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Physician Awareness of Cognitive Dysfunction in Schizophrenia

Erin Crown, PA-C, CAQ-Psychiatry, and John M. Kane, MD, discuss awareness among physicians of the concept of cognitive impairment associated with schizophrenia and detail unmet needs, including the lack of approved therapies, measurement tools, and access to cognitive remediation. ....

Shaping Schizophrenia Care , Cognitive Impairment , Cognitive Dysfunction , Screening Tools , Cognitive Batteries , Cognitive Assessments , Physician Burden , Patient Satisfaction , Social Cognition , Physician Awareness , Cognitive Training , Behavioral Training , Cognitive Remediation ,

"Cognitive remediation in residential substance use treatment: A random" by Talia Nardo, Jamie Berry et al.

Executive dysfunction is common in individuals with substance use disorder (SUD) and presents a barrier to treatment engagement. The study aimed to investigate the effectiveness of cognitive remediation (CR) for improving executive functioning and treatment retention in patients with SUD, using a stepped-wedge cluster randomized controlled trial. The sample included 527 adults enrolled across ten residential SUD treatment providers in NSW, Australia. The intervention consisted of 12 hours of CR delivered over six weeks in a group format. The comparator was treatment-as-usual (TAU). Primary outcomes included self-reported executive functioning and proportion of treatment completed (PoTC), measured as the number of days in treatment divided by the planned treatment duration. Intention-to-treat analysis did not find significant differences for self-reported executive functioning (mean difference = −2.49, 95%CI [−5.07, 0.09], p =.059) or PoTC (adjusted mean ratio = 1.09, 95%CI [0.88, 1 ....

Cognitive Remediation , Substance Use Disorder ,

What is the Evidence for Empirically Supported Treatments in Psychology?

New meta-scientific review questions the evidence for the gold standard psychotherapies and empirically supported treatments. ....

United States , Alexander Williams , American Psychological Association , University Of Victoria , University Of Kansas , Abnormal Psychology , John Kitchener Sakaluk , Cognitive Adaptation Training , Bulimia Nervosa , Psychological Debriefing , Post Traumatic Stress Disorder , Cognitive Processing Therapy , Prolonged Exposure , Behavioral Activation , Cognitive Remediation , Dialectical Behavior Therapy , Borderline Personality Disorder , Cognitive Behavioral Therapy , Family Based Treatment , Exposure Therapy , Family Psychoeducation , Evidential Value , Empirically Supported Psychological Treatments ,

Assessing Cognitive Function in Patients with Schizophrenia

A panel of medical experts discuss the clinical and financial considerations surrounding the treatment of patients diagnosed with schizophrenia.
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United States , Carolinep Carney , Johnj Miller , Nev Jones , Early Psychosis Intervention Network , Psychosis Intervention Network , Neurocognitive Batteries , Prodromal Phase , Cognitive Remediation , National Institute Of Mental Health ,

"Feasibility, reliability and validity of a modified approach to goal a" by Jamie Berry, Ely M. Marceau et al.

Objective: Although person-centred outcome measures have been recommended to evaluate cognitive rehabilitation interventions, few validated measures have been developed for this purpose. The current study examined aspects of feasibility, reliability and validity of a modified version of goal attainment scaling that uses a goal menu, calculator and control goals. Method: Participants were N=25 female residents of a substance use disorder therapeutic community who were allocated to a four-week cognitive remediation (n=13) or treatment as usual (n=12) control group in a controlled sequential groups trial. Modified goal attainment scaling was used to set goals. Limited efficacy and efficiency, quality appraisal criteria, and convergent and discriminant validity of target and control goals were used to examine feasibility, reliability and content validity, and construct validity, respectively. Results: Target goals were achieved at a higher rate than control goals for the Intervention, but ....

Behavior Rating Inventory , Executive Function , Cognitive Remediation , Goal Attainment Scaling , Goal Setting , Substance Use Disorder ,