Rehabilitation in Persons with Schizophrenic Spectrum Disorders: The Impact of Cognition and Cognitive Remediation Therapy
Fortschritte der Neurologie · Psychiatrie (Impact Factor: 0.63). 03/2014; 82(3):128-34. DOI: 10.1055/s-0034-1365920
Schizophrenia is a chronic disorder, which severely limits the social and occupational functioning. Employment, education, relationships, housing and health are among the most frequently stated life and treatment goals among persons suffering from schizophrenia. Rehabilitation for persons with schizophrenia aims at preservation and improvement of psychosocial functions in areas such as work, social relationship and independent living skills, promotes recovery-oriented interventions and, therefore, serves the central goals of affected persons. Cognitive functioning, education, negative symptoms, social support and skills, age, work history, and rehabilitation service to restore community functioning have proven to be strong predictors for successful psychiatric rehabilitation. It makes sense to concentrate on these predictors when improvement of psychiatric rehabilitation is targeted. Cognitive remediation produces moderate improvements in cognitive performance and, when combined with functional training and embedded in comprehensive psychiatric rehabilitation, also enhances functional outcome. Germany provides a highly differentiated system of psychosocial support for schizophrenic patients. However, the "German disease" with different care providers being in charge in subsequent stages of recovery hampers efficient organisation of psychiatric rehabilitation. Improvement of overall organisation, i. e., configuration of interfaces, understanding of the complex interactions of measures, design of disease specific programmes, research and economic evaluation constitute major challenges in the field of psychiatric rehabilitation.
- Fortschritte der Neurologie · Psychiatrie 04/2014; 82(4):185. DOI:10.1055/s-0034-1366393 · 0.63 Impact Factor
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ABSTRACT: Neuropsychological treatment represents a promising therapeutic approach in the amelioration of cognitive deficits in many neuropsychiatric disorders. Cognitive impairment constitutes a core feature that often persists beyond psychopathological symptoms having a significant impact on psychosocial functioning. However, research interest and evidence of efficacy vary considerably between disease groups. Although neuropsychological treatment is frequently used in clinical practice, there are, with the exception of schizophrenia, relatively few studies on its effectiveness. © Georg Thieme Verlag KG Stuttgart · New York.Fortschritte der Neurologie · Psychiatrie 05/2015; 83(5):259-68. DOI:10.1055/s-0034-1399413 · 0.63 Impact Factor
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