Does Integrated Neurocognitive Therapy (INT) reduce severe negative symptoms in schizophrenia outpatients?

SCHIZOPHRENIA RESEARCH

卷:188

Article

Mueller, Daniel R.¹  Khalesi, Zahra¹  Benzing, Valentin^1,2  Castiglione, Clelia I.¹  Roder, Volker¹ 

[1] Univ Bern, Univ Hosp Psychiat & Psychotherapy, Bolligenstr 111, CH-3000 Bern 60, Switzerland

[2] Univ Bern, Inst Sport Sci, Bern, Switzerland

关键词: RCT;    Cognitive remediation;    Group therapy;    Integrated approach;    Negative symptoms;   

DOI  :  10.1016/j.schres.2017.01.037

来源: Elsevier

【 摘 要 】

Negative symptoms often inhibit the social integration of people suffering from schizophrenia. Reducing severe negative symptoms (SNS) in a clinically relevant way is a major unmet need. The aim of this study was to investigate whether Integrated Neurocognitive Therapy (INT), a group cognitive remediation therapy (CRT), reduces SNS in schizophrenia outpatients. INT was compared with Treatment As Usual (TAU) in a randomized-controlled trial (RCT). A total of 61 SNS outpatients participated in the study, 28 were allocated to the INT group and 33 to the TAU group. A test-battery was used at baseline, post-treatment at 15 weeks, and 1-year-follow-up. Remission rates of SNS after therapy were significantly higher for INT compared to TAU. A trend favoring INT was obtained at follow-up. Furthermore, INT showed significantly higher functional outcome during follow-up compared to TAU. Regarding cognition, the strongest significant effect was found in attention post-treatment. No effects between groups on more complex neurocognition and social cognition were evident. SNS outpatients seem to accept INT group intervention as suggested by the high attendance rate. (C) 2017 Elsevier B.V. All rights reserved.

【 授权许可】

Free