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熟能生巧?中国精神分裂症认知矫正研究的可行性研究结果。

Does practice make perfect? Results from a Chinese feasibility study of cognitive remediation in schizophrenia.

机构信息

School of Psychology, Deakin University, Melbourne, Australia.

出版信息

Neuropsychol Rehabil. 2013;23(4):580-96. doi: 10.1080/09602011.2013.799075. Epub 2013 May 22.

DOI:10.1080/09602011.2013.799075
PMID:23697371
Abstract

Patients with schizophrenia often receive little by way of non-pharmacological interventions. Despite this, promising outcomes in programmes targeting cognitive deficits have been reported, suggesting that this is an area worthy of further investigation. The aim of the study was to implement and evaluate a brief computerised cognitive remediation programme designed to improve memory and attention in a male Chinese sample with chronic schizophrenia. Pre-testing was completed on a number of clinical and cognitive measures for intervention (n = 14) and treatment as usual (n = 17) participants. The intervention group then completed six weeks ( x no. of sessions = 12.78) of the computer-based cognitive remediation programme. Post-test measures for both groups were then collected again. Following the six week intervention, we found, contrary to our expectations, the intervention group improved on several of the clinical variables. The intervention group also performed better than the control group on the post-test measure of attention, but not verbal memory. These findings suggest that it is feasible to improve some aspects of cognitive abilities with a simple computerised training programme for people with serious mental illness.

摘要

精神分裂症患者通常很少接受非药物干预。尽管如此,针对认知缺陷的项目已经报告了有希望的结果,这表明这是一个值得进一步研究的领域。本研究的目的是实施和评估一个简短的计算机认知矫正计划,旨在改善男性中国慢性精神分裂症患者的记忆和注意力。对干预组(n=14)和常规治疗组(n=17)的一些临床和认知测量进行了预测试。然后,干预组完成了六周(x 节数=12.78)的基于计算机的认知矫正计划。然后再次收集两组的测试后测量值。经过六周的干预,我们发现,与我们的预期相反,干预组在几个临床变量上有所改善。干预组在注意力的后测中也表现优于对照组,但在言语记忆方面则不然。这些发现表明,对于严重精神疾病患者来说,使用简单的计算机训练计划来改善某些认知能力是可行的。

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