determine whether they had mild cognitive impairment (MCI). To assess physical functions, a battery of physical tests was completed. Participants were classified into four groups (before/after; non-MCI/non-MCI, MCI/MCI, non-MCI/MCI, and MCI/non-MCI) according to the changes in cognitive functions after six months. There was no significant difference in the physical functions of the four groups before the start of the program. When changes in physical functions were examined in each group, some changes in physical functions were observed in the groups other than the non-MCI/MCI group. However, there was no significant difference in the physical functions between the four groups after the program. It was suggested that changes in physical functions of elderly people who participated in a community-based exercise program over a 6-month period were not different due to changes in cognitive functions.


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