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Development of a Virtual Reality Assessment of Everyday Living Skills

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Published on: April 23, 2014

Does cognitive remediation for schizophrenia improve functional outcomes?

Alice Medalia¹, Alice M Saperstein

¹Columbia University College of Physicians and Surgeons, Department of Psychiatry, New York, New York, USA. Am2938@columbia.edu

Current Opinion in Psychiatry

|January 16, 2013

Summary

Cognitive remediation for schizophrenia improves functional outcomes when integrated with real-world practice and psychosocial rehabilitation. Programs incorporating strategy teaching and addressing motivation yield better results.

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Area of Science:

Psychiatry
Neuroscience
Rehabilitation Medicine

Background:

Cognitive deficits significantly impact functional outcomes in schizophrenia.
Cognitive remediation aims to improve cognition and functional outcomes in schizophrenia.
Previous research shows variable effects of cognitive remediation on functional outcomes.

Purpose of the Study:

To review recent literature on cognitive remediation for schizophrenia, focusing on psychosocial outcomes.
To identify factors influencing the effectiveness of cognitive remediation for functional improvement.
To synthesize findings on integrating cognitive remediation with other rehabilitation approaches.

Main Methods:

Systematic review of studies published since 2011.
Analysis of cognitive remediation programs targeting neurocognition, social cognition, or integrative skills.
Evaluation of impact on psychosocial outcomes including quality of life, employment, academic, and social functioning.

Main Results:

Cognitive remediation impacts cognition across various trial qualities.
Psychosocial outcomes are more variable but show promise.
Integrative approaches targeting a range of cognitive skills are increasingly common.

Conclusions:

Cognitive remediation is most effective for functional outcomes when skills are practiced in real-world settings.
Integrating cognitive remediation with psychosocial rehabilitation enhances functional outcomes.
Programs emphasizing strategy teaching, motivation, and belief modification outperform drill-and-practice methods.