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Fernandez-Gonzalo S, Turon M, Jodar M, Pousa E, Hernandez Rambla C, García R, Palao D. A new computerized cognitive and social cognition training specifically designed for patients with schizophrenia/schizoaffective disorder in early stages of illness: A pilot study. Psychiatry Res 2015; 228:501-9. [PMID: 26163731 DOI: 10.1016/j.psychres.2015.06.007] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Revised: 06/09/2015] [Accepted: 06/11/2015] [Indexed: 12/13/2022]
Abstract
People with schizophrenia/schizoaffective disorders at early stages of the illness present cognitive and social cognition deficits that have a great impact in functional outcomes. Cognitive Remediation Therapy (CRT) has demonstrated consistent effect in cognitive performance, symptoms and psychosocial functioning. However, any CRT intervention or social cognition training have been specifically designed for patients in the early stages of psychosis. The aim of this pilot study is to assess the efficacy of a new computerized cognitive and social cognition program for patients with schizophrenia/schizoaffective disorder with recent diagnosis. A comprehensive assessment of clinical, social and non-social cognitive and functional measures was carried out in 53 randomized participants before and after the 4-months treatment. Significant results were observed in Spatial Span Forwards, Immediate Logical Memory and Pictures of Facial Affect (POFA) total score. None of these results were explained by medication, premorbid social functioning or psychopathological symptoms. No impact of the intervention was observed in other cognitive and social cognition outcome neither in clinical and functional outcomes. This new computerized intervention may result effective ameliorating visual attention, logical memory and emotional processing in patients in the early stages of schizophrenia/schizoaffective disorder.
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Affiliation(s)
- Sol Fernandez-Gonzalo
- Research Department. Foundation Parc Taulí. Universitary Institute, Universitat Autònoma de Barcelona. Parc Taulí Sabadell, Universitary Hospital, 08208, Sabadell, Barcelona, Spain; Department of Clinical and Health Psychology, Psychopathology and Neuropsychology Research Unit. Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Barcelona, Spain.
| | - Marc Turon
- Research Department. Foundation Parc Taulí. Universitary Institute, Universitat Autònoma de Barcelona. Parc Taulí Sabadell, Universitary Hospital, 08208, Sabadell, Barcelona, Spain; Department of Clinical and Health Psychology, Psychopathology and Neuropsychology Research Unit. Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Barcelona, Spain
| | - Merce Jodar
- Neurology Department Parc Taulí. Sabadell. University Hospital -Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Spain; Department of Clinical and Health Psychology, Psychopathology and Neuropsychology Research Unit. Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Barcelona, Spain
| | - Esther Pousa
- Mental Health Department, Parc Taulí. Sabadell. University Hospital - Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Spain; Department of Clinical and Health Psychology, Psychopathology and Neuropsychology Research Unit. Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Barcelona, Spain
| | - Carla Hernandez Rambla
- Mental Health Department, Parc Taulí. Sabadell. University Hospital - Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Spain
| | - Rebeca García
- Mental Health Department, Parc Taulí. Sabadell. University Hospital - Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Spain
| | - Diego Palao
- Mental Health Department, Parc Taulí. Sabadell. University Hospital - Universitat Autònoma de Barcelona, International Excellence Campus, 08193 Bellaterra, Spain; Department of Psychiatry and Forensic Medicine. Universitat Autònoma de Barcelona. International Excellence Campus, 08193, Bellaterra, Barcelona, Spain
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