Neurocognitive and Social Cognitive Approaches for Improving Functional Outcome in Early Psychosis: Theoretical Considerations and Current State of Evidence
Open Access
- 1 January 2012
- journal article
- review article
- Published by Hindawi Limited in Schizophrenia Research and Treatment
- Vol. 2012, 1-15
- https://doi.org/10.1155/2012/815315
Abstract
Improving functional outcome, in addition to alleviating psychotic symptoms, is now a major treatment objective in schizophrenia research. Given the large body of evidence suggesting pharmacological treatments generally have minimal effects on indices of functioning, research has turned to psychosocial rehabilitation programs. Among these, neurocognitive and social cognitive interventions are at the forefront of this field and are argued to target core deficits inherent to the schizophrenia illness. However, to date, research trials have primarily focused on chronic schizophrenia populations, neglecting the early psychosis groups who are often as severely impaired in social and occupational functioning. This theoretical paper will outline the rationale for investigating adjunctive cognitive-based interventions in the early phases of psychotic illness, critically examine the current approach strategies used in these interventions, and assess the evidence supporting certain training programs for improving functional outcome in early psychosis. Potential pathways for future research will be discussed.Keywords
Funding Information
- National Health and Medical Research Council (567042, 628884)
This publication has 120 references indexed in Scilit:
- One-year durability of the effects of cognitive enhancement therapy on functional outcome in early schizophreniaSchizophrenia Research, 2010
- The Neuropsychology of Schizophrenia Circa 2009Neuropsychology Review, 2009
- Neuroplasticity-Based Cognitive Training in Schizophrenia: An Interim Report on the Effects 6 Months LaterSchizophrenia Bulletin, 2009
- Attention Shaping: a Reward-Based Learning Method to Enhance Skills Training Outcomes in SchizophreniaSchizophrenia Bulletin, 2009
- Why do many psychiatric disorders emerge during adolescence?Nature Reviews Neuroscience, 2008
- Social cognitive skills training in schizophrenia: An initial efficacy study of stabilized outpatientsSchizophrenia Research, 2008
- Development and Pilot Testing of a Novel Compensatory Cognitive Training Intervention for People with PsychosisAmerican Journal of Psychiatric Rehabilitation, 2008
- Assessment of social judgments and complex mental states in the early phases of psychosisSchizophrenia Research, 2008
- Errorless Learning for Training Individuals With Schizophrenia at a Community Mental Health Setting Providing Work ExperienceSchizophrenia Bulletin, 2008
- Neurocognition, Social Cognition, Perceived Social Discomfort, and Vocational Outcomes in SchizophreniaSchizophrenia Bulletin, 2008