Type

Journal Article

Authors

I H Robertson
A Corvin
T Wykes
C. McDonald
B. Hallahan
B Fitzmaurice
J F Meaney
A J Fagan
E. Furey
M Castorina
and 4 others

Subjects

Psychiatry

Topics
post treatment single follow up functional connectivity working memory effectiveness neuropsychological performance training support

Effectiveness of a low support, remotely accessible, cognitive remediation training programme for chronic psychosis: cognitive, functional and cortical outcomes from a single blind randomised controlled trial. (2017)

Abstract Cognitive remediation (CR) training has emerged as a promising approach to improving cognitive deficits in schizophrenia and related psychosis. The limited availability of psychological services for psychosis is a major barrier to accessing this intervention however. This study investigated the effectiveness of a low support, remotely accessible, computerised working memory (WM) training programme in patients with psychosis. Ninety patients were enrolled into a single blind randomised controlled trial of CR. Effectiveness of the intervention was assessed in terms of neuropsychological performance, social and occupational function, and functional MRI 2 weeks post-intervention, with neuropsychological and social function again assessed 3-6 months post-treatment. Patients who completed the intervention showed significant gains in both neuropsychological function (measured using both untrained WM and episodic task performance, and a measure of performance IQ), and social function at both 2-week follow-up and 3-6-month follow-up timepoints. Furthermore, patients who completed MRI scanning showed improved resting state functional connectivity relative to patients in the placebo condition. CR training has already been shown to improve cognitive and social function in patient with psychosis. This study demonstrates that, at least for some chronic but stable outpatients, a low support treatment was associated with gains that were comparable with those reported for CR delivered entirely on a 1:1 basis. We conclude that CR has potential to be delivered even in services in which psychological supports for patients with psychosis are limited.
Collections Ireland -> Trinity College Dublin -> PubMed

Full list of authors on original publication

I H Robertson, A Corvin, T Wykes, C. McDonald, B. Hallahan, B Fitzmaurice, J F Meaney, A J Fagan, E. Furey, M Castorina and 4 others

Experts in our system

1
Ian H Robertson
Trinity College Dublin
Total Publications: 142
 
2
Aiden Corvin
Trinity College Dublin
Total Publications: 190
 
3
Colm McDonald
National University of Ireland Galway
Total Publications: 43
 
4
Brian Hallahan
National University of Ireland Galway
Total Publications: 20
 
5
B Fitzmaurice
National College Ireland
Total Publications: 5
 
6
James Meaney
Trinity College Dublin
Total Publications: 25
 
7
Andrew John Fagan
Trinity College Dublin
Total Publications: 70
 
8
Marco Castorina
Trinity College Dublin
Total Publications: 6