Addition of home-based cognitive retraining to treatment as usual in first episode schizophrenia patients: a randomized controlled study.

Indian Journal of Psychiatry
Shantala HegdeBangalore N Gangadhar

Abstract

We examined the effectiveness of a 2-month-long home-based cognitive retraining program together with treatment as usual (TAU; psychoeducation and drug therapy) on neuropsychological functions, psychopathology, and global functioning in patients with first episode schizophrenia (FES) as well as on psychological health and perception of level of family distress in their caregivers. Forty-five FES patients were randomly assigned to either treatment group receiving home-based cognitive retraining along with TAU (n=22) or to control group receiving TAU alone (n=23). Patients and caregivers received psychoeducation. Patients and one of their caregivers were assessed for the above parameters at baseline, post-assessment (2 months) and at 6-months follow-up assessment. Of the 45 patients recruited, 12 in the treatment group and 11 in the control group completed post-intervention and follow-up assessments. Addition of home-based cognitive retraining along with TAU led to significant improvement in neuropsychological functions of divided attention, concept formation and set-shifting ability, and planning. Effect sizes were large, although the sample size was small. Home-based cognitive retraining program has shown promise. However, furt...Continue Reading

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Citations

Feb 6, 2013·Asian Journal of Psychiatry·Rajiv Tandon
Jun 6, 2015·Clinical Psychology Review·Alexander J ScottGeorgina Rowse
Aug 16, 2016·Asian Journal of Psychiatry·Smita N DeshpandeVishwajit L Nimgaonkar
Nov 9, 2016·Disability and Rehabilitation·Stefano FedericiJuan V Luciano
Dec 30, 2017·Indian Journal of Psychological Medicine·Jamuna RajeswaranSanjeev Jain
Oct 17, 2018·NPJ Schizophrenia·Richard NewtonBenedicto Crespo-Facorro
Nov 30, 2019·International Journal of Health Policy and Management·Jose A Arriola-VigoFrancisco Diez-Canseco
Jun 17, 2011·The Cochrane Database of Systematic Reviews·Jun XiaMadhvi R Belgamwar
Jun 20, 2018·International Journal of Environmental Research and Public Health·Brandon A KohrtVikram Patel

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