Systematic Review of Computerised Cognitive Remediation interventions in Early Psychosis: Do we Still Need “Somebody with a Human Touch”?-Reference-Cited by-同舟云学术

Systematic Review of Computerised Cognitive Remediation interventions in Early Psychosis: Do we Still Need “Somebody with a Human Touch”?

Published:2024-08-01 Issue:3 Volume:11 Page:227-240
ISSN:2196-3061
Container-title:Current Treatment Options in Psychiatry
language:en
Short-container-title:Curr Treat Options Psych

Author:

Avila Alessia,Novais Filipa

Abstract

Abstract Purpose of the Review Several computerized cognitive remediation (CCR) programs have been developed in recent years, although their efficacy in First Episode Psychosis (FEP) remains unclear, particularly regarding the benefits in terms of functional improvement. This review article provides a systematic evaluation of the efficacy, mechanisms, and implementation characteristics of CCR in FEP and critically reflects on the role of human supervision. Recent Findings Studies indicates that CCR is effective in improving neurocognition. Evidence for the effects of CCR in social cognition remain less strong and delivery characteristics do not seem to influence this outcome. CCR showed some effects on both clinical symptoms and functional outcomes, with neurocognition being a strong mediator of improvement in social functioning. Summary Computer-assisted CR programs can offer standardized, scalable interventions and are effective in improving neurocognition, even with limited supervision from trainers. Human supervision seems, however, crucial to ensuring proper development and transferring of skills to everyday functioning.

Funder

Fundação para a Ciência e a Tecnologia

Universidade de Lisboa

Publisher

Springer Science and Business Media LLC

Link

https://link.springer.com/content/pdf/10.1007/s40501-024-00325-w.pdf

Reference45 articles.

1. Green MF, Kern RS, Heaton RK. Longitudinal studies of cognition and functional outcome in schizophrenia: implications for MATRICS. Schizophr Res. 2004;72(1):41–51.

2. Watson AJ, Harrison L, Preti A, Wykes T, Cella M. Cognitive trajectories following onset of psychosis: a meta-analysis. Bri J Psychiatry J Ment Sci. 2022;221(6):714–21.

3. Montaner-Ferrer MJ, Gadea M, Sanjuán J. Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies. Front Psychiatry. 2023;14:1055012 This recent review retraces the complex interplay between cognition, functioning and symptom domains in psychosis.

4. Brasso C, Bellino S, Bozzatello P, Del Favero E, Montemagni C, Rocca P. Inter-relationships among psychopathology, cognition, and real-life functioning in early and late phase schizophrenia: A network analysis approach. Schizophrenia Res. 2023;256:8–16 This network-analysis aimed at describing and comparing the inter-relationships between psychopathological, cognitive, and functioning variables in early (DOI ≤ 5 years) and late (DOI > 5 years) psychosis. Some neurocognitive domains, particularly visual learning, and disorganization are the variables with higher central rates while metacognition seemed to act as a “bridge” between neurocognition and real-life functioning.

5. Kaar SJ, Natesan S, McCutcheon R, Howes OD. Antipsychotics: Mechanisms underlying clinical response and side-effects and novel treatment approaches based on pathophysiology. Neuropharmacology. 2020;172:107704.