[What perspectives for cognitive remediation in schizophrenia?].
Identifieur interne : 001650 ( Main/Exploration ); précédent : 001649; suivant : 001651[What perspectives for cognitive remediation in schizophrenia?].
Auteurs : N. Correard [France] ; P. Mazzola-Pomietto ; S-N Elissalde ; N. Viglianese-Salmon ; E. Fakra ; J-M AzorinSource :
- L'Encephale [ 0013-7006 ] ; 2011.
Descripteurs français
- KwdFr :
- Adaptation sociale (MeSH), Association thérapeutique (MeSH), Autosoins (psychologie), Enseignement assisté par ordinateur (MeSH), Humains (MeSH), Logiciel (MeSH), Motivation (MeSH), Médecine factuelle (MeSH), Neuroleptiques (usage thérapeutique), Psychologie des schizophrènes (MeSH), Psychothérapie (MeSH), Résultat thérapeutique (MeSH), Schizophrénie (thérapie), Thérapie cognitive (MeSH), Troubles de la cognition (psychologie), Troubles de la cognition (thérapie), Éducation du patient comme sujet (MeSH).
- MESH :
- psychologie : Autosoins, Troubles de la cognition.
- thérapie : Schizophrénie, Troubles de la cognition.
- usage thérapeutique : Neuroleptiques.
- Adaptation sociale, Association thérapeutique, Enseignement assisté par ordinateur, Humains, Logiciel, Motivation, Médecine factuelle, Psychologie des schizophrènes, Psychothérapie, Résultat thérapeutique, Thérapie cognitive, Éducation du patient comme sujet.
English descriptors
- KwdEn :
- Antipsychotic Agents (therapeutic use), Cognition Disorders (psychology), Cognition Disorders (therapy), Cognitive Behavioral Therapy (MeSH), Combined Modality Therapy (MeSH), Computer-Assisted Instruction (MeSH), Evidence-Based Medicine (MeSH), Humans (MeSH), Motivation (MeSH), Patient Education as Topic (MeSH), Psychotherapy (MeSH), Schizophrenia (therapy), Schizophrenic Psychology (MeSH), Self Care (psychology), Social Adjustment (MeSH), Software (MeSH), Treatment Outcome (MeSH).
- MESH :
- chemical , therapeutic use : Antipsychotic Agents.
- psychology : Cognition Disorders, Self Care.
- therapy : Cognition Disorders, Schizophrenia.
- Cognitive Behavioral Therapy, Combined Modality Therapy, Computer-Assisted Instruction, Evidence-Based Medicine, Humans, Motivation, Patient Education as Topic, Psychotherapy, Schizophrenic Psychology, Social Adjustment, Software, Treatment Outcome.
Abstract
Cognitive deficits are routinely evident in schizophrenia, and are of sufficient magnitude to influence functional outcomes in work, social functioning and illness management. Cognitive remediation is an evidenced-based non-pharmacological treatment for the neurocognitive deficits seen in schizophrenia. Narrowly defined, cognitive remediation is a set of cognitive drills or compensatory interventions designed to enhance cognitive functioning, but from the vantage of the psychiatric rehabilitation field, cognitive remediation is a therapy which engages the patient in learning activities that enhance the neurocognitive skills relevant to their chosen recovery goals. Cognitive remediation programs vary in the extent to which they reflect these narrow or broader perspectives but a metaanalytic study reports moderate range effect sizes on cognitive test performance, and daily functioning. Reciprocal interactions between baseline ability level, the type of instructional techniques used, and motivation provide some explanatory power for the heterogeneity in patient response to cognitive remediation. Recent studies indicate that intrinsic motivation mediates the relationship between neurocognition and functional outcomes. Results of these studies suggest that intrinsic motivation should be a viable treatment target in cognitive remediation intervention. In this perspective, NEAR (Neuropsychological Educational Approach to Remediation) program was created to enhance intrinsic motivation by employing more engaging and interesting software packages for cognitive practice, involving consumers in choosing the focus of training and having the NEAR leader serve as a coach to engage the consumers in active guidance of their own treatment program.
DOI: 10.1016/S0013-7006(11)70044-6
PubMed: 22212847
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Correard</name><affiliation wicri:level="3"><nlm:affiliation>Pôle universitaire de psychiatrie, hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France. nadia.correard@ap-hm.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pôle universitaire de psychiatrie, hôpital Sainte-Marguerite, 13274 Marseille cedex 09</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Mazzola Pomietto, P" sort="Mazzola Pomietto, P" uniqKey="Mazzola Pomietto P" first="P" last="Mazzola-Pomietto">P. Mazzola-Pomietto</name></author><author><name sortKey="Elissalde, S N" sort="Elissalde, S N" uniqKey="Elissalde S" first="S-N" last="Elissalde">S-N Elissalde</name></author><author><name sortKey="Viglianese Salmon, N" sort="Viglianese Salmon, N" uniqKey="Viglianese Salmon N" first="N" last="Viglianese-Salmon">N. 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Fakra</name></author><author><name sortKey="Azorin, J M" sort="Azorin, J M" uniqKey="Azorin J" first="J-M" last="Azorin">J-M Azorin</name></author></analytic><series><title level="j">L'Encephale</title><idno type="ISSN">0013-7006</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antipsychotic Agents (therapeutic use)</term><term>Cognition Disorders (psychology)</term><term>Cognition Disorders (therapy)</term><term>Cognitive Behavioral Therapy (MeSH)</term><term>Combined Modality Therapy (MeSH)</term><term>Computer-Assisted Instruction (MeSH)</term><term>Evidence-Based Medicine (MeSH)</term><term>Humans (MeSH)</term><term>Motivation (MeSH)</term><term>Patient Education as Topic (MeSH)</term><term>Psychotherapy (MeSH)</term><term>Schizophrenia (therapy)</term><term>Schizophrenic Psychology (MeSH)</term><term>Self Care (psychology)</term><term>Social Adjustment (MeSH)</term><term>Software (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation sociale (MeSH)</term><term>Association thérapeutique (MeSH)</term><term>Autosoins (psychologie)</term><term>Enseignement assisté par ordinateur (MeSH)</term><term>Humains (MeSH)</term><term>Logiciel (MeSH)</term><term>Motivation (MeSH)</term><term>Médecine factuelle (MeSH)</term><term>Neuroleptiques (usage thérapeutique)</term><term>Psychologie des schizophrènes (MeSH)</term><term>Psychothérapie (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Schizophrénie (thérapie)</term><term>Thérapie cognitive (MeSH)</term><term>Troubles de la cognition (psychologie)</term><term>Troubles de la cognition (thérapie)</term><term>Éducation du patient comme sujet (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antipsychotic Agents</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Autosoins</term><term>Troubles de la cognition</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cognition Disorders</term><term>Self Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cognition Disorders</term><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Schizophrénie</term><term>Troubles de la cognition</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Neuroleptiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cognitive Behavioral Therapy</term><term>Combined Modality Therapy</term><term>Computer-Assisted Instruction</term><term>Evidence-Based Medicine</term><term>Humans</term><term>Motivation</term><term>Patient Education as Topic</term><term>Psychotherapy</term><term>Schizophrenic Psychology</term><term>Social Adjustment</term><term>Software</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation sociale</term><term>Association thérapeutique</term><term>Enseignement assisté par ordinateur</term><term>Humains</term><term>Logiciel</term><term>Motivation</term><term>Médecine factuelle</term><term>Psychologie des schizophrènes</term><term>Psychothérapie</term><term>Résultat thérapeutique</term><term>Thérapie cognitive</term><term>Éducation du patient comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cognitive deficits are routinely evident in schizophrenia, and are of sufficient magnitude to influence functional outcomes in work, social functioning and illness management. Cognitive remediation is an evidenced-based non-pharmacological treatment for the neurocognitive deficits seen in schizophrenia. Narrowly defined, cognitive remediation is a set of cognitive drills or compensatory interventions designed to enhance cognitive functioning, but from the vantage of the psychiatric rehabilitation field, cognitive remediation is a therapy which engages the patient in learning activities that enhance the neurocognitive skills relevant to their chosen recovery goals. Cognitive remediation programs vary in the extent to which they reflect these narrow or broader perspectives but a metaanalytic study reports moderate range effect sizes on cognitive test performance, and daily functioning. Reciprocal interactions between baseline ability level, the type of instructional techniques used, and motivation provide some explanatory power for the heterogeneity in patient response to cognitive remediation. Recent studies indicate that intrinsic motivation mediates the relationship between neurocognition and functional outcomes. Results of these studies suggest that intrinsic motivation should be a viable treatment target in cognitive remediation intervention. In this perspective, NEAR (Neuropsychological Educational Approach to Remediation) program was created to enhance intrinsic motivation by employing more engaging and interesting software packages for cognitive practice, involving consumers in choosing the focus of training and having the NEAR leader serve as a coach to engage the consumers in active guidance of their own treatment program.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22212847</PMID><DateCompleted><Year>2012</Year><Month>06</Month><Day>18</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0013-7006</ISSN><JournalIssue CitedMedium="Internet"><Volume>37 Suppl 2</Volume><PubDate><Year>2011</Year><Month>Dec</Month></PubDate></JournalIssue><Title>L'Encephale</Title><ISOAbbreviation>Encephale</ISOAbbreviation></Journal><ArticleTitle>[What perspectives for cognitive remediation in schizophrenia?].</ArticleTitle><Pagination><MedlinePgn>S155-60</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/S0013-7006(11)70044-6</ELocationID><Abstract><AbstractText>Cognitive deficits are routinely evident in schizophrenia, and are of sufficient magnitude to influence functional outcomes in work, social functioning and illness management. Cognitive remediation is an evidenced-based non-pharmacological treatment for the neurocognitive deficits seen in schizophrenia. Narrowly defined, cognitive remediation is a set of cognitive drills or compensatory interventions designed to enhance cognitive functioning, but from the vantage of the psychiatric rehabilitation field, cognitive remediation is a therapy which engages the patient in learning activities that enhance the neurocognitive skills relevant to their chosen recovery goals. Cognitive remediation programs vary in the extent to which they reflect these narrow or broader perspectives but a metaanalytic study reports moderate range effect sizes on cognitive test performance, and daily functioning. Reciprocal interactions between baseline ability level, the type of instructional techniques used, and motivation provide some explanatory power for the heterogeneity in patient response to cognitive remediation. Recent studies indicate that intrinsic motivation mediates the relationship between neurocognition and functional outcomes. Results of these studies suggest that intrinsic motivation should be a viable treatment target in cognitive remediation intervention. In this perspective, NEAR (Neuropsychological Educational Approach to Remediation) program was created to enhance intrinsic motivation by employing more engaging and interesting software packages for cognitive practice, involving consumers in choosing the focus of training and having the NEAR leader serve as a coach to engage the consumers in active guidance of their own treatment program.</AbstractText><CopyrightInformation>Copyright © 2011 L’Encéphale. Published by Elsevier Masson SAS.. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Correard</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Pôle universitaire de psychiatrie, hôpital Sainte-Marguerite, 13274 Marseille cedex 09, France. nadia.correard@ap-hm.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazzola-Pomietto</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Elissalde</LastName><ForeName>S-N</ForeName><Initials>SN</Initials></Author><Author ValidYN="Y"><LastName>Viglianese-Salmon</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Fakra</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Azorin</LastName><ForeName>J-M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><VernacularTitle>Quelles perspectives pour la remédiation cognitive dans la schizophrénie?</VernacularTitle></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Encephale</MedlineTA><NlmUniqueID>7505643</NlmUniqueID><ISSNLinking>0013-7006</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D014150">Antipsychotic Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D014150" MajorTopicYN="N">Antipsychotic Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003072" MajorTopicYN="N">Cognition Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015928" MajorTopicYN="Y">Cognitive Behavioral Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003131" MajorTopicYN="N">Combined Modality Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003194" MajorTopicYN="N">Computer-Assisted Instruction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009042" MajorTopicYN="N">Motivation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="Y">Patient Education as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011613" MajorTopicYN="N">Psychotherapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012559" MajorTopicYN="N">Schizophrenia</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012565" MajorTopicYN="Y">Schizophrenic Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012917" MajorTopicYN="N">Social Adjustment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012984" MajorTopicYN="N">Software</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>1</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>1</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22212847</ArticleId><ArticleId IdType="pii">S0013-7006(11)70044-6</ArticleId><ArticleId IdType="doi">10.1016/S0013-7006(11)70044-6</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li></region><settlement><li>Marseille</li></settlement></list><tree><noCountry><name sortKey="Azorin, J M" sort="Azorin, J M" uniqKey="Azorin J" first="J-M" last="Azorin">J-M Azorin</name><name sortKey="Elissalde, S N" sort="Elissalde, S N" uniqKey="Elissalde S" first="S-N" last="Elissalde">S-N Elissalde</name><name sortKey="Fakra, E" sort="Fakra, E" uniqKey="Fakra E" first="E" last="Fakra">E. Fakra</name><name sortKey="Mazzola Pomietto, P" sort="Mazzola Pomietto, P" uniqKey="Mazzola Pomietto P" first="P" last="Mazzola-Pomietto">P. Mazzola-Pomietto</name><name sortKey="Viglianese Salmon, N" sort="Viglianese Salmon, N" uniqKey="Viglianese Salmon N" first="N" last="Viglianese-Salmon">N. Viglianese-Salmon</name></noCountry><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Correard, N" sort="Correard, N" uniqKey="Correard N" first="N" last="Correard">N. Correard</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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