Computerized cognitive remediation training for schizophrenia: an open label, multi-site, multinational methodology study.

Abstract:

:A recent single-site study (Fisher et al., 2009. Am J Psychiatry. 166 (7) 805-11) showed that repeated training with the Brain Fitness Program (BFP) improved performance on a battery of neuropsychological tasks. If replicated these data suggest an important non-pharmacological method for ameliorating cognitive impairment in schizophrenia. Our study evaluated the BFP training effects in an open-label, multi-site, multinational clinical trial. Fifty-five stable adult patients with schizophrenia on regular antipsychotic medication completed ≥ 32 BFP training sessions over 8-10 weeks. Training effects on cognitive performance and functional capacity outcome measures were measured using CogState® schizophrenia battery, UCSD Performance based Skills Assessment (UPSA-2) and Cognitive Assessment Interview (CAI). BFP training showed a large and significant treatment effect on a training exercise task (auditory processing speed), however this effect did not generalize to improved performance on independent CogState® assessment. There were no significant effects on UPSA-2 or CAI scores. Our study demonstrated the feasibility of implementing BFP training in a multi-site study. However, BFP training did not show significant treatment effects on cognitive performance or functional capacity outcome measures despite showing large and significant effects on a training exercise.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Murthy NV,Mahncke H,Wexler BE,Maruff P,Inamdar A,Zucchetto M,Lund J,Shabbir S,Shergill S,Keshavan M,Kapur S,Laruelle M,Alexander R

doi

10.1016/j.schres.2012.01.042

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

87-91

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(12)00067-9

journal_volume

139

pub_type

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