发展中国家精神分裂症的认知训练:巴西的试点试验。

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2013-01-01 Epub Date: 2013-10-30 DOI:10.1155/2013/321725
Livia M M Pontes, Camila B Martins, Isabel C Napolitano, Juliana R Fonseca, Graça M R Oliveira, Sandra M K Iso, Anny K P M Menezes, Adriana D B Vizzotto, Elaine S di Sarno, Hélio Elkis
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引用次数: 6

摘要

精神分裂症患者的认知缺陷会严重影响患者的功能和生活质量,这进一步表明认知训练的重要性。尽管欧洲和美国在这一领域取得了发展,但在发展中国家还没有制定和试验任何方案。不同的文化背景、预算限制和其他困难可能使高收入国家制定的治疗方案难以被发展中国家采用。我们进行了一项双盲、随机、对照试验,以调查专门在发展中国家创建的注意力和记忆训练计划的有效性和可行性。干预使用简单,广泛可用的材料,需要最少的基础设施,并在小组中进行。样本包括17名病情稳定的巴西精神分裂症患者。在五个月的时间里,每周进行一次会议。随着时间的推移,认知训练组在抑制控制和设定转移方面表现出显著的改善。两组在症状、处理速度、选择性注意、执行功能和长期视觉记忆方面均有改善。对照组在长期言语记忆和注意力方面有所改善。我们的研究结果加强了这样一种观点,即精神分裂症的认知训练可以使用简单的资源和基础设施来构建,促进了发展中国家的采用,并且它可能会改善认知。
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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Cognitive training for schizophrenia in developing countries: a pilot trial in Brazil.

Cognitive deficits in schizophrenia can massively impact functionality and quality of life, furthering the importance of cognitive training. Despite the development of the field in Europe and in the United States, no programmes have been developed and tested in developing countries. Different cultural backgrounds, budget restrictions, and other difficulties may render treatment packages created in high income countries difficult for adoption by developing nations. We performed a pilot double-blind, randomized, controlled trial in order to investigate the efficacy and feasibility of an attention and memory training programme specially created in a developing nation. The intervention used simple, widely available materials, required minimal infrastructure, and was conducted in groups. The sample included seventeen stable Brazilians with schizophrenia. Sessions were conducted weekly during five months. The cognitive training group showed significant improvements in inhibitory control and set-shifting over time. Both groups showed improvements in symptoms, processing speed, selective attention, executive function, and long-term visual memory. Improvements were found in the control group in long-term verbal memory and concentration. Our findings reinforce the idea that cognitive training in schizophrenia can be constructed using simple resources and infrastructure, facilitating its adoption by developing countries, and it may improve cognition.

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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.
期刊最新文献
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