Meta‐cognitive skills training enhances computerized cognitive remediation outcomes among individuals with first‐episode psychosis

NJK Breitborde, C Woolverton… - Early Intervention in …, 2017 - Wiley Online Library
Early Intervention in Psychiatry, 2017Wiley Online Library
Aim Meta‐cognitive skills training (MST) is a frequent component of cognitive remediation
programmes for individuals with psychosis. However, no study has investigated whether
incorporating such activities produces increased clinical benefits compared with
computerized cognitive remediation alone. Methods Individuals with first‐episode psychosis
who completed computerized cognitive remediation with concurrent meta‐cognitive skills
training (CCR+ MST) were compared with a historical control group who received …
Aim
Meta‐cognitive skills training (MST) is a frequent component of cognitive remediation programmes for individuals with psychosis. However, no study has investigated whether incorporating such activities produces increased clinical benefits compared with computerized cognitive remediation alone.
Methods
Individuals with first‐episode psychosis who completed computerized cognitive remediation with concurrent meta‐cognitive skills training (CCR + MST) were compared with a historical control group who received computerized cognitive remediation alone (CCR) and did not differ from the CCR + MST group with regard to pre‐intervention cognition, diagnosis, age, duration of psychotic illness or sex. Participants completed assessments of cognition and real‐world functioning before and after 6 months of treatment.
Results
Individual receiving CCR + MST experience greater gains in cognition and real‐world functioning than individuals who received CCR.
Conclusions
MST may be an important component within cognitive remediation programmes for first‐episode psychosis.
Wiley Online Library
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