A comparison of compensatory and restorative cognitive interventions in early psychosis
This randomized trial examined the relative effectiveness of primarily compensatory and primarily restorative cognitive interventions in an early psychosis population. A total of 56 patients were randomized to one of two treatments which were applied for four months with a five month follow up asses...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-03-01
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| Series: | Schizophrenia Research: Cognition |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2215001319300174 |
| _version_ | 1818856925048078336 |
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| author | Sean A. Kidd Yarissa Herman Gursharan Virdee Christopher R. Bowie Dawn Velligan Christina Plagiannakos Aristotle Voineskos |
| author_facet | Sean A. Kidd Yarissa Herman Gursharan Virdee Christopher R. Bowie Dawn Velligan Christina Plagiannakos Aristotle Voineskos |
| author_sort | Sean A. Kidd |
| collection | DOAJ |
| description | This randomized trial examined the relative effectiveness of primarily compensatory and primarily restorative cognitive interventions in an early psychosis population. A total of 56 patients were randomized to one of two treatments which were applied for four months with a five month follow up assessment. Comparisons were between (1) Cognitive Adaptation Training (CAT) – a treatment that uses environmental supports and weekly home visits to compensate for cognitive challenges and improve community functioning and (2) Action Based Cognitive Remediation (ABCR) – a treatment involving computerized cognitive drill and practice exercises, simulations, goal setting, and behavioral activation. Linear mixed effects models demonstrated significant effects on community functioning for both CAT and ABCR without a difference between conditions (n = 39), with an indication of greater gains at follow up in the ABCR group (n = 31). Improvements in symptomatology were less robust with mixed findings across neurocognition metrics. This study concluded that both CAT and ABCR hold promise as interventions for early intervention psychosis populations but more work is needed to identify illness severity, subtype and contextual considerations that might indicate an emphasis on more compensatory versus more restorative cognitive interventions. Keywords: Psychosis, Schizophrenia, Cognitive remediation, Cognitive adaptation training, Randomized trial |
| first_indexed | 2024-12-19T08:32:14Z |
| format | Article |
| id | doaj.art-905c6e2ec11843d689aa67c1a10f0109 |
| institution | Directory Open Access Journal |
| issn | 2215-0013 |
| language | English |
| last_indexed | 2024-12-19T08:32:14Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Schizophrenia Research: Cognition |
| spelling | doaj.art-905c6e2ec11843d689aa67c1a10f01092022-12-21T20:29:10ZengElsevierSchizophrenia Research: Cognition2215-00132020-03-0119A comparison of compensatory and restorative cognitive interventions in early psychosisSean A. Kidd0Yarissa Herman1Gursharan Virdee2Christopher R. Bowie3Dawn Velligan4Christina Plagiannakos5Aristotle Voineskos6University of Toronto Department of Psychiatry, Canada; Corresponding author at: 1001 Queen St. W., Unit 2-1, #161, Toronto, Ontario M6J 1H1, Canada.Toronto Centre for Addiction and Mental Health, CAMH, 1001 Queen St. W., Toronto, Ontario M6J1H1, CanadaToronto Centre for Addiction and Mental Health, CAMH, 1001 Queen St. W., Toronto, Ontario M6J1H1, CanadaQueens University, Department of Psychology, 219 Craine Hall, Kingston K7L 3N6, Ontario, CanadaUniversity of Texas at San Antonio, Department of Psychiatry, 7526 Louis Pasteur Dr, San Antonio, TX 78229, USAToronto Centre for Addiction and Mental Health, CanadaUniversity of Toronto Department of Psychiatry, CAMH, 250 College St., Toronto M5T1R8, Ontario, CanadaThis randomized trial examined the relative effectiveness of primarily compensatory and primarily restorative cognitive interventions in an early psychosis population. A total of 56 patients were randomized to one of two treatments which were applied for four months with a five month follow up assessment. Comparisons were between (1) Cognitive Adaptation Training (CAT) – a treatment that uses environmental supports and weekly home visits to compensate for cognitive challenges and improve community functioning and (2) Action Based Cognitive Remediation (ABCR) – a treatment involving computerized cognitive drill and practice exercises, simulations, goal setting, and behavioral activation. Linear mixed effects models demonstrated significant effects on community functioning for both CAT and ABCR without a difference between conditions (n = 39), with an indication of greater gains at follow up in the ABCR group (n = 31). Improvements in symptomatology were less robust with mixed findings across neurocognition metrics. This study concluded that both CAT and ABCR hold promise as interventions for early intervention psychosis populations but more work is needed to identify illness severity, subtype and contextual considerations that might indicate an emphasis on more compensatory versus more restorative cognitive interventions. Keywords: Psychosis, Schizophrenia, Cognitive remediation, Cognitive adaptation training, Randomized trialhttp://www.sciencedirect.com/science/article/pii/S2215001319300174 |
| spellingShingle | Sean A. Kidd Yarissa Herman Gursharan Virdee Christopher R. Bowie Dawn Velligan Christina Plagiannakos Aristotle Voineskos A comparison of compensatory and restorative cognitive interventions in early psychosis Schizophrenia Research: Cognition |
| title | A comparison of compensatory and restorative cognitive interventions in early psychosis |
| title_full | A comparison of compensatory and restorative cognitive interventions in early psychosis |
| title_fullStr | A comparison of compensatory and restorative cognitive interventions in early psychosis |
| title_full_unstemmed | A comparison of compensatory and restorative cognitive interventions in early psychosis |
| title_short | A comparison of compensatory and restorative cognitive interventions in early psychosis |
| title_sort | comparison of compensatory and restorative cognitive interventions in early psychosis |
| url | http://www.sciencedirect.com/science/article/pii/S2215001319300174 |
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