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Cognitive remediation in schizophrenia: should we attempt it?
1Dept. of Psychology, University of Health Sciences, Chicago Medical School, IL 60064.
Schizophrenia Bulletin
|January 1, 1992
Summary
Cognitive deficits in schizophrenia persist despite remission. Early cognitive remediation efforts showed promise but were abandoned, unlike similar treatments for brain injuries.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Psychology
Background:
- Persistent cognitive deficits are a hallmark of schizophrenia, even after psychosis resolves.
- Early cognitive remediation trials for schizophrenia yielded positive results but were discontinued.
- Similar cognitive impairments following closed-head injury have seen continued research despite less successful outcomes.
Purpose of the Study:
- To re-evaluate the potential of cognitive remediation for schizophrenia.
- To contrast the historical response to cognitive remediation in schizophrenia versus brain injury.
- To address and overcome objections hindering cognitive remediation research in schizophrenia.
Main Methods:
- Review of historical cognitive remediation attempts in schizophrenia.
- Comparative analysis of treatment enthusiasm for cognitive impairments in schizophrenia and closed-head injury.
- Evaluation of current objections to cognitive remediation in schizophrenia.
Main Results:
- Early cognitive remediation for schizophrenia was paradoxically abandoned despite initial success.
- Treatments for similar cognitive deficits in brain injury have been pursued more vigorously, despite less success.
- Existing objections to cognitive remediation in schizophrenia are deemed surmountable.
Conclusions:
- Cognitive remediation holds significant, yet unrealized, potential for schizophrenia.
- Renewed efforts in cognitive remediation for schizophrenia are warranted.
- The historical abandonment of cognitive remediation for schizophrenia represents a missed opportunity.