Can Cognitive Remediation in Groups Prevent Relapses?: Results of a 1-Year Follow-up Randomized Controlled Trial

firemonkey · February 14, 2020, 1:26pm

ncbi.nlm.nih.gov

Can Cognitive Remediation in Groups Prevent Relapses?: Results of a 1-Year Follow-up Randomized Controlled Trial.

DR Mueller, Z Khalesi and V Roder, The Journal of nervous and mental disease, Feb 2020 12

International guidelines define relapse prevention for schizophrenia patients as a key therapeutic aim. However, approximately 80% to 90% of schizophrenia patients experience further symptom exacerbation after the first episode. The purpose of this study was to investigate whether group integrated neurocognitive therapy (INT), a cognitive remediation approach, reduces relapse rates in schizophrenia outpatients. INT was compared with treatment as usual (TAU) in a randomized controlled trial. Fifty-eight stabilized outpatients participated in the study with 32 allocated to the INT group and 26 to the TAU group. A test battery was used at baseline, posttreatment at 15 weeks, and a 1-year follow-up. Relapse rates were significantly lower in the INT condition compared with TAU during therapy as well as at follow-up. The relapse rate after therapy was associated with significant reductions in negative and general symptoms, improvements in functional outcome, and overall cognition. Out of these variables, negative symptoms were identified to show the strongest association with relapses after therapy. The primary outcome of this study suggests that INT can prevent relapses in schizophrenia outpatients.

twinklestars · February 15, 2020, 2:15am

It’s not terribly surprising … but WHEN will it be standard?

firemonkey · February 15, 2020, 2:28am

I think a pig will get into Mensa before it becomes standard in the UK(OK I’m exaggerating a bit, but you know what I mean?) In 46 years as a service user all I’ve ever been asked cognitively is to count down in groups of 7 and repeat numbers back ie forward digit span …
Other than that,not a whiff of anything cognitive . I think it could become standard fairly soon in the USA .

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Can Cognitive Remediation in Groups Prevent Relapses?: Results of a 1-Year Follow-up Randomized Controlled Trial

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