Cognitive rehabilitation for people with schizophrenia and related conditions
Cochrane Database of Systematic ReviewsPublished 24 July 2000Open access
John J. McGrath, Robyn Hayes
Citations92
SJR quartileQ1
SJR score1.62
SNIP2.04
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Although cognitive rehabilitation was as acceptable as placebo and occupational therapy, with low attrition in both groups, no effects were demonstrated on measures of mental state, social behaviour, or cognitive functioning.
Abstract
Data are inconclusive and provide no evidence for or against cognitive rehabilitation as a treatment for schizophrenia.
Keywords
Medicine
Controlled Clinical TrialsAssessing the quality of reports of randomized clinical trials: Is blinding necessary?
17,565 Citations1996Alejandro R. Jadad, R Andrew Moore +5 more
An instrument to assess the quality of reports of randomized clinical trials (RCTs) in pain research is described and its use to determine the effect of rater blinding on the assessments of quality is described.
Cerebrovascular DiseasesAspirin plus Clopidogrel as Secondary Prevention after Stroke or Transient Ischemic Attack: A Systematic Review and Meta-Analysis
11,556 Citations2014Qinghua Zhang, Chao Wang +6 more
Short-term aspirin in combination with clopidogrel is more effective as secondary prevention of stroke or TIA without increasing the risk of hemorrhagic stroke and major bleeding events and the clinical applicability of the findings of this systematic review needs to be confirmed in future clinical trials.
Cochrane Database of Systematic ReviewsPharmacological interventions for somatoform disorders in adults
11,355 Citations2014Maria Kleinstäuber, Michael Witthöft +4 more
A systematic review and meta-analysis of placebo-controlled studies examined the efficacy and tolerability of different types of antidepressants, the combination of an antidepressant and an antipsychotic, antipsychotics alone, or natural products in adults with somatoform disorders in adults to improve optimal treatment decisions.
Journal of Verbal Learning and Verbal BehaviorIndividual differences in working memory and reading
6,307 Citations1980Meredyth Daneman, Patricia A. Carpenter
Choice Reviews OnlineA compendium of neuropsychological tests: administration, norms, and commentary
6,168 Citations1991
Urologia InternationalisEfficacy and Safety of Tadalafil Monotherapy for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia: A Meta-Analysis
4,542 Citations2013Yang Dong, Lin Hao +4 more
Tadalafil showed good efficacy and safety for improving LUTS and erectile dysfunction in men with BPH, and 5 mg of tadalafils significantly improved Qmax.
BMJStatistics Notes: Detecting skewness from summary information: Table 1
1,269 Citations1996Douglas G. Altman, Martin Bland
An indicator of skewness can be used when there are data for several groups of individuals and deviations from the normal distribution and a relation between the standard deviation and mean across groups often go together.
NeuropsychologiaResponse suppression, initiation and strategy use following frontal lobe lesions
841 Citations1996Paul W. Burgess, Tim Shallice
Patients with frontal lobe involvement showed longer response latencies in the first condition and produced more words which were related to the sentence in the second, in comparison to patients with lesions elsewhere.
BMJMisleading meta-analysis
506 Citations1995Matthias Egger, George Davey Smith
A meta-analysis of treatments in myocardial infarction published in 1992 retrospectively showed that streptokinase was associated with a highly significant fall in mortality by 1977, but it was not widely recommended until 10 years later—after the effect was confirmed in two mega trials.
Schizophrenia BulletinThe Effects of Neurocognitive Remediation on Executive Processing in Patients With Schizophrenia
446 Citations1999Til Wykes, Clare Reeder +3 more
The view that cognitive remediation can reduce cognitive deficits and that this reduction may affect social outcome is supported, at least in the short term.
The British Journal of PsychiatryThe Measurement of Social Behaviour in Psychiatric Patients: An Assessment of the Reliability and Validity of the SBS Schedule
372 Citations1986Til Wykes, E. Sturt
The standard version of the MRC Social Performance Schedule, which covers 21 behaviour areas such as hygiene, initiating conversations, etc, and was designed to be used with long-stay populations, within a hospital or the community, showed that the reliability was reasonable over all four areas.
Psychiatric Clinics of North AmericaCognitive Deficits in Schizophrenia
364 Citations1993James M. Gold, Philip D. Harvey
There is accumulating evidence that impairment of neuropsychological and basic information processing abilities is an important feature of schizophrenia and that cognitive impairment is a symptom domain in its own right, with as much importance for understanding and treating the disorder as positive or negative behavioral symptoms.
Cochrane Database of Systematic ReviewsCognitive behaviour therapy for schizophrenia
259 Citations2004Christopher A. Jones, Irene Cormac +2 more
CBT is a promising but under evaluated intervention for people with schizophrenia and more trials are justified, especially in comparison with a lower grade supportive approach.
Schizophrenia BulletinTreatment of Cognitive Dysfunctions and Behavioral Deficits in Schizophrenia
243 Citations1992H. D. Brenner, Bettina Hodel +2 more
Evaluative studies of IPT indicated that the program improved schizophrenic patients' elementary cognitive processes such as attention, abstraction, and concept formation but that patients' performance was still below the normal range.
British Journal of Medical PsychologyCognitive behavioural therapy for drug‐resistant psychosis
192 Citations1994Philippa Garety, L. Kuipers +3 more
Cognitive behaviour therapy was offered to patients with a diagnosis of schizophrenia or schizo-affective psychosis who presented unremitting positive symptoms who improved significantly on a number of key symptom measures when compared with the controls.
Schizophrenia BulletinEffectiveness of Attention Training in Schizophrenia
184 Citations1998Alice Medalia, M. Aluma +2 more
The results suggest that it is feasible to use practice and behavioral learning to remediate a core attention deficit in chronic schizophrenia.
Schizophrenia BulletinEffects of Attention Training on Information Processing in Schizophrenia
169 Citations1994Ralph H. B. Benedict, Ashley Harris +4 more
It is suggested that cognitive rehabilitation interventions with schizophrenia patients stress the teaching of behavioral strategies that bypass deficits, rather than remediating deficiencies in basic abilities, such as attention.
American Journal of PsychiatryRemediation of cognitive deficits in schizophrenia
157 Citations1990A S Bellack, Kim T. Mueser +3 more
The results indicate that deficits in performance on the Wisconsin Card Sorting Test are remediable, whether or not they are due to neurological impairment.
Outcome and innovation in psychological treatment of schizophrenia
155 Citations1998Til Wykes, Nicholas Tarrier +1 more
Schizophrenia ResearchProblem solving in schizophrenia: a specific deficit in planning ability
152 Citations1995Robin G. Morris
There is a deficit in problem solving activity in schizophrenia that may be associated with translating 'willed intentions' into action, independent of slower motor speed.
The British Journal of PsychiatryAbsence from School and Mental Health
148 Citations1992Ian Berg
Severe school attendance problems, which once commanded a great deal of attention in child and adolescent psychiatry, have fallen from favour and are increasingly viewed as varieties of social impairment which may accompany disorders such as anxiety disturbances in the case of school refusal and conduct disturbances inThe case of truancy.
Schizophrenia BulletinApplications of Experimental Psychopathology in Psychiatric Rehabilitation
123 Citations1986William D. Spaulding, Lowell H. Storms +2 more
Arousal-reducing, attentional, and cognitive interventions are appropriate for the prodromal, acute, and chronic stages of schizophrenic disorders.
Psychiatric QuarterlyNeuropsychiatric rehabilitation for persistent mental illness
106 Citations1992Judith Jaeger, Estelle Douglas
The authors conclude that barriers to the integration of knowledge from biological psychiatry and psychiatric rehabilitation have been largely related to academic “cultural” isolation, and that active cross fertilization of ideas is clearly justified by the present state of knowledge.
Schizophrenia BulletinCognitive Rehabilitation for Schizophrenia: Is It Possible? Is It Necessary?
96 Citations1992A.S. Bellack
It is concluded that the field might be better served by focusing on environmental change and compensatory strategies until it is determined how and why schizophrenic patients fail.
Cochrane Database of Systematic ReviewsCognitive rehabilitation for people with schizophrenia and related conditions
92 Citations2000John J. McGrath, Robyn Hayes
Although cognitive rehabilitation was as acceptable as placebo and occupational therapy, with low attrition in both groups, no effects were demonstrated on measures of mental state, social behaviour, or cognitive functioning.
Psychological MedicineSpecific cognitive flexibility rehabilitation in schizophrenia
75 Citations1993Ann Delahunty, Rodney Morice +1 more
Choice Reviews OnlineSchizophrenia: origins, processes, treatment, and outcome
73 Citations1994
This paper presents a summary view of Schizophrenia, focusing on the clinical symptoms, Courses, and Treatment Outcomes of the illness and some of the theories behind its treatment.
Schizophrenia ResearchScaffolded instruction and the remediation of Wisconsin Card Sorting Test deficits in chronic schizophrenia
61 Citations1995Donald A. Young
Significant and durable improvement of WCST performance in severely disabled schizophrenics is clearly possible with the instructional method employed, and the increment in abstract reasoning may generalize to other tasks.
Schizophrenia ResearchNormal neurocognitive performance after extended practice in patients with schizophrenia
60 Citations1997Bruce E. Wexler, Keith A. Hawkins +4 more
Patients with schizophrenia appear to have greater potential for neurocognitive improvement, and potentially for employment, than generally appreciated.
The British Journal of PsychiatryBiological and Cognitive Vulnerability Factors in Schizophrenia: Implications for Treatment
60 Citations1992H. D. Brenner, Bettina Hodel +3 more
Cognitive disorders have long assumed a central position in describing the pathognomonic characteristics of schizophrenia and specific information-processing deficits in affected individuals are identified.
Journal of Abnormal PsychologyReduction of perseverative error in patients with schizophrenia using monetary feedback.
58 Citations1991Ann Summerfelt, Larry Alphs +3 more
Findings suggest that the WCST perseverative errors of schizophrenics reflect motivational as well as cognitive factors.
Schizophrenia ResearchMemory and vigilance training to improve social perception in schizophrenia
53 Citations1995Patrick W. Corrigan, Joyce Nugent Hirschbeck +1 more
This study randomly assigned subjects with a DSM-III-R diagnosis of schizophrenia or schizoaffective disorder to a vigilance-plus-memory training condition and showed that subjects in the vigilance- plus-memory condition were able to identify social cues in the videotaped training materials significantly better.
Schizophrenia ResearchDurable improvements in Wisconsin Card Sorting Test performance in schizophrenic patients
49 Citations1995M. G. Vollema
The results suggest that frontal lobe deficits in schizophrenia can be reduced and that a central deficit in schizophrenic WCST performance is a stable dysfunction in concept formation.
Schizophrenia BulletinCognitive Remediation in Schizophrenia: Should We Attempt It?
45 Citations1992Bonnie Spring, Lisa Ravdin
Objections to cognitive remediation in schizophrenia are evaluated and the attempt is encouraged, and less well-designed and less successful attempts to treat similar impairments have been greeted with much enthusiasm.
British Journal of Clinical PsychologyRemediation of attention deficits in chronic schizophrenic patients: A preliminary study
45 Citations1989Ralph H. B. Benedict, Anne E. Harris
The data suggest that practice on cognitive tasks can improve the attentional performance of chronic schizophrenic patients.
Schizophrenia BulletinDesign Prerequisites for Research on Cognitive Therapy for Schizophrenia
39 Citations1992William D. Spaulding
There are important methodological pitfalls that must be addressed if large-scale research is to confirm the efficacy of the cognitive approach to schizophrenia and the role of specific and nonspecific factors in psychosocial treatments.
Acta Psychiatrica ScandinavicaChanging cognitive functioning in rehabilitation of schizophrenia
37 Citations1994William D. Spaulding, Mary Sullivan +4 more
A three‐factor model is proposed for clinical assessment of cognitive and neuropsychological impairments in schizophrenia, which includes executive, memory and conceptual abilities and is amenable to psychosocial treatment.
The British Journal of PsychiatryThe Treatment of Basic Psychological Dysfunctions From a Systemic Point of View
33 Citations1989H. D. Brenner
Schizophrenia research is affected by the current change of scientific paradigms of thinking and investigation, which has mainly characterised by a theoretical shift from a unifactorial towards a multifactorial view of the aetiology of schizophrenia.
Psychiatric ServicesPreliminary evaluation of cognitive adaptation training to compensate for cognitive deficits in schizophrenia
32 Citations1996D.I. Velligan, Roderick K. Mahurin +3 more
In a preliminary study at a state hospital, outcomes for cognitive adaptation training were compared with outcomes for standard psychosocial treatment for two groups of patients with schizophrenia, matched on levels of functional impairment and symptoms.
NeuropsychologyCognitive skill learning and schizophrenia: Implications for cognitive remediation.
27 Citations1998Laurent Michel, Jean‐Marie Danion +2 more
The ability to acquire a motor and cognitive skill was investigated in 26 patients with schizophrenia and 26 normal participants using repeated testing on the Tower of Toronto puzzle, indicating that skill learning suffered little or no impairment.
Biological PsychiatryModifiability of neuropsychological dysfunction in schizophrenia
27 Citations1995Lauren M. Tompkins, Robert Goldman +1 more
Some degree of plasticity of neurobehavioral function in schizophrenia is revealed, especially on tasks sensitive to frontal and temporohippocampal functions.
University of Nebraska Press eBooksCognitive technology in psychiatric rehabilitation
19 Citations1994William D. Spaulding
This work defines the issues and establishes an agenda for continued research and policy development on the cognitive characteristics of schizophrenia, as understood in the modern context of the cognitive sciences.
New Directions for Mental Health ServicesA cognitive‐behavioral treatment program for patients with a schizophrenic disorder
17 Citations1992C. Perris
The multidetermined nature of the disability of patients suffering from schizophrenic disorders requires a comprehensive treatment approach that includes cognitive-behavioral therapy.
British Journal of Clinical PsychologyImproving schizophrenic in‐patients' Wisconsin card‐sorting performance
15 Citations1996Heidi Nisbet, Richard J. Siegert +2 more
This study provides further evidence that the cognitive deficiency associated with the frontal lobe, implied by schizophrenic patients' typically poor Wisconsin Card-Sorting Test performance, is remediable.
The Occupational Therapy Journal of ResearchEffectiveness of Cognitive Rehabilitation for Improving Attention in Patients with Schizophrenia
14 Citations1993Catana Brown, Kimberly J. Harwood +3 more
This study supported the importance of hierarchically arranged crafts and cognitive rehabilitation in an environment with reduced sensory input and showed that treatments that were structured, concrete, and visual were most effective.
Community Mental Health JournalCognitive rehabilitation of adults with severe and persistent mental illness: A group model
12 Citations1994Mohiuddin Ahmed, Judith A. Goldman
A group treatment approach developed for adults with schizophrenia who live in a Community Mental Health Center supported group home revealed that the group modality promoted improved functioning in cognitive processing, social skills, and verbal communication.
Canadian Journal of Occupational TherapyImproving Attention in a Person with Schizophrenia
10 Citations1994Joyce Tryssenaar, Joel O. Goldberg
The results suggest that cognitive training of attention was effective with this subject, andcriptive data regarding functioning suggest generalized gains in performance in living, social and working environments.
Therapeutic Recreation JournalA comparison of appropriate behavior scores of residents with chronic schizophrenia participating in therapeutic recreation services and vocational rehabilitation services.
10 Citations1997Ann Finnell, Jaclyn A. Card +1 more
Within the context of the social-learning program, TR was more effective than VR in aiding residents with chronic schizophrenia exhibit appropriate behavior.
PubMed[Specifics of cognitive behavioral therapy in schizophrenia. Integrated program of psychological therapy].
7 Citations1994A Konen, Letícia Ferraz Neis +2 more
The designation "integrated" implies that the treatment is directed at cognitive disorders as well as behavioral/social deficits by using highly structured interventions, and is carried out with "reality-oriented" material.
New Directions for Mental Health ServicesAssessment and treatment of cognitive impairments
5 Citations1992Dorie Reed, Mary Sullivan +3 more
Impairments in cognitive functioning, which obstruct psychiatric rehabilitation, are resistant to drugs and conventional psychosocial treatment but can be reduced by specialized training techniques.