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From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia

Cognitive dysfunction is one of the hallmark deficits of schizophrenia. A wide range of studies illustrate how it is strongly interconnected to clinical presentation and daily life functioning [see Ref. (1, 2)]. Hence, cognition is an important treatment target in schizophrenia. To address the chall...

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Autores principales: Fabre, Delphine, Vehier, Aurélie, Chesnoy-Servanin, Gabrielle, Gouiller, Nicolas, D’Amato, Thierry, Saoud, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664640/
https://www.ncbi.nlm.nih.gov/pubmed/26648877
http://dx.doi.org/10.3389/fpsyt.2015.00169
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author Fabre, Delphine
Vehier, Aurélie
Chesnoy-Servanin, Gabrielle
Gouiller, Nicolas
D’Amato, Thierry
Saoud, Mohamed
author_facet Fabre, Delphine
Vehier, Aurélie
Chesnoy-Servanin, Gabrielle
Gouiller, Nicolas
D’Amato, Thierry
Saoud, Mohamed
author_sort Fabre, Delphine
collection PubMed
description Cognitive dysfunction is one of the hallmark deficits of schizophrenia. A wide range of studies illustrate how it is strongly interconnected to clinical presentation and daily life functioning [see Ref. (1, 2)]. Hence, cognition is an important treatment target in schizophrenia. To address the challenge of cognitive enhancement in schizophrenia, a large number of cognitive remediation programs have been developed and evaluated over the past several decades. First, an overview of these programs is presented highlighting their specificity to cognitive deficit in schizophrenia using an integrated method. In this case, cognitive training focuses on enhancing several elementary cognitive functions considered as a prerequisite to social skills or vocational training modules. These programs are based on the neurodevelopmental hypothesis of schizophrenia. However, moderate improvement for patients who benefit from these therapies has been observed as described in Wykes et al. review (3). Next, neuropsychological models of schizophrenia are then presented. They highlight the critical role of the internally generated intentions in appropriate willful actions. The cognitive control mechanism deals with this ability. Interestingly, available cognitive remediation programs have not been influenced by these models. Hence, we propose another alternative to set up a specific cognitive remediation program for schizophrenia patients by targeting the cognitive control mechanism. We describe the PrACTice program that is in the process of being validated.
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spelling pubmed-46646402015-12-08 From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia Fabre, Delphine Vehier, Aurélie Chesnoy-Servanin, Gabrielle Gouiller, Nicolas D’Amato, Thierry Saoud, Mohamed Front Psychiatry Psychiatry Cognitive dysfunction is one of the hallmark deficits of schizophrenia. A wide range of studies illustrate how it is strongly interconnected to clinical presentation and daily life functioning [see Ref. (1, 2)]. Hence, cognition is an important treatment target in schizophrenia. To address the challenge of cognitive enhancement in schizophrenia, a large number of cognitive remediation programs have been developed and evaluated over the past several decades. First, an overview of these programs is presented highlighting their specificity to cognitive deficit in schizophrenia using an integrated method. In this case, cognitive training focuses on enhancing several elementary cognitive functions considered as a prerequisite to social skills or vocational training modules. These programs are based on the neurodevelopmental hypothesis of schizophrenia. However, moderate improvement for patients who benefit from these therapies has been observed as described in Wykes et al. review (3). Next, neuropsychological models of schizophrenia are then presented. They highlight the critical role of the internally generated intentions in appropriate willful actions. The cognitive control mechanism deals with this ability. Interestingly, available cognitive remediation programs have not been influenced by these models. Hence, we propose another alternative to set up a specific cognitive remediation program for schizophrenia patients by targeting the cognitive control mechanism. We describe the PrACTice program that is in the process of being validated. Frontiers Media S.A. 2015-12-01 /pmc/articles/PMC4664640/ /pubmed/26648877 http://dx.doi.org/10.3389/fpsyt.2015.00169 Text en Copyright © 2015 Fabre, Vehier, Chesnoy-Servanin, Gouiller, D’Amato and Saoud. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Fabre, Delphine
Vehier, Aurélie
Chesnoy-Servanin, Gabrielle
Gouiller, Nicolas
D’Amato, Thierry
Saoud, Mohamed
From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia
title From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia
title_full From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia
title_fullStr From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia
title_full_unstemmed From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia
title_short From Theory to PrACTice: A Cognitive Remediation Program Based on a Neuropsychological Model of Schizophrenia
title_sort from theory to practice: a cognitive remediation program based on a neuropsychological model of schizophrenia
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664640/
https://www.ncbi.nlm.nih.gov/pubmed/26648877
http://dx.doi.org/10.3389/fpsyt.2015.00169
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