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Effectiveness of Cognitive Training in an Intensive Outpatient First Episode Psychosis Program.
Aimee Murray1, Kris Svendahl2, Susanne Lee1
11 - University of Minnesota.
Clinical Schizophrenia & Related Psychoses
|January 4, 2019
Summary
Cognitive training improved cognition in first episode psychosis patients. This approach showed feasibility and effectiveness in a day treatment setting, potentially reducing re-hospitalization rates.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Psychology
Background:
- Cognitive deficits are persistent in early psychosis despite pharmacotherapy.
- Cognitive training has shown efficacy in improving cognition, symptoms, and outcomes in psychosis.
Purpose of the Study:
- To assess the feasibility and effectiveness of a cognitive training program for first episode psychosis patients in a non-research clinic.
- To evaluate cognitive improvements, symptom changes, and re-hospitalization rates.
Main Methods:
- Chart review of 71 first episode psychosis patients undergoing cognitive training.
- Utilized the MATRICS Consensus Cognitive Battery (MCCB) for cognitive assessment.
- Assessed symptom changes using the expanded Brief Psychiatric Rating Scale (BPRS-E).
Main Results:
- Significant improvements in global cognition (p < .05), particularly in working memory and processing speed.
- No significant changes were observed in psychiatric symptoms.
- Participants without comorbidities showed lower re-hospitalization rates compared to other programs.
Conclusions:
- Cognitive training is feasible and effective for first episode psychosis patients in a day treatment setting.
- The program demonstrated benefits in cognitive function and potentially reduced re-hospitalization.
- Further research may support integrating cognitive training into routine clinical practice.
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