Velligan D I, Mahurin R K, True J E, Lefton R S, Flores C V
Clinical Research Unit, San Antonio State Hospital, Highland Hills Station, TX 78233, USA.
Psychiatr Serv. 1996 Apr;47(4):415-7. doi: 10.1176/ps.47.4.415.
Cognitive adaptation training is a treatment approach designed to alter the physical environment of patients with schizophrenia to compensate for cognitive deficits and improve adaptive function. A wide range of environmental manipulations such as labels, signs, schedules, and rearrangement of objects are employed. In a preliminary study at a state hospital, outcomes for cognitive adaptation training were compared with outcomes for standard psychosocial treatment for two groups of patients with schizophrenia, matched on levels of functional impairment and symptoms. Both groups showed improvement in symptoms and adaptive function, but patients receiving the specialized training showed greater improvement in adaptive function than did the standard-treatment group.
认知适应训练是一种治疗方法，旨在改变精神分裂症患者的物理环境，以弥补认知缺陷并改善适应功能。采用了多种环境操纵手段，如标签、标识、日程安排以及物品重新摆放等。在一家州立医院进行的一项初步研究中，对两组功能损害程度和症状相匹配的精神分裂症患者，比较了认知适应训练与标准心理社会治疗的效果。两组患者的症状和适应功能均有改善，但接受专门训练的患者在适应功能方面的改善比标准治疗组更大。
