Non-literal understanding and psychosis: Metaphor comprehension in individuals with a diagnosis of schizophrenia
Publication date: December 2019Source: Schizophrenia Research: Cognition, Volume 18Author(s): Felicity Deamer, Ellen Palmer, Quoc C. Vuong, Nicol Ferrier, Andreas Finkelmeyer, Wolfram Hinzen, Stuart WatsonAbstractPrevious studies suggest that understanding of non-literal expressions, and in particular metaphors, can be impaired in people with schizophrenia; although it is not clear why. We explored metaphor comprehension capacity using a novel picture selection paradigm; we compared task performance between people with schizophrenia and healthy comparator subjects and we further examined the relationships between the abili...
Source: Schizophrenia Research: Cognition - August 27, 2019 Category: Psychiatry Source Type: research

Determinants of occupational outcome in recent-onset psychosis: The role of cognition
Publication date: December 2019Source: Schizophrenia Research: Cognition, Volume 18Author(s): William Pothier, Caroline Cellard, Marc Corbière, Patrizia Villotti, Amélie M. Achim, Andréanne Lavoie, Mélissa Turcotte, Chantal Vallières, Marc-André RoyAbstractWorking or studying is a common goal among people with recent-onset psychosis. Cognitive deficits have been reported to influence occupational outcome, but to date few studies have evaluated if cognitive deficits independently predict occupational outcome when taking into account other important determinants, such as self-esteem, motivation, length of time absent f...
Source: Schizophrenia Research: Cognition - August 20, 2019 Category: Psychiatry Source Type: research

A comparison of compensatory and restorative cognitive interventions in early psychosis
This study concluded that both CAT and ABCR hold promise as interventions for early intervention psychosis populations but more work is needed to identify illness severity, subtype and contextual considerations that might indicate an emphasis on more compensatory versus more restorative cognitive interventions. (Source: Schizophrenia Research: Cognition)
Source: Schizophrenia Research: Cognition - July 24, 2019 Category: Psychiatry Source Type: research

Approaches to attenuated psychosis syndrome treatments: A perspective on the regulatory issues
Publication date: December 2019Source: Schizophrenia Research: Cognition, Volume 18Author(s): Luca Pani, Richard S.E. Keefe (Source: Schizophrenia Research: Cognition)
Source: Schizophrenia Research: Cognition - June 15, 2019 Category: Psychiatry Source Type: research

Publisher's Note
Publication date: September 2019Source: Schizophrenia Research: Cognition, Volume 17Author(s): (Source: Schizophrenia Research: Cognition)
Source: Schizophrenia Research: Cognition - May 29, 2019 Category: Psychiatry Source Type: research

Affective prosody and facial emotion recognition in first-episode schizophrenia: Associations with functioning & symptoms
This study aimed to examine how facial emotion and affective prosody recognition are related to functioning and symptoms in a first-episode schizophrenia sample. Further, in light of research suggesting variable emotion-specific performance in people with schizophrenia, this study explored emotion-specific performance. Participants were 49 people with a recent first episode of schizophrenia taking part in a larger RCT. Results revealed that affective prosody recognition was significantly correlated with both role and social functioning. Regarding associations with psychiatric symptoms, facial emotion recognition was signif...
Source: Schizophrenia Research: Cognition - May 26, 2019 Category: Psychiatry Source Type: research

Motivation and engagement during cognitive training for schizophrenia spectrum disorders
ConclusionsObjective measures of treatment engagement were better predictors of treatment outcomes than subjective measures of motivation. Homework completion was most strongly related to treatment outcomes and mediated the relationship between session attendance and treatment outcomes, suggesting continued engagement with cognitive stimulation may be an especially important component of cognitive remediation programs. Future research should examine methods to improve homework completion and session attendance to maximize therapeutic outcomes. (Source: Schizophrenia Research: Cognition)
Source: Schizophrenia Research: Cognition - May 23, 2019 Category: Psychiatry Source Type: research

Metacognition over time is related to neurocognition, social cognition, and intrapsychic foundations in psychosis
In conclusion, over time, improvements in metacognition across domains co-occur with other core cognitive and social capacities in persons with schizophrenia. As persons became better able to form integrated senses of themselves and adaptively use this knowledge, improvements in neurocognition, social cognition, and intrapsychic foundations were also present. (Source: Schizophrenia Research: Cognition)
Source: Schizophrenia Research: Cognition - May 16, 2019 Category: Psychiatry Source Type: research

Functional deficits in attenuated psychosis syndrome and related conditions: Current and future treatment options
Publication date: September 2019Source: Schizophrenia Research: Cognition, Volume 17Author(s): Philip D. Harvey, Mackenzie Taylor Jones (Source: Schizophrenia Research: Cognition)
Source: Schizophrenia Research: Cognition - May 16, 2019 Category: Psychiatry Source Type: research

Training engagement, baseline cognitive functioning, and cognitive gains with computerized cognitive training: A cross-diagnostic study
Publication date: Available online 13 May 2019Source: Schizophrenia Research: CognitionAuthor(s): Philip D. Harvey, Alexandra M. Balzer, Raymond J. KotwickiAbstractComputerized cognitive training (CCT) interventions are increasing in their use in outpatient mental health settings. These interventions have demonstrated efficacy for improving functional outcomes when combined with rehabilitation interventions. It has recently been suggested that patients with more cognitive impairment have a greater therapeutic response and that reduced engagement in training can identify cases who manifest low levels of benefit from treatme...
Source: Schizophrenia Research: Cognition - May 14, 2019 Category: Psychiatry Source Type: research

What variables predict cognitive remediation associated improvement in individuals with psychosis?
Publication date: Available online 1 May 2019Source: Schizophrenia Research: CognitionAuthor(s): Joanna M. Fiszdon, Matthew M. Kurtz, Lori Parente, Jimmy ChoiAbstractOn average, cognitive remediation (CR) is effective in improving cognitive function in individuals with psychosis, though there is considerable variability in treatment response. No consensus has emerged to date about the potential influence of patient and illness characteristics on CR efficacy. In the current analyses, we examined baseline demographic, cognitive, clinical, and functional ability variables as potential moderators of cognitive improvements duri...
Source: Schizophrenia Research: Cognition - May 3, 2019 Category: Psychiatry Source Type: research

Cognitive and metacognitive factors predict engagement in employment in individuals with first episode psychosis
This study assessed whether metacognition, intellectual aptitude and functional capacity can predict engagement in work and number of hours of work within FEP.MethodsFifty-two individuals with psychosis, from an Early Intervention in Psychosis service, completed measures of IQ, metacognition (Metacognitive Assessment Interview), functional capacity (UPSA), and functional outcome (hours spent in structured activity per week, including employment).ResultsTwenty-six participants (22 males, 4 females) were employed and twenty-six (22 males, 4 females) were not employed. IQ and metacognition were significantly associated with w...
Source: Schizophrenia Research: Cognition - May 3, 2019 Category: Psychiatry Source Type: research

The role of genetics in cognitive remediation in schizophrenia: A systematic review
Publication date: Available online 1 May 2019Source: Schizophrenia Research: CognitionAuthor(s): Rafael Penadés, Marta Bosia, Rosa Catalán, Marco Spangaro, Clemente García-Rizo, Silvia Amoretti, Miquel Bioque, Miquel BernardoAbstractThe role of genetics in cognitive remediation therapies in schizophrenia has not been completely understood yet. Different genes involved in neurotrophic, dopaminergic and serotonin systems have reported to influence cognitive functioning in schizophrenia. These genetic factors could also be contributing to the variability in responsiveness to cognitive treatments. No comprehensive synthesis...
Source: Schizophrenia Research: Cognition - May 1, 2019 Category: Psychiatry Source Type: research

Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments
We describe the rationale and support for one method for quantifying metacognition and its potential to study the fragmentation of a person's sense of themselves, others and the relative place of themselves and others in the larger human community. We summarize research using that method which suggests that deficits in metacognition commonly occur in schizophrenia and are related to basic neurobiological indices of brain functioning. We also present findings indicating that the capacity for metacognition in schizophrenia is positively related to a broad range of aspects of psychological and social functioning when measured...
Source: Schizophrenia Research: Cognition - April 26, 2019 Category: Psychiatry Source Type: research

The synergistic benefits of physical and cognitive exercise in schizophrenia: Promoting motivation to enhance community effectiveness
We present the first community effectiveness data for PE and CT that included a motivationally-enhancing, self-determined approach to exercise, in lieu of participant payment. Eighty-five outpatients with schizophrenia attending an intensive outpatient program were randomized to 18 h of either (A) self-determined PE regimen with choice from a menu of different activities; (B) tablet-based neurofeedback CT focused on processing speed (PS) and working memory (WM), or (C) a time-matched combination of PE and CT. Assessments were conducted at baseline, post, and follow-up (2 mo). All groups improved in WM from baseline to ...
Source: Schizophrenia Research: Cognition - April 26, 2019 Category: Psychiatry Source Type: research