Digital technology for addressing cognitive impairment in recent-onset psychosis: A perspective

Schizophrenia Research: Cognition

Rothanthi Daglas-Georgiou¹  Katie Nicol²  Isabel Zbukvic²  Orli Schwartz²  Roos M.C.A. Pot-Kolder²  Kelly Allott²  Jennifer Nicholas²  Donel Martin²  Cali F. Bartholomeusz²  Barnaby Nelson²  Nicola Acevedo³  James Kean⁴  Alexandra Stainton⁵  Andrew Thompson⁵  Mario Alvarez-Jimenez⁵  Amity Watson⁵  Imogen Bell⁵  Courtney C. Walton⁵  Stephen J. Wood⁵  Shayden Bryce⁵  Magenta Simmons⁵ 

[1] Centre for Mental Health, Swinburne University of Technology, Melbourne, VIC, Australia;Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia;Corresponding author at: Orygen, 35 Poplar Rd, Parkville 3052, Melbourne, VIC, Australia.;School of Psychology, University of Birmingham, UK;Orygen, 35 Poplar Rd, Parkville 3052, Melbourne, VIC, Australia;

关键词: Cognition;    Psychosis;    Treatment;    Digital therapy;    Functional recovery;   

DOI  :  

来源: DOAJ

【 摘 要 】

Cognitive impairments in psychosis negatively impact functional recovery and quality of life. Existing interventions for improving cognitive impairment in recent-onset psychosis show inconsistent treatment efficacy, small effects, suboptimal engagement and limited generalizability to daily life functioning. In this perspective we explore how digital technology has the potential to address these limitations in order to improve cognitive and functional outcomes in recent-onset psychosis. Computer programs can be used for standardized, automated delivery of cognitive remediation training. Virtual reality provides the opportunity for learning and practicing cognitive skills in real-world scenarios within a virtual environment. Smartphone apps could be used for notification reminders for everyday tasks to compensate for cognitive difficulties. Internet-based technologies can offer psychoeducation and training materials for enhancing cognitive skills. Early findings indicate some forms of digital interventions for cognitive enhancement can be effective, with well-established evidence for human-supported computer-based cognitive remediation in recent-onset psychosis. Emerging evidence regarding virtual reality is favorable for improving social cognition. Overall, blending digital interventions with human support improves engagement and effectiveness. Despite the potential of digital interventions for enhancing cognition in recent-onset psychosis, few studies have been conducted to date. Implementation challenges affecting application of digital technologies for cognitive impairment in recent-onset psychosis are sustained engagement, clinical integration, and lack of quality in the commercial marketplace. Future opportunities lie in including motivational frameworks and behavioral change interventions, increasing service engagement in young people and lived experience involvement in digital intervention development.

【 授权许可】

Unknown