Clinical trial on social cognition in SZ

Locations in Illinois, Minnesota and Los Angeles Ca.

Testing a specialized online training in social cognition for sz vs commercially available online training.

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Is it meds or online games …

It’s an online training program.

But, it looks like it requires at least one visit to the study centers to be interviewed, etc.

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This is not going to work

Here’s a freely available online social cognition game. The goal is to click on the smiling face as quickly as possible.

http://selfesteemgames.mcgill.ca/games/sematrix.htm

Why do you think so?

I linked to the results of a cognitive remediation training study in sz in another thread which actually showed improvements in brain structure and less brain volume loss than controls. (With no side effects) If that training were a drug, we would be beating down our psychiatrists doors to get it.

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can u link me the study?

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While these obviously won’t hurt, as I’m reading these studies, it seems that the results depend significantly on the kind and quality of training.

They might help. But it seems like some of the reason these programs aren’t more widely used is that some of them are useful and some aren’t. Like sending someone to a English lit class won’t improve their math skills, and sending someone to a math tutor who is a bad teacher will not have as good results as one who is a good teacher.

However there is at least one company providing online cognitive remediation training to psychiatrist offices, which they can then provide to patients.

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Yes, but it’s not a drug and requires effort. Good luck selling THAT.

Sure. This was in early illness, but there are also studies (that unfortunately lack scans) that still show certain types of cognitive remediation are effective in later illness too.

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Thanks for posting this!

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thanks…how could they know it wasnt just a coincidence… id like to see this result achieved in another study

There is that. But also, if you take a drug, you and your psychiatrist know what you’re getting. There is no single established protocol for cognitive remediation in sz. Plus, I don’t think most psych docs ever present this as a valid treatment to their patients. So it’s not surprising that people would dismiss it. Also if they’ve tried commercial, unproven in sz apps and didn’t get a result, it’s easy to get discouraged.

I found one company providing online CRT to psych offices. Gonna ask my doc about it. I fiddle around enough on the computer, might as well have a benefit. I’ll edit this post with the link.

Here’s the link: https://www.happyneuronpro.com/

It’s meant for the psych office to pay for and let their patients use, otherwise it would be cost prohibitive to most people.

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They could see it was not a coincidence because they had a control group which received supportive therapy instead of cognitive remediation. That group deteriorated.

There’s actually a lot of studies on cognitive remediation. But this was the only one with brain scans as far as I found.

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yes i read that part but say if they then switched each groups therapy i wonder if they too would get results.

This wasn’t ever presented to me initially at all. It was my AA family that got me off my arse and moving towards recovery. I notice that this thinking has changed over the years and pdocs are more encouraging about functioning on lower levels of meds, CBT, coping strategies, pushing yourself, etc.

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I think that everyone is just so scared of the illness and the fear induces a type of paralysis. It’s like the bogeyman under the bed when you’re a child. It’s terrifying precisely because you can’t see it or touch it.

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Here is an analysis of a couple dozen studies which shows a moderate effect size for cognitive improvement with cognitive remediation (of various types). It also shows some improvement in social function, but primarily in studies which also provided more comprehensive psychiatric treatment - not just cognitive remediation and nothing else.

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