Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Cognitive Remediation for Adults with Schizophrenia
Psychiatry Res; ePub 2016 Nov 11; Corbera, et al
Cognitive remediation (CR) has gained increasing empirical support for the treatment of cognitive deficits in schizophrenia but substantial individual differences remain, according to a recent study. Researchers evaluated the role of 3 age ranges in treatment response to CR, relative to a closely-matched computer skills control intervention, in a blinded, randomized control trial with 112 adults with schizophrenia divided into 3 groups: An early-stage group (ES; ≤25 years, mean=3.4 years of illness; n=45), an early-chronic group (EC; 26–39, mean=7.6 years of illness; n=31) and a late-chronic group (LC; 40 and over, mean=18.2 years of illness; n=36). They found:
- Early-stage and early-chronic individuals with schizophrenia showed greater improvement in response to CR on a working memory measure.
- Adaptations of currently-existing CR programs to more effectively address the needs of older client populations are warranted.
Corbera S, Wexler BE, Poltorak A, Thime WR, Kurtz MM. Cognitive remediation for adults with schizophrenia: Does age matter? [Published online ahead of print November 11, 2016]. Psychiatry Res. doi:10.1016/j.psychres.2016.10.084.