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Controversies in Computerized Cognitive Training
Philip D Harvey1, Susan R McGurk2, Henry Mahncke3
1University of Miami Miller School of Medicine, Miami VA Medical Center, Miami, Florida.
Biological Psychiatry. Cognitive Neuroscience and Neuroimaging
|September 11, 2018
Summary
Computerized cognitive training (CCT) improves cognitive function in schizophrenia and older adults. However, functional gains are mainly seen with cognitive remediation (CR), highlighting the need for clear definitions.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation
Background:
- Computerized cognitive training (CCT) is widely used to enhance cognitive functioning.
- Previous reviews have yielded inconsistent conclusions on CCT efficacy due to varied definitions of targets and outcomes.
- Accurate definitions are crucial, particularly for conditions like schizophrenia.
Purpose of the Study:
- To clarify definitions of CCT and cognitive remediation (CR).
- To review the applications and outcomes of CCT and CR in schizophrenia and healthy aging.
- To guide the measurement of cognitive and functional gains.
Main Methods:
- Literature review focusing on schizophrenia and healthy aging populations.
- Analysis of unique CCT and CR approaches for each group.
- Examination of extant research on CCT/CR concepts and findings.
Main Results:
- CCT consistently improves cognitive performance on untrained tasks in both healthy older adults and individuals with schizophrenia.
- Functional gains associated with CCT in schizophrenia appear limited, primarily observed in CR studies.
- Discrepancies in definitions impact the interpretation of CCT and CR effectiveness.
Conclusions:
- Clear definitions of CCT, CR, and treatment gains are essential for accurate efficacy assessment.
- CCT demonstrates cognitive benefits across populations, but functional improvements require specific approaches.
- Further research is needed to optimize CCT and CR for maximal cognitive and functional benefits.
Keywords:
Clinical trialsCognitionComputerized cognitive trainingHealthy agingRehabilitationSchizophreniaMore Related Videos
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