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对患有精神疾病的大学生进行认知康复干预的评估。

Evaluation of a cognitive remediation intervention for college students with psychiatric conditions.

作者信息

Mullen Michelle G, Thompson Judy L, Murphy Ann A, Malenczak Derek, Giacobbe Giovanna, Karyczak Sean, Holloway Katherine E, Twamley Elizabeth W, Silverstein Steven M, Gill Kenneth J

机构信息

Department of Psychiatric Rehabilitation and Counseling Professions, School of Health Professions, Rutgers University.

Department of Psychiatry, University of California, San Diego.

出版信息

Psychiatr Rehabil J. 2017 Mar;40(1):103-107. doi: 10.1037/prj0000254.

DOI:10.1037/prj0000254
PMID:28368183
Abstract

OBJECTIVE

Given the poor educational outcomes associated with psychiatric conditions, we developed Focused Academic Strength Training (FAST), a 12-week strategy-focused cognitive remediation intervention designed to improve academic functioning among college students with psychiatric conditions. Here we report initial results from a randomized controlled trial of FAST.

METHOD

Seventy-two college students with mood, anxiety, and/or psychotic disorders were randomized to receive FAST or services as usual and were assessed at baseline and 4 months (posttreatment).

RESULTS

Repeated-measures analyses of variance indicated FAST-associated improvements in self-reported cognitive strategy use (p < .001), self-efficacy (p = .001), and academic difficulties (p = .025). There were no significant treatment-related improvements in neuropsychological performance.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

FAST may lead to an increase in self-efficacy and cognitive strategy use, as well as a reduction in academic difficulties among students with psychiatric conditions. Future analyses with follow-up data through 12 months will address the potential of FAST to improve academic functioning among this population. (PsycINFO Database Record

摘要

目的

鉴于与精神疾病相关的学业成绩不佳,我们开发了聚焦学术优势训练(FAST),这是一种为期12周、以策略为重点的认知康复干预措施,旨在改善患有精神疾病的大学生的学业表现。在此,我们报告FAST随机对照试验的初步结果。

方法

72名患有情绪、焦虑和/或精神障碍的大学生被随机分组,分别接受FAST或常规服务,并在基线和4个月(治疗后)时进行评估。

结果

重复测量方差分析表明,FAST在自我报告的认知策略使用(p <.001)、自我效能感(p =.001)和学业困难(p =.025)方面有改善。在神经心理学表现方面,没有与治疗相关的显著改善。

结论及对实践的启示

FAST可能会提高自我效能感和认知策略的使用,并减少患有精神疾病的学生的学业困难。通过12个月的随访数据进行的未来分析将探讨FAST改善该人群学业表现的潜力。(PsycINFO数据库记录)

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Pilot Feasibility Stud. 2020 Apr 27;6:54. doi: 10.1186/s40814-020-00579-0. eCollection 2020.
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