Improved cognitive function in schizophrenia after one year of cognitive training and vocational services

Abstract A year-long program of Neurocognitive Enhancement Therapy (NET) was used to remediate cognitive deficits in people with schizophrenia who were participating in a vocational program. Seventy-two stable outpatients with schizophrenia or schizoaffective disorder, recruited from an urban commun...

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Bibliographic Details
Published in:	Schizophrenia research 2007-11, Vol.96 (1), p.156-161
Main Authors:	Greig, Tamasine C, Zito, Wayne, Wexler, Bruce E, Fiszdon, Joanna, Bell, Morris D
Format:	Article
Language:	eng
Subjects:	Adult Adult and adolescent clinical studies Biological and medical sciences Cognition Cognitive impairments Cognitive Therapy Cognitive training Ethnic Groups Female Humans Male Medical sciences Outpatients Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychoses Psychotic Disorders - rehabilitation Psychotic Disorders - therapy Rehabilitation, Vocational Schizophrenia Schizophrenia - complications Schizophrenia - rehabilitation Schizophrenia - therapy Schizophrenic Psychology Vocational
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Summary:	Abstract A year-long program of Neurocognitive Enhancement Therapy (NET) was used to remediate cognitive deficits in people with schizophrenia who were participating in a vocational program. Seventy-two stable outpatients with schizophrenia or schizoaffective disorder, recruited from an urban community mental health center were randomly assigned to a twelve-month vocational program (VOC) or NET + VOC. The vocational program had characteristics of individual placement and support (IPS) programs but also included transitional funding. NET included computer-based cognitive training exercises, a social information processing group and a work feedback group. Sixty-two participants completed a neuropsychological test battery before and after treatment. After one year of treatment, participants receiving NET + VOC had significantly greater improvements on measures of executive function and working memory than did participants in the VOC only condition. Augmenting vocational services with a multifaceted cognitive remediation program may improve cognition in participants with schizophrenia or schizoaffective disorder.
ISSN:	0920-9964 1573-2509