Group Cognitive Remediation Therapy for Chronic Schizophrenia: A Randomized Controlled Trial
Journal
Neuroscience Letters
Year
2016
Volume
626
First Page
106
Last Page
11
Abstract
Individual-level cognitive remediation therapy (CRT) has been shown to be effective for cognitive improvement and social function amelioration. Here, we aimed to test the efficacy of group-based CRT in Chinese subjects with schizophrenia. One-hundred and four inpatients were randomly assigned to either 40 sessions of small-group CRT therapy or therapeutic contact-matched Musical and Dancing Therapy (MDT). Cognitive and social functioning, as well as clinical symptoms, were evaluated over the course of treatment. Specifically, cognitive function was evaluated using a battery of cognitive measurements, clinical symptoms were evaluated using the Positive and Negative Syndrome Scale, and social function was evaluated using the Nurse's Observation Scale for Inpatient Evaluation-30. All patients were evaluated pre- and post-treatment. Forty-four individuals in the CRT group and 46 in the MDT group completed all of the planned treatments and analyses. Cognitive functions, especially cognitive flexibility and memory, showed significant improvement in the CRT group over the course of the study. The MDT group also showed improvement in several cognitive flexibility assessments, but the degree of improvement was significantly greater in the CRT group. Several social-function factors exhibited a significant improvement in the CRT group, but not in the MDT group. Cognitive function improvement correlated positively with social function without predicting social function change. We conclude that group-based CRT is an effective and promising therapy.
Music and Health Institute Terms
Body Improvisation; Cognitive Abilities; Engagement Level; Improvisation; Memory; Mental Health; Music Medicine; Psychotic Disorders
Indexed Terms
Cognitive Remediation; Dance Therapy; Schizophrenia; Schizophrenic Psychology; Cognitive deficits; Cognitive remediation therapy; Schizophrenia
Study Type
Randomized Controlled Trial; Quantitative Methods
Disciplines
Psychiatric and Mental Health
PubMed ID
26314508
Document Type
Article
Recommended Citation
Tan, S., Zou, Y., Wykes, T., Reeder, C., Zhu, X., Yang, F., Zhao, Y., Tan, Y., Fan, F., & Zhou, D. (2016). Group Cognitive Remediation Therapy for Chronic Schizophrenia: A Randomized Controlled Trial. Neuroscience Letters, 626, 106-11. Retrieved from https://remix.berklee.edu/mhi-music-mental-health/165