Schizophrenia
Conditions
Keywords
cognitive deficits
Brief summary
Objectives: The purpose of this study is to determine the impact of a new Cognitive Remediation Therapy (CRT) on cognition, social autonomy, symptoms and brain functioning in patients with schizophrenia.
Detailed description
Methods: In a 2 arms blind study versus sham,80 patients with schizophrenia were enrolled in a program consisting of 14 training sessions of 4 cognitive functions (attention/concentration, topological memory, logical reasoning, executive functions)by means REHACOM® software. Measures of cognitive functioning using the Cogtest® battery as well as social autonomy (Social Autonomy Scale, EAS) and schizophrenia symptoms (Positive And Negative Syndrome Scale, PANSS) were undertaken at the beginning and the end of the meetings of remediation. Among those 80 participants, 30 patients to (15 active / 15 sham) were randomized to participate in an fMRI study in order to investigate the impact of such CRT program on brain functioning (n-back task before CRT and 3 months later).
Interventions
program consisting of 14 training sessions of 4 cognitive functions (attention/concentration, topological memory, logical reasoning, executive functions)by means REHACOM® software
waiting list
Sponsors
Study design
Eligibility
Inclusion criteria
* schizophrenia (DSM IV criteria) * remitted symptoms * french language * informed consent
Exclusion criteria
* addiction, neurological disease * only for second randomized patient participating in MRI study (n=30) : MRI counterindications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cognitive deficits (attention/concentration, topological memory, logical reasoning, executive functions) | before and after CRT (3 months later) | standardised COGTEST battery (for details see cogtest.com). Cognitive performances were assessed 2 times : at inclusion and 3 months later (after CRT). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| brain functioning (fMRI) | before and after CRT (3 months later) | fMRI during a n-back task, 2 times, before CRT and 3 months later. The 2 sub-groups of 15 patients will be compared with healthy subjects performances at the same task. |
| schizophrenia symptoms | before CRT and 3 months later | standardised psychometric scale measuring Positive an Negative Symptoms (PANSS) |
Countries
France