认知训练对认知,症状和功能的有效性:动机和参与度的影响
Joanna M Fiszdon1,2, Kaicheng Wang3, Karen Lê1
1VA Connecticut Healthcare System, Psychology Service, 116B, 950 Campbell Ave, West Haven, CT 06516, United States of America.
Schizophrenia research. Cognition
|April 29, 2024
概括
独立的认知训练 (CT) 在患有精神病谱系障碍的成年人中改善了认知表现和精神症状. 动机面试提高了抑郁症状的减少,但功能能力没有改变.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 认知补救疗法 (CRT) 和补偿策略培训是精神病谱系障碍的既定干预措施.
- 独立认知训练 (CT) 的有效性和结果预测因素仍然不太了解.
- 需要进行研究,以确定影响CT在这个人群中的有效性因素.
研究的目的:
- 评估计算机CT在患有精神病谱系障碍的成年人中的疗效.
- 调查动机面试 (MI),动机和出席对CT结果的影响.
- 为了确定CT治疗成功的预测因素.
主要方法:
- 114名患有精神病谱系障碍的成年人被随机分配到MI或对照面试 (CI).
- 然后,参与者接受了为期4个月的计算机CT.
- 结果包括训练任务,认知表现,精神症状和功能能力.
主要成果:
- 参与者在训练任务,认知表现和精神症状方面显著改善.
- 没有观察到自我报告的认知,自我报告的抑郁或功能能力的显著变化.
- 与CI相比,MI导致自我报告的抑郁症状减少得更大;动机和出席没有显著影响结果.
结论:
- 计算机化CT显示在精神病谱系障碍的认知和症状改善方面具有有效性.
- 在CT协议中,MI可能会增强抑郁症状的减少.
- 需要进一步的研究,以促进功能收益和CT的现实世界技能概括.
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