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Effects of attention training on information processing in schizophrenia
R H Benedict1, A E Harris, T Markow
1SUNY Buffalo School of Medicine, Dept. of Neurology, Buffalo General Hospital 14203.
Schizophrenia Bulletin
|January 1, 1994
Summary
Cognitive retraining did not improve attention skills in schizophrenia patients. Interventions should focus on behavioral strategies to bypass attention deficits, not direct remediation.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Psychology
Background:
- Schizophrenia is often associated with significant cognitive deficits, particularly in attention.
- Cognitive retraining aims to improve cognitive functions in patients with schizophrenia.
- The efficacy of directly remediating attention deficits remains unclear.
Purpose of the Study:
- To evaluate the impact of a cognitive retraining intervention on attention skills in schizophrenia patients.
- To assess changes in perceptual sensitivity, sustained vigilance, and memory recall post-intervention.
Main Methods:
- A cognitive retraining program involving computer-mediated vigilance tasks was administered to 16 schizophrenia patients.
- A control group of 17 schizophrenia patients received no treatment.
- Outcome measures included visual continuous performance tests, visual span of apprehension, and world-list recall.
- Negative and positive symptoms were assessed before and after the intervention period.
Main Results:
- Participants in the retraining group showed improved performance on the training tasks.
- No significant improvements were observed in the outcome measures of attention or memory recall.
- No significant changes in negative or positive symptoms were reported.
Conclusions:
- Directly remediating attention deficits through cognitive retraining may not be effective for schizophrenia patients.
- Cognitive rehabilitation for schizophrenia should prioritize teaching behavioral strategies that circumvent existing cognitive deficits.
- Future interventions should explore alternative approaches beyond basic ability remediation.