A randomized study of cognitive remediation for forensic and mental health patients with schizophrenia
Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive remediation on neurocognition, functioning, psychotic symptoms, and aggression in a sample of forensic and mental health patients. Care recipient...
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| Published in | Journal of psychiatric research Vol. 68; pp. 8 - 18 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.09.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0022-3956 1879-1379 1879-1379 |
| DOI | 10.1016/j.jpsychires.2015.05.013 |
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| Abstract | Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive remediation on neurocognition, functioning, psychotic symptoms, and aggression in a sample of forensic and mental health patients. Care recipients with schizophrenia or schizoaffective disorder (N = 78) receiving services in the forensic and mental health units of a state hospital were randomized to participate in cognitive remediation versus computer games control activities. Participants' neurocognition, functional capacity, experiential recovery, psychotic symptoms, and aggression incidents were assessed at baseline and posttreatment. Cognitive remediation was associated with improvements in several neurocognitive domains and circumscribed domains of functional capacity. People assigned to cognitive remediation experiences greater reductions in negative symptoms, agitation/excitement, and verbal and physical aggression. In addition to improving neurocognition in long-term hospitalized forensic and mental health patients, cognitive remediation may enhance efforts at reducing negative symptoms, emotion dysregulation, and aggression incidents. Forensic settings may represent a new frontier for the clinical dissemination of cognitive remediation.
•Impairments in working memory and verbal learning are more profound among offenders with schizophrenia than non-offenders.•Cognitive remediation contributes to improvements in neurocognition and circumscribed domains of functional competence.•Cognitive remediation contributes secondarily to decreased negative symptoms, excitement/agitation, and aggression. |
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| AbstractList | Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive remediation on neurocognition, functioning, psychotic symptoms, and aggression in a sample of forensic and mental health patients. Care recipients with schizophrenia or schizoaffective disorder (N = 78) receiving services in the forensic and mental health units of a state hospital were randomized to participate in cognitive remediation versus computer games control activities. Participants' neurocognition, functional capacity, experiential recovery, psychotic symptoms, and aggression incidents were assessed at baseline and posttreatment. Cognitive remediation was associated with improvements in several neurocognitive domains and circumscribed domains of functional capacity. People assigned to cognitive remediation experiences greater reductions in negative symptoms, agitation/excitement, and verbal and physical aggression. In addition to improving neurocognition in long-term hospitalized forensic and mental health patients, cognitive remediation may enhance efforts at reducing negative symptoms, emotion dysregulation, and aggression incidents. Forensic settings may represent a new frontier for the clinical dissemination of cognitive remediation. Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive remediation on neurocognition, functioning, psychotic symptoms, and aggression in a sample of forensic and mental health patients. Care recipients with schizophrenia or schizoaffective disorder (N = 78) receiving services in the forensic and mental health units of a state hospital were randomized to participate in cognitive remediation versus computer games control activities. Participants' neurocognition, functional capacity, experiential recovery, psychotic symptoms, and aggression incidents were assessed at baseline and posttreatment. Cognitive remediation was associated with improvements in several neurocognitive domains and circumscribed domains of functional capacity. People assigned to cognitive remediation experiences greater reductions in negative symptoms, agitation/excitement, and verbal and physical aggression. In addition to improving neurocognition in long-term hospitalized forensic and mental health patients, cognitive remediation may enhance efforts at reducing negative symptoms, emotion dysregulation, and aggression incidents. Forensic settings may represent a new frontier for the clinical dissemination of cognitive remediation. •Impairments in working memory and verbal learning are more profound among offenders with schizophrenia than non-offenders.•Cognitive remediation contributes to improvements in neurocognition and circumscribed domains of functional competence.•Cognitive remediation contributes secondarily to decreased negative symptoms, excitement/agitation, and aggression. Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive remediation on neurocognition, functioning, psychotic symptoms, and aggression in a sample of forensic and mental health patients. Care recipients with schizophrenia or schizoaffective disorder (N = 78) receiving services in the forensic and mental health units of a state hospital were randomized to participate in cognitive remediation versus computer games control activities. Participants' neurocognition, functional capacity, experiential recovery, psychotic symptoms, and aggression incidents were assessed at baseline and posttreatment. Cognitive remediation was associated with improvements in several neurocognitive domains and circumscribed domains of functional capacity. People assigned to cognitive remediation experiences greater reductions in negative symptoms, agitation/excitement, and verbal and physical aggression. In addition to improving neurocognition in long-term hospitalized forensic and mental health patients, cognitive remediation may enhance efforts at reducing negative symptoms, emotion dysregulation, and aggression incidents. Forensic settings may represent a new frontier for the clinical dissemination of cognitive remediation.Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive remediation on neurocognition, functioning, psychotic symptoms, and aggression in a sample of forensic and mental health patients. Care recipients with schizophrenia or schizoaffective disorder (N = 78) receiving services in the forensic and mental health units of a state hospital were randomized to participate in cognitive remediation versus computer games control activities. Participants' neurocognition, functional capacity, experiential recovery, psychotic symptoms, and aggression incidents were assessed at baseline and posttreatment. Cognitive remediation was associated with improvements in several neurocognitive domains and circumscribed domains of functional capacity. People assigned to cognitive remediation experiences greater reductions in negative symptoms, agitation/excitement, and verbal and physical aggression. In addition to improving neurocognition in long-term hospitalized forensic and mental health patients, cognitive remediation may enhance efforts at reducing negative symptoms, emotion dysregulation, and aggression incidents. Forensic settings may represent a new frontier for the clinical dissemination of cognitive remediation. Abstract Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive remediation on neurocognition, functioning, psychotic symptoms, and aggression in a sample of forensic and mental health patients. Care recipients with schizophrenia or schizoaffective disorder (N = 78) receiving services in the forensic and mental health units of a state hospital were randomized to participate in cognitive remediation versus computer games control activities. Participants' neurocognition, functional capacity, experiential recovery, psychotic symptoms, and aggression incidents were assessed at baseline and posttreatment. Cognitive remediation was associated with improvements in several neurocognitive domains and circumscribed domains of functional capacity. People assigned to cognitive remediation experiences greater reductions in negative symptoms, agitation/excitement, and verbal and physical aggression. In addition to improving neurocognition in long-term hospitalized forensic and mental health patients, cognitive remediation may enhance efforts at reducing negative symptoms, emotion dysregulation, and aggression incidents. Forensic settings may represent a new frontier for the clinical dissemination of cognitive remediation. |
| Author | Hunter, Kristin M. Birgenheir, Denis Ahmed, Anthony O. Dixon, Thaddeus Goodrum, Nada M. Hardison, Erik Buckley, Peter F. Batten, Nancy-Jane |
| Author_xml | – sequence: 1 givenname: Anthony O. surname: Ahmed fullname: Ahmed, Anthony O. email: aoa9001@med.cornell.edu organization: Department of Psychiatry, Weill Cornell Medical College, USA – sequence: 2 givenname: Kristin M. surname: Hunter fullname: Hunter, Kristin M. organization: Department of Counseling and Human Development Services, University of Georgia, USA – sequence: 3 givenname: Nada M. surname: Goodrum fullname: Goodrum, Nada M. organization: Department of Psychology, Georgia State University, USA – sequence: 4 givenname: Nancy-Jane surname: Batten fullname: Batten, Nancy-Jane organization: Charlie Norwood Veterans Affairs Medical Center, USA – sequence: 5 givenname: Denis surname: Birgenheir fullname: Birgenheir, Denis organization: VA Nebraska-Western Iowa Health Care System, USA – sequence: 6 givenname: Erik surname: Hardison fullname: Hardison, Erik organization: School of Nursing, Emory University, USA – sequence: 7 givenname: Thaddeus surname: Dixon fullname: Dixon, Thaddeus organization: School of Nursing, Emory University, USA – sequence: 8 givenname: Peter F. surname: Buckley fullname: Buckley, Peter F. organization: Department of Psychiatry and Health Behavior, Georgia Regents University, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26228394$$D View this record in MEDLINE/PubMed |
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| Keywords | Negative symptoms Agitation Aggression Cognitive remediation Neurocognition Emotion regulation Excitement |
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| Snippet | Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of cognitive... Abstract Cognitive remediation has proven efficacy for improving neurocognition in people with schizophrenia. The current study evaluated the benefits of... |
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| SubjectTerms | Adult Aggression Aggression - psychology Agitation Analysis of Variance Cognition Disorders - etiology Cognition Disorders - rehabilitation Cognitive remediation Cognitive Therapy - methods Crime Emotion regulation Excitement Female Humans Intelligence Tests Male Mentally Ill Persons Middle Aged Negative symptoms Neurocognition Neuropsychological Tests Psychiatric Status Rating Scales Psychiatry Psychotic Disorders - rehabilitation Retrospective Studies Schizophrenia - rehabilitation Schizophrenic Psychology Treatment Outcome Young Adult |
| Title | A randomized study of cognitive remediation for forensic and mental health patients with schizophrenia |
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