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Computer-assisted cognitive remediation in adolescents with psychosis or at risk for psychosis: a 6-month follow-up

Published online by Cambridge University Press:  24 June 2014

Sébastien Urben ,
Sandrine Pihet ,
Laure Jaugey ,
Olivier Halfon  and
Laurent Holzer
Sébastien Urben*
Affiliation:
Research Unit, University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland
Sandrine Pihet
Affiliation:
Research Unit, University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland
Laure Jaugey
Affiliation:
Day Care Unit for Adolescents (DCUA), University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland
Olivier Halfon
Affiliation:
University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland
Laurent Holzer
Affiliation:
Day Care Unit for Adolescents (DCUA), University Service of Child and Adolescent Psychiatry, Lausanne, Switzerland
*
Sébastien Urben, Research Unit, University Service of Child and Adolescent Psychiatry, Route du Bugnon 25A, 1011 Lausanne, Switzerland. Tel: +41 21 3147493; Fax: +41 21 3147481; E-mail: Sebastien.Urben@chuv.ch
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Extract

Urben S, Pihet S, Jaugey L, Halfon O, Holzer L. Computer-assisted cognitive remediation in adolescents with psychosis or at risk for psychosis: a 6-month follow-up.

Objective: To investigate short-term outcomes of a computer-assisted cognitive remediation (CACR) for adolescents with psychotic disorders or at high risk for psychosis.

Method: Cognitive abilities and clinical status were assessed at baseline (N = 32) and at 6-month follow-up (N = 22) after enrolment in either a CACR (treatment group) or a computer games (control group) program (8 weeks).

Results: With regard to the cognitive abilities, no amelioration was found in the control group while, in the CACR group, significant improvements in inhibition (p = 0.040) and reasoning (p = 0.005) were observed. Furthermore, symptom severity decreased significantly in the control group (p = 0.046) and marginally in the CACR group (p = 0.088). Improvements in cognitive abilities were not associated with symptoms' amelioration. Finally, increase in reasoning abilities was related to the median effective work time in sessions of CACR (R = 0.64, p = 0.024).

Conclusion: At follow-up, enhanced cognitive abilities (reasoning and inhibition), which are necessary for executing higher-order goals or adapting behaviour to the ever-changing environment, were reported in adolescents participants of the CACR. Thus, further studies are needed to confirm and extend these interesting results.

Keywords

adolescentscognitive remediationneuropsychologypsychoses
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 24 , Issue 6 , December 2012 , pp. 328 - 335
Copyright
Copyright © Cambridge University Press 2012

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