The efficacy of computer-based cognitive training for executive dysfunction in schizophrenia

Monika Mak , Ernest Tyburski , Anna Starkowska , Ewa Karabanowicz , Agnieszka Samochowiec , Jerzy Samochowiec

Abstract

The purpose of this study was to assess the effect of computer-based cognitive training on executive dysfunction in patients with schizophrenia. Sixty-five patients with schizophrenia were randomly assigned to a training group (n = 33) or a non-training group (n = 32), and compared in terms of executive performance to a healthy control group (n = 33). Executive function was assessed using the Trail Making Test, the Stroop Color and Word Test, and the Wisconsin Card Sorting Test (computer version). Cognitive training was performed using RehaCom software over a course of 16 individual sessions. Primary outcomes were training (performance at three different timepoints) and neuropsychological components (flexibility and cognitive inhibition, high executive processing, and processing speed). In both clinical groups, all aspects of executive function were found to be deficient. In the patient training group, the use of computer-based training alongside pharmacological treatment was more effective in terms of cognitive improvement than pharmacological treatment alone. However, there was no significant effect of cognitive training on processing speed. Cognitive training in schizophrenia patients was effective at improving several aspects of executive function, but did not improve processing speed.
Author Monika Mak
Monika Mak,,
-
, Ernest Tyburski
Ernest Tyburski,,
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, Anna Starkowska
Anna Starkowska,,
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, Ewa Karabanowicz (FSS / IPsych)
Ewa Karabanowicz,,
- Institute of Psychology
, Agnieszka Samochowiec
Agnieszka Samochowiec,,
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, Jerzy Samochowiec
Jerzy Samochowiec,,
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Journal seriesPsychiatry Research, ISSN 0165-1781, (N/A 100 pkt)
Issue year2019
Vol279
Pages62-70
Publication size in sheets0.5
Keywords in EnglishSchizophrenia, executive function, computer-based cognitive training
ASJC Classification2738 Psychiatry and Mental health; 2803 Biological Psychiatry
DOIDOI:10.1016/j.psychres.2019.06.041
URL https://doi.org/10.1016/j.psychres.2019.06.041
Languageen angielski
Score (nominal)100
Score sourcejournalList
ScoreMinisterial score = 100.0, 04-04-2020, ArticleFromJournal
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 0.927; WoS Impact Factor: 2018 = 2.208 (2) - 2018=2.67 (5)
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