Vita A, Barlati S, Bellani M, Brambilla P
Department of Clinical and Experimental Sciences, University of Brescia, and Psychiatric Unit, Spedali Civili Hospital, Brescia, Italy.
Department of Mental Health, Spedali Civili Hospital, Brescia, Italy.
Epidemiol Psychiatr Sci. 2014 Mar;23(1):21-5. doi: 10.1017/S2045796013000541. Epub 2013 Oct 17.
Impairment of cognitive functions is a core feature of schizophrenia with relevant consequences on patients' psychosocial functioning. Cognitive remediation techniques have been recently developed with the aim to restore or compensate for such impairments and improve the functional outcome of the disease. There is now convincing evidence of the efficacy of many of these techniques, especially when delivered in the context of a comprehensive treatment programme. Whether the application of these techniques in the early phases of the disease could modify the disease course and outcome and how they could affect brain plasticity and the trajectory of brain disease of schizophrenia is still under scrutiny.
认知功能损害是精神分裂症的核心特征,对患者的心理社会功能有相关影响。认知康复技术最近得到了发展,旨在恢复或补偿此类损害,并改善该疾病的功能结局。现在有令人信服的证据表明其中许多技术是有效的,尤其是在综合治疗方案的背景下实施时。这些技术在疾病早期阶段的应用是否能改变疾病进程和结局,以及它们如何影响精神分裂症的大脑可塑性和脑部疾病轨迹,仍在研究之中。