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Enhancing Cognitive Functioning in Schizophrenia Through Occupational Therapy Interventions: A Systematic Review
Elpida Stratou1, Nikolaos Gerosideris1, Symeon Dimitrios Daskalou1
1University of West Attica, Athens, Greece.
Abstract:
Schizophrenia is marked by significant cognitive deficits affecting daily life and quality of life. Occupational therapy (OT) employs various strategies to enhance cognitive, social, and daily functioning through structured meaningful occupations. To examine the effectiveness of OT interventions targeting cognitive functions in adults with schizophrenia. A systematic review was conducted, including 15 studies published between 2013 and February 2025, sourced from PubMed, Cochrane Library, and CINAHL databases. Key interventions included combined individual and group OT, targeted cognitive interventions, aerobic exercise (dance) interventions, integrated therapies, functional skill training, and self-management programs. These approaches significantly improved attention, memory, executive function, and processing speed. OT is a valuable intervention for cognitive enhancement in schizophrenia. Integrating diverse OT interventions into clinical practice is recommended. Future research should explore long-term studies, larger sample sizes, and the cost-effectiveness of interventions to improve the evidence base and practical implementation.
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