Neurocognitive and social cognitive approaches for improving functional outcome in early psychosis: theoretical considerations and current state of evidence.

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2012-01-01 Epub Date: 2012-04-05 DOI:10.1155/2012/815315
Cali F Bartholomeusz, Kelly Allott
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Abstract

Improving functional outcome, in addition to alleviating psychotic symptoms, is now a major treatment objective in schizophrenia research. Given the large body of evidence suggesting pharmacological treatments generally have minimal effects on indices of functioning, research has turned to psychosocial rehabilitation programs. Among these, neurocognitive and social cognitive interventions are at the forefront of this field and are argued to target core deficits inherent to the schizophrenia illness. However, to date, research trials have primarily focused on chronic schizophrenia populations, neglecting the early psychosis groups who are often as severely impaired in social and occupational functioning. This theoretical paper will outline the rationale for investigating adjunctive cognitive-based interventions in the early phases of psychotic illness, critically examine the current approach strategies used in these interventions, and assess the evidence supporting certain training programs for improving functional outcome in early psychosis. Potential pathways for future research will be discussed.

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改善早期精神病功能性结果的神经认知和社会认知方法:理论考虑和证据现状。
除了缓解精神症状之外,改善功能结果也是目前精神分裂症研究的一个主要治疗目标。有大量证据表明,药物治疗通常对功能指数的影响微乎其微,因此研究转向了社会心理康复计划。其中,神经认知和社会认知干预是这一领域的前沿,被认为是针对精神分裂症疾病固有的核心缺陷。然而,迄今为止,研究试验主要集中于慢性精神分裂症患者,而忽视了早期精神病患者,因为他们的社会和职业功能往往受到严重损害。这篇理论性论文将概述研究精神病早期阶段基于认知的辅助干预措施的基本原理,批判性地审视目前这些干预措施所采用的方法策略,并评估支持某些训练计划改善早期精神病功能结果的证据。本文还将讨论未来研究的潜在途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
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