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Enhancing and Promoting Recovery In Attentionally Impaired People Diagnosed With Schizophrenia: Results From A
Steven M Silverstein1, Matthew W Roché1, Zaynab Khan1
1University Behavioral Health Care, Rutgers University; Rutgers, The State University of New Jersey.
American Journal of Psychiatric Rehabilitation
|September 30, 2014
Summary
Attention shaping procedures (ASP) significantly improve attention in individuals with schizophrenia. This treatment
Area of Science:
- Psychiatry and Behavioral Science
- Clinical Psychology
- Neuroscience
Background:
- Schizophrenia is characterized by profound attentional impairments.
- Existing psychopharmacological and psychosocial interventions offer limited improvements in attention.
- Attention Shaping Procedures (ASP) show promise but require further investigation.
Purpose of the Study:
- To evaluate the efficacy of ASP in a partial hospital program for schizophrenia.
- To assess the generalizability of ASP effects beyond the treatment setting.
- To determine the necessity of contingent reinforcement within ASP.
Main Methods:
- Conducted the first randomized clinical trial of ASP.
- Participants were individuals diagnosed with schizophrenia in a partial hospital program.
- Assessed attentiveness behaviors and real-world functioning.
Main Results:
- ASP demonstrated significant improvements in attention for schizophrenia patients in partial hospital programs.
- Effects of ASP generalized to other treatment groups and real-world functioning.
- Contingent reinforcement was identified as a critical component of ASP's effectiveness.
Conclusions:
- ASP is an effective intervention for improving attention in schizophrenia patients.
- ASP's benefits extend beyond the treatment context, enhancing daily functioning.
- This study supports the use of ASP in recovery-oriented care for schizophrenia.
Keywords:
Schizophreniaattentionbehavior therapycognitive remediationrecovery-oriented careserious mental illness
