Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency
The objective of this case study was to assess the specific effect of cognitive remediation for schizophrenia on the pattern of cognitive impairments. Case A is a 33-year-old man with a schizophrenia diagnosis and impairments in visual memory, inhibition, problem solving, and verbal fluency. He was...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2015/242364 |
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| author | Marjolaine Masson Til Wykes Michel Maziade Clare Reeder Marie-Anne Gariépy Marc-André Roy Hans Ivers Caroline Cellard |
| author_facet | Marjolaine Masson Til Wykes Michel Maziade Clare Reeder Marie-Anne Gariépy Marc-André Roy Hans Ivers Caroline Cellard |
| author_sort | Marjolaine Masson |
| collection | DOAJ |
| description | The objective of this case study was to assess the specific effect of cognitive remediation for schizophrenia on the pattern of cognitive impairments. Case A is a 33-year-old man with a schizophrenia diagnosis and impairments in visual memory, inhibition, problem solving, and verbal fluency. He was provided with a therapist delivered cognitive remediation program involving practice and strategy which was designed to train attention, memory, executive functioning, visual-perceptual processing, and metacognitive skills. Neuropsychological and clinical assessments were administered at baseline and after three months of treatment. At posttest assessment, Case A had improved significantly on targeted (visual memory and problem solving) and nontargeted (verbal fluency) cognitive processes. The results of the current case study suggest that (1) it is possible to improve specific cognitive processes with targeted exercises, as seen by the improvement in visual memory due to training exercises targeting this cognitive domain; (2) cognitive remediation can produce improvements in cognitive processes not targeted during remediation since verbal fluency was improved while there was no training exercise on this specific cognitive process; and (3) including learning strategies in cognitive remediation increases the value of the approach and enhances participant improvement, possibly because strategies using verbalization can lead to improvement in verbal fluency even if it was not practiced. |
| format | Article |
| id | doaj-art-c828d1c0b7bd4288833f2d28ec246161 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-c828d1c0b7bd4288833f2d28ec2461612025-02-03T05:47:35ZengWileyCase Reports in Psychiatry2090-682X2090-68382015-01-01201510.1155/2015/242364242364Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal FluencyMarjolaine Masson0Til Wykes1Michel Maziade2Clare Reeder3Marie-Anne Gariépy4Marc-André Roy5Hans Ivers6Caroline Cellard7École de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaInstitute of Psychiatry, King’s College London, London SE5 8AF, UKCentre de Recherche de l’Institut Universitaire en Santé Mentale de Québec, Québec, QC, G1J 2G3, CanadaInstitute of Psychiatry, King’s College London, London SE5 8AF, UKÉcole de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaCentre de Recherche de l’Institut Universitaire en Santé Mentale de Québec, Québec, QC, G1J 2G3, CanadaÉcole de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaÉcole de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaThe objective of this case study was to assess the specific effect of cognitive remediation for schizophrenia on the pattern of cognitive impairments. Case A is a 33-year-old man with a schizophrenia diagnosis and impairments in visual memory, inhibition, problem solving, and verbal fluency. He was provided with a therapist delivered cognitive remediation program involving practice and strategy which was designed to train attention, memory, executive functioning, visual-perceptual processing, and metacognitive skills. Neuropsychological and clinical assessments were administered at baseline and after three months of treatment. At posttest assessment, Case A had improved significantly on targeted (visual memory and problem solving) and nontargeted (verbal fluency) cognitive processes. The results of the current case study suggest that (1) it is possible to improve specific cognitive processes with targeted exercises, as seen by the improvement in visual memory due to training exercises targeting this cognitive domain; (2) cognitive remediation can produce improvements in cognitive processes not targeted during remediation since verbal fluency was improved while there was no training exercise on this specific cognitive process; and (3) including learning strategies in cognitive remediation increases the value of the approach and enhances participant improvement, possibly because strategies using verbalization can lead to improvement in verbal fluency even if it was not practiced.http://dx.doi.org/10.1155/2015/242364 |
| spellingShingle | Marjolaine Masson Til Wykes Michel Maziade Clare Reeder Marie-Anne Gariépy Marc-André Roy Hans Ivers Caroline Cellard Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency Case Reports in Psychiatry |
| title | Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency |
| title_full | Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency |
| title_fullStr | Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency |
| title_full_unstemmed | Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency |
| title_short | Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency |
| title_sort | top down computerized cognitive remediation in schizophrenia a case study of an individual with impairment in verbal fluency |
| url | http://dx.doi.org/10.1155/2015/242364 |
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