Adherence to a Low-Support Cognitive Remediation Training Program for Psychosis
ABSTRACTCognitive remediation (CR) has emerged as the treatment of choice for impaired cognition in psychosis. However, little is known about adherence rates and factors predicting adherence to CR, particularly in clinical settings where high-level therapist support is unavailable. This study aimed...
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| Veröffentlicht in: | The journal of nervous and mental disease 2016-10, Vol.204 (10), p.741-745 |
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| container_title | The journal of nervous and mental disease |
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| creator | Dillon, Rachael Hargreaves, April Anderson-Schmidt, Heike Castorina, Marco Corvin, Aiden Fitzmaurice, Brian Robertson, Ian Donohoe, Gary |
| description | ABSTRACTCognitive remediation (CR) has emerged as the treatment of choice for impaired cognition in psychosis. However, little is known about adherence rates and factors predicting adherence to CR, particularly in clinical settings where high-level therapist support is unavailable. This study aimed to establish adherence rates and examine variables predicting adherence to a computerized CR program for psychosis (with minimal support). Patients with psychosis (n = 61) participated in an 8-week CR program. Results showed 46% completed a meaningful amount of CR training. The fully adherent (>80% of the prescribed amount) and nonadherent groups differed where adherent participants had poorer working-memory and higher negative symptom scores. These findings suggest that approximately half of the sample were adherent to treatment despite minimal therapist support. Furthermore, higher cognitive deficits and negative symptoms did not impede adherence, and may have contributed to patients’ motivation to complete the program. |
| doi_str_mv | 10.1097/NMD.0000000000000557 |
| format | Article |
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However, little is known about adherence rates and factors predicting adherence to CR, particularly in clinical settings where high-level therapist support is unavailable. This study aimed to establish adherence rates and examine variables predicting adherence to a computerized CR program for psychosis (with minimal support). Patients with psychosis (n = 61) participated in an 8-week CR program. Results showed 46% completed a meaningful amount of CR training. The fully adherent (>80% of the prescribed amount) and nonadherent groups differed where adherent participants had poorer working-memory and higher negative symptom scores. These findings suggest that approximately half of the sample were adherent to treatment despite minimal therapist support. Furthermore, higher cognitive deficits and negative symptoms did not impede adherence, and may have contributed to patients’ motivation to complete the program.</description><identifier>ISSN: 0022-3018</identifier><identifier>EISSN: 1539-736X</identifier><identifier>DOI: 10.1097/NMD.0000000000000557</identifier><identifier>PMID: 27385473</identifier><identifier>CODEN: JNMDAN</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Cognitive Dysfunction - etiology ; Cognitive Dysfunction - therapy ; Cognitive Remediation - methods ; Female ; Humans ; Male ; Memory ; Mental health care ; Middle Aged ; Patient Compliance - statistics & numerical data ; Psychosis ; Psychotic Disorders - complications ; Psychotic Disorders - therapy ; Therapy, Computer-Assisted - methods ; Training ; Treatment Outcome</subject><ispartof>The journal of nervous and mental disease, 2016-10, Vol.204 (10), p.741-745</ispartof><rights>Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright Lippincott Williams & Wilkins Oct 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3847-4b883da7b8adbe3b9fe7f0332a13bade49de3a1086ae89af440024d39ef16b3</citedby><cites>FETCH-LOGICAL-c3847-4b883da7b8adbe3b9fe7f0332a13bade49de3a1086ae89af440024d39ef16b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27385473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dillon, Rachael</creatorcontrib><creatorcontrib>Hargreaves, April</creatorcontrib><creatorcontrib>Anderson-Schmidt, Heike</creatorcontrib><creatorcontrib>Castorina, Marco</creatorcontrib><creatorcontrib>Corvin, Aiden</creatorcontrib><creatorcontrib>Fitzmaurice, Brian</creatorcontrib><creatorcontrib>Robertson, Ian</creatorcontrib><creatorcontrib>Donohoe, Gary</creatorcontrib><title>Adherence to a Low-Support Cognitive Remediation Training Program for Psychosis</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><description>ABSTRACTCognitive remediation (CR) has emerged as the treatment of choice for impaired cognition in psychosis. However, little is known about adherence rates and factors predicting adherence to CR, particularly in clinical settings where high-level therapist support is unavailable. This study aimed to establish adherence rates and examine variables predicting adherence to a computerized CR program for psychosis (with minimal support). Patients with psychosis (n = 61) participated in an 8-week CR program. Results showed 46% completed a meaningful amount of CR training. The fully adherent (>80% of the prescribed amount) and nonadherent groups differed where adherent participants had poorer working-memory and higher negative symptom scores. These findings suggest that approximately half of the sample were adherent to treatment despite minimal therapist support. Furthermore, higher cognitive deficits and negative symptoms did not impede adherence, and may have contributed to patients’ motivation to complete the program.</description><subject>Adult</subject><subject>Cognitive Dysfunction - etiology</subject><subject>Cognitive Dysfunction - therapy</subject><subject>Cognitive Remediation - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Memory</subject><subject>Mental health care</subject><subject>Middle Aged</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Psychosis</subject><subject>Psychotic Disorders - complications</subject><subject>Psychotic Disorders - therapy</subject><subject>Therapy, Computer-Assisted - methods</subject><subject>Training</subject><subject>Treatment Outcome</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EglL4BwhZYmEJ2Dk3dkZUPqVCK-jAFjnJpTUkcbATqv57ggoIMXDLLc_76u4h5IizM85ief5wf3nGfs9oJLfIgI8gDiREz9tkwFgYBsC42iP73r8wxiUItkv2QglqJCQMyPQiX6LDOkPaWqrpxK6Cp65prGvp2C5q05p3pI9YYW50a2xN506b2tQLOnN24XRFC-vozK-zpfXGH5CdQpceD7_2kDxdX83Ht8FkenM3vpgEGSghA5EqBbmWqdJ5ipDGBcqCAYSaQ6pzFHGOoDlTkUYV60KI_heRQ4wFj1IYktNNa-PsW4e-TSrjMyxLXaPtfMJVGEkuOcQ9evIHfbGdq_vbPikZ8ViE0FNiQ2XOeu-wSBpnKu3WCWfJp-6k15381d3Hjr_Ku7Q39BP69tsDagOsbNmi869lt0KXLFGX7fL_7g9Cw4uE</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Dillon, Rachael</creator><creator>Hargreaves, April</creator><creator>Anderson-Schmidt, Heike</creator><creator>Castorina, Marco</creator><creator>Corvin, Aiden</creator><creator>Fitzmaurice, Brian</creator><creator>Robertson, Ian</creator><creator>Donohoe, Gary</creator><general>Copyright Wolters Kluwer Health, Inc. 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All rights reserved</pub><pmid>27385473</pmid><doi>10.1097/NMD.0000000000000557</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Cognitive Dysfunction - etiology Cognitive Dysfunction - therapy Cognitive Remediation - methods Female Humans Male Memory Mental health care Middle Aged Patient Compliance - statistics & numerical data Psychosis Psychotic Disorders - complications Psychotic Disorders - therapy Therapy, Computer-Assisted - methods Training Treatment Outcome |
| title | Adherence to a Low-Support Cognitive Remediation Training Program for Psychosis |
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