Computer‐assisted cognitive remediation in adolescents with psychosis or at risk for psychosis: a 6‐month follow‐up

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Abstract:

Urben S, Pihet S, Jaugey L, Halfon O, Holzer L. Computer‐assisted cognitive remediation in adolescents with psychosis or at risk for psychosis: a 6‐month follow‐up.

Objective: To investigate short‐term outcomes of a computer‐assisted cognitive remediation (CACR) for adolescents with psychotic disorders or at high risk for psychosis.

Method: Cognitive abilities and clinical status were assessed at baseline (N = 32) and at 6‐month follow‐up (N = 22) after enrolment in either a CACR (treatment group) or a computer games (control group) program (8 weeks).

Results: With regard to the cognitive abilities, no amelioration was found in the control group while, in the CACR group, significant improvements in inhibition (p = 0.040) and reasoning (p = 0.005) were observed. Furthermore, symptom severity decreased significantly in the control group (p = 0.046) and marginally in the CACR group (p = 0.088). Improvements in cognitive abilities were not associated with symptoms' amelioration. Finally, increase in reasoning abilities was related to the median effective work time in sessions of CACR (R = 0.64, p = 0.024).

Conclusion: At follow‐up, enhanced cognitive abilities (reasoning and inhibition), which are necessary for executing higher‐order goals or adapting behaviour to the ever‐changing environment, were reported in adolescents participants of the CACR. Thus, further studies are needed to confirm and extend these interesting results.

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1601-5215.2012.00651.x

Affiliations: 1: Research Unit, University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland 2: Day Care Unit for Adolescents (DCUA), University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland 3: University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland

Publication date: December 1, 2012

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