1
|
Gomar JJ, Valls E, Radua J, Mareca C, Tristany J, del Olmo F, Rebolleda-Gil C, Jañez-Álvarez M, de Álvaro FJ, Ovejero MR, Llorente A, Teixidó C, Donaire AM, García-Laredo E, Lazcanoiturburu A, Granell L, Mozo CDP, Pérez-Hernández M, Moreno-Alcázar A, Pomarol-Clotet E, McKenna PJ. A Multisite, Randomized Controlled Clinical Trial of Computerized Cognitive Remediation Therapy for Schizophrenia. Schizophr Bull 2015; 41:1387-96. [PMID: 26006264 PMCID: PMC4601710 DOI: 10.1093/schbul/sbv059] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The effectiveness of cognitive remediation therapy (CRT) for the neuropsychological deficits seen in schizophrenia is supported by meta-analysis. However, a recent methodologically rigorous trial had negative findings. In this study, 130 chronic schizophrenic patients were randomly assigned to computerized CRT, an active computerized control condition (CC) or treatment as usual (TAU). Primary outcome measures were 2 ecologically valid batteries of executive function and memory, rated under blind conditions; other executive and memory tests and a measure of overall cognitive function were also employed. Carer ratings of executive and memory failures in daily life were obtained before and after treatment. Computerized CRT was found to produce improvement on the training tasks, but this did not transfer to gains on the primary outcome measures and most other neuropsychological tests in comparison to either CC or TAU conditions. Nor did the intervention result in benefits on carer ratings of daily life cognitive failures. According to this study, computerized CRT is not effective in schizophrenia. The use of both active and passive CCs suggests that nature of the control group is not an important factor influencing results.
Collapse
Affiliation(s)
- Jesús J. Gomar
- FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain;,CIBERSAM, Spain;,Litwin-Zucker Research Center, the Feinstein Institute for Medical Research, Manhasset, New York
| | - Elia Valls
- FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain
| | - Joaquim Radua
- FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain;,CIBERSAM, Spain;,Department of Psychosis Studies, Institute of Psychiatry, King’s College London, UK
| | - Celia Mareca
- Psicoclínica Mare de Déu de la Mercè, Barcelona, Spain
| | | | | | | | | | | | | | - Ana Llorente
- Benito Menni CASM, Sant Boi de Llobregat, Barcelona, Spain
| | | | | | | | | | - Luis Granell
- Complejo Asistencial Benito Menni, Ciempozuelos, Madrid, Spain
| | | | | | - Ana Moreno-Alcázar
- FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain;,CIBERSAM, Spain
| | - Edith Pomarol-Clotet
- FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain; CIBERSAM, Spain;
| | - Peter J. McKenna
- FIDMAG Hermanas Hospitalarias Research Foundation, Barcelona, Spain;,CIBERSAM, Spain
| | | |
Collapse
|