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Cognitive remediation

Ayse Sakalli Kani, Ann K Shinn, Kathryn E Lewandowski, Dost Öngür
OBJECTIVES: A variety of treatment options exist for schizophrenia, but the effects of these treatments on brain function are not clearly understood. To facilitate the development of more effective treatment strategies, it is important to identify how brain function in schizophrenia patients is affected by the diverse therapeutic approaches that are currently available. The aim of the present article is to systematically review the evidence for functional brain changes associated with different treatment modalities for schizophrenia...
October 19, 2016: Journal of Psychiatric Research
Stig Evensen, Torill Ueland, June Ullevoldsæter Lystad, Helen Bull, Ole Klungsøyr, Egil W Martinsen, Erik Falkum
BACKGROUND: Employment is an important part of recovery for individuals with schizophrenia. The employment rate for this group is as low as 10% in Norway, and major system related barriers to employment are evident. AIMS: This study reports the competitive employment outcome at 2-year follow-up of a vocational rehabilitation study augmented with cognitive remediation (CR) or elements from cognitive behaviour therapy (CBT) for individuals with schizophrenia spectrum disorders...
October 24, 2016: Nordic Journal of Psychiatry
Kelsey E Smith, Jeffrey Schatz
Children with sickle cell disease (SCD) are at risk for working memory deficits due to multiple disease processes. We assessed working memory abilities and related functions in 32 school-age children with SCD and 85 matched comparison children using Baddeley's working memory model as a framework. Children with SCD performed worse than controls for working memory, central executive function, and processing/rehearsal speed. Central executive function was found to mediate the relationship between SCD status and working memory, but processing speed did not...
October 19, 2016: Developmental Neuropsychology
Lídia Teixidor López, Cindy Frías-Torres, José Moreno-España, Lluisa Ortega, Pablo Barrio, Antoni Gual
Many alcohol-dependent patients suffer from cognitive impairment of variable severity, manifested by alterations in retrograde and anterograde memory, visuospatial processing, cognitive abilities and attention, some of which are reversible. In this context, cognitive remediation therapies could significantly improve patients' performance; therefore, these are considered a valuable alternative. The aim of this study was to implement cognitive remediation therapy in patients with alcohol dependence and cognitive impairment and evaluate its viability and effectiveness...
September 29, 2016: Adicciones
Irene Sturm, Sebastian Lapuschkin, Wojciech Samek, Klaus-Robert Müller
BACKGROUND: In cognitive neuroscience the potential of Deep Neural Networks (DNNs) for solving complex classification tasks is yet to be fully exploited. The most limiting factor is that DNNs as notorious 'black boxes' do not provide insight into neurophysiological phenomena underlying a decision. Layer-wise Relevance Propagation (LRP) has been introduced as a novel method to explain individual network decisions. NEW METHOD: We propose the application of DNNs with LRP for the first time for EEG data analysis...
October 13, 2016: Journal of Neuroscience Methods
Ryan A Stevenson, Sohee Park, Channing Cochran, Lindsey G McIntosh, Jean-Paul Noel, Morgan D Barense, Susanne Ferber, Mark T Wallace
Recent neurobiological accounts of schizophrenia have included an emphasis on changes in sensory processing. These sensory and perceptual deficits can have a cascading effect onto higher-level cognitive processes and clinical symptoms. One form of sensory dysfunction that has been consistently observed in schizophrenia is altered temporal processing. In this study, we investigated temporal processing within and across the auditory and visual modalities in individuals with schizophrenia (SCZ) and age-matched healthy controls...
October 13, 2016: Schizophrenia Research
K W Miskowiak, C V Ott, J Z Petersen, L V Kessing
Cognitive impairment is a core feature of Major Depressive Disorder (MDD) but treatments targeting cognition are lacking. Numerous pre-clinical and clinical studies have investigated potential cognition treatments, but overall the evidence is conflicting. We conducted a systematic search following the PRISMA guidelines on PubMed and PsychInfo to evaluate the extant evidence and methodological challenges in randomized controlled trials (RCTs) of biological, psychological and behavioural candidate treatments targeting cognition in MDD...
October 13, 2016: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
L Brandejsky, J-A Micoulaud Franchi, R Lopez, S Bioulac, D Da Fonseca, C Daudet, L Boyer, R Richieri, C Lançon
OBJECTIVES: The aim of this review is to summarize the available data in the literature about the therapeutic applications of transcranial magnetic stimulation and transcranial direct current stimulation in attention-deficit hyperactivity disorder (ADHD). METHOD: The scientific literature search of international articles was performed in February 2016 using the PubMed electronic database. The following MeSH terms were employed: "attention-deficit disorder with hyperactivity" AND "transcranial magnetic stimulation", "attention-deficit disorder with hyperactivity" AND "transcranial direct current stimulation"...
October 10, 2016: L'Encéphale
M-N Babinet, C Rigard, É Peyroux, A-R Dragomir, I Plotton, H Lejeune, C Demily
INTRODUCTION: The Klinefelter syndrome (KS) is a genetic condition characterized by an X supernumerary sex chromosome in males. The syndrome is frequently associated with cognitive impairment. Indeed, the different areas of the executive sphere can be affected such as inhibition, cognitive flexibility but also attentional and visual-spatial domain. Social cognition disorders, predominantly on emotional recognition processes, have also been documented. In addition, the syndrome may be associated with psychiatric symptoms...
October 12, 2016: L'Encéphale
Morris D Bell, Holly B Laws, Ismene B Petrakis
Objective: Cognitive remediation therapy (CRT) is reported to improve neurocognitive and substance use disorder (SUD) outcomes in residential treatments. This National Institute of Drug Abuse funded pilot study reports on CRT as an augmentation to outpatient treatment for SUD. Method: Recovering outpatient veterans were randomized into CRT + Work Therapy (n = 24) or work therapy (n = 24) with treatment-as-usual. Blind assessments of neurocognition and substance use were performed at baseline, 3 months (end of treatment), and 6-month follow-up...
October 10, 2016: Psychiatric Rehabilitation Journal
Priyanka Pahwa, Rajesh Kumar Goel
Asparagus adscendens Roxb. commonly known as safed musli and belonging to the Liliaceae family is cultivated mainly in Asian countries. In traditional medicine, safed musli is recommended as nerve tonic and remedy for memory impairment. The present study was aimed to evaluate nootropic and antiamnesic activities of Asparagus adscendens extract (AAE) using in silico and in vivo approach. Phytoconstituents of A. adscendens root reported in literature were subjected to in silico prediction using PASS and Pharmaexpert...
October 4, 2016: Chemico-biological Interactions
Shaun M Eack, Christina E Newhill, Matcheri S Keshavan
OBJECTIVE: Cognitive remediation is emerging as an effective psychosocial intervention for addressing untreated cognitive and functional impairments in persons with schizophrenia, and might achieve its benefits through neuroplastic changes in brain connectivity. This study seeks to examine the effects of cognitive enhancement therapy (CET) on fronto-temporal brain connectivity in a randomized controlled trial with individuals in the early course of schizophrenia. METHOD: Stabilized, early course outpatients with schizophrenia or schizoaffective disorder (N = 41) were randomly assigned to CET (n = 25) or an active enriched supportive therapy (EST) control (n = 16) and treated for 2 years...
2016: Journal of the Society for Social Work and Research
Rick A Stephan, Omar M Alhassoon, Kenneth E Allen, Scott C Wollman, Matt Hall, William J Thomas, Julia M Gamboa, Chrissy Kimmel, Mark Stern, Celina Sari, Constance J Dalenberg, Scott F Sorg, Igor Grant
BACKGROUND: Promising models for cognitive rehabilitation in alcohol treatment rest on a more nuanced understanding of the associated impairments in the multifaceted domains of executive functioning (EF) and impulsivity. OBJECTIVES: This meta-analysis examined the effects of alcohol on the individual subcomponents of EF and impulsivity in recently detoxified participants, including 1) Inhibition & Self-Regulation, 2) Flexibility & Set Shifting, 3) Planning & Problem Solving, 4) Reasoning & Abstraction, and 5) Verbal Fluency...
August 12, 2016: American Journal of Drug and Alcohol Abuse
Lucia Giombini, Jennifer Moynihan, Matteo Turco, Sophie Nesbitt
PURPOSE: Research suggests that there are cognitive inefficiencies underlying Anorexia Nervosa (AN), with CRT showing promise in improving these inefficiencies in adults. This area has yet to be explored in a younger population. The aim of this study was to evaluate the use of CRT for young people. METHODS: A within-subjects design was used to compare the performance of children and adolescents with AN on several neuropsychological measures administered before and after a course of CRT...
October 4, 2016: Eating and Weight Disorders: EWD
Daniel Glizer, Penny A MacDonald
Cognitive deficits are prevalent among patients with Parkinson's disease (PD), in both early and late stages of the disease. These deficits are associated with lower quality of life, loss of independence, and institutionalization. To date, there is no effective pharmacological treatment for the range of cognitive impairments presented in PD. Cognitive training (CT) has been explored as an alternative approach to remediating cognition in PD. In this review we present a detailed summary of 13 studies of CT that have been conducted between 2000 and 2014 and a critical examination of the evidence for the effectiveness and applicability of CT in PD...
2016: Parkinson's Disease
J William Sparks, Mary Landrigan-Ossar, Amy Vinson, Jennifer Dearden, Andres T Navedo, David B Waisel, Robert S Holzman
The Accreditation Council for Graduate Medical Education requires medical training programs to monitor, track, and formally document a fellow's performance. If deficiencies are found, programs are expected to prepare and implement an effective plan of action for improvement and to ensure that graduates acquire the personal and professional attributes of an independent physician. We revised our evaluation policy and instituted a remediation protocol in 2008. Since that time, 130 pediatric anesthesia fellows have graduated...
November 2016: Journal of Clinical Anesthesia
Glenda M MacQueen, Katherine A Memedovich
Cognitive dysfunction is a recognized feature of mood disorders, including major depressive disorder (MDD) and bipolar disorder (BD). Cognitive impairment is associated with poor overall functional outcome and is therefore an important feature of illness to optimize for patients' occupational and academic outcomes. While generally people with BD appear to have a greater degree of cognitive impairment than those with MDD, direct comparisons of both patient groups within a single study are lacking. There are a number of methods for the assessment of cognitive function, but few are currently used in clinical practice...
September 29, 2016: Psychiatry and Clinical Neurosciences
Rufin VanRullen
A growing number of studies endeavor to reveal periodicities in sensory and cognitive functions, by comparing the distribution of ongoing (pre-stimulus) oscillatory phases between two (or more) trial groups reflecting distinct experimental outcomes. A systematic relation between the phase of spontaneous electrophysiological signals, before a stimulus is even presented, and the eventual result of sensory or cognitive processing for that stimulus, would be indicative of an intrinsic periodicity in the underlying neural process...
2016: Frontiers in Neuroscience
Kate Tchanturia, Emma Larsson, James Adamson
BACKGROUND: The current study aimed to evaluate group Cognitive remediation therapy (CRT) inpatients with Anorexia Nervosa (AN). We aimed to examine the treatment response of group CRT in AN patients with high or low levels of autistic traits. METHODS: Thirty-five in patients with an AN diagnosis received group CRT intervention for 6 sessions in a national eating disorder unit. All participants completed self-report questionnaires on thinking styles and motivation before and after the intervention...
September 29, 2016: BMC Psychiatry
Philippine Dassonville, Stuart Nash, Valérie Servajean, Monique Sanchez, Stéphanie Mazza, Pascale Colliot, Sophie Jacquin-Courtois, Evelyne Klinger, Anne-Marie Schott, Laure Huchon, Laura Mechtouff, Laurent Derex, Norbert Nighoghossian, Tae-Hee Cho, Gilles Rode
OBJECTIVE: Describe cognitive impairments and their impact on activities of daily living after a minor stroke in the context of a "pilote" consultation done in hospices civils de Lyon between vascular neurology and physical and rehabilitation services. MATERIAL/PATIENTS AND METHODS: Thirty patients (21-67 years old) who have cognitive difficulties 6 months after minor stroke were included in the study. All patients received an assessment of complaints and cognitive performances (Montreal cognitive assessment scale, verbal span, 16 items free and cued recall, doors test, rey figure, symbol digit modalities test, verbal fluences, trail making test and the virtual action planning-supermarket test)...
September 2016: Annals of Physical and Rehabilitation Medicine
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