A comparison of compensatory and restorative cognitive interventions in early psychosis

Sean A. Kidd, Yarissa Herman, Gursharan Virdee, Christopher R. Bowie, Dawn I Velligan, Christina Plagiannakos, Aristotle Voineskos

Research output: Contribution to journalArticle

Abstract

This randomized trial examined the relative effectiveness of primarily compensatory and primarily restorative cognitive interventions in an early psychosis population. A total of 56 patients were randomized to one of two treatments which were applied for four months with a five month follow up assessment. Comparisons were between (1) Cognitive Adaptation Training (CAT) – a treatment that uses environmental supports and weekly home visits to compensate for cognitive challenges and improve community functioning and (2) Action Based Cognitive Remediation (ABCR) – a treatment involving computerized cognitive drill and practice exercises, simulations, goal setting, and behavioral activation. Linear mixed effects models demonstrated significant effects on community functioning for both CAT and ABCR without a difference between conditions (n = 39), with an indication of greater gains at follow up in the ABCR group (n = 31). Improvements in symptomatology were less robust with mixed findings across neurocognition metrics. 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.

Original languageEnglish (US)
Article number100157
JournalSchizophrenia Research: Cognition
DOIs
StatePublished - Jan 1 2019

Fingerprint

Psychotic Disorders
Mandrillus
House Calls
Population
Therapeutics
Exercise
Cognitive Remediation

Keywords

  • Cognitive adaptation training
  • Cognitive remediation
  • Psychosis
  • Randomized trial
  • Schizophrenia

ASJC Scopus subject areas

  • Cognitive Neuroscience
  • Psychiatry and Mental health

Cite this

Kidd, S. A., Herman, Y., Virdee, G., Bowie, C. R., Velligan, D. I., Plagiannakos, C., & Voineskos, A. (2019). A comparison of compensatory and restorative cognitive interventions in early psychosis. Schizophrenia Research: Cognition, [100157]. https://doi.org/10.1016/j.scog.2019.100157

A comparison of compensatory and restorative cognitive interventions in early psychosis. / Kidd, Sean A.; Herman, Yarissa; Virdee, Gursharan; Bowie, Christopher R.; Velligan, Dawn I; Plagiannakos, Christina; Voineskos, Aristotle.

In: Schizophrenia Research: Cognition, 01.01.2019.

Research output: Contribution to journalArticle

Kidd, Sean A. ; Herman, Yarissa ; Virdee, Gursharan ; Bowie, Christopher R. ; Velligan, Dawn I ; Plagiannakos, Christina ; Voineskos, Aristotle. / A comparison of compensatory and restorative cognitive interventions in early psychosis. In: Schizophrenia Research: Cognition. 2019.
@article{d3eadca0d6fb4c5f958fe3a4b1c81b3b,
title = "A comparison of compensatory and restorative cognitive interventions in early psychosis",
abstract = "This randomized trial examined the relative effectiveness of primarily compensatory and primarily restorative cognitive interventions in an early psychosis population. A total of 56 patients were randomized to one of two treatments which were applied for four months with a five month follow up assessment. Comparisons were between (1) Cognitive Adaptation Training (CAT) – a treatment that uses environmental supports and weekly home visits to compensate for cognitive challenges and improve community functioning and (2) Action Based Cognitive Remediation (ABCR) – a treatment involving computerized cognitive drill and practice exercises, simulations, goal setting, and behavioral activation. Linear mixed effects models demonstrated significant effects on community functioning for both CAT and ABCR without a difference between conditions (n = 39), with an indication of greater gains at follow up in the ABCR group (n = 31). Improvements in symptomatology were less robust with mixed findings across neurocognition metrics. 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.",
keywords = "Cognitive adaptation training, Cognitive remediation, Psychosis, Randomized trial, Schizophrenia",
author = "Kidd, {Sean A.} and Yarissa Herman and Gursharan Virdee and Bowie, {Christopher R.} and Velligan, {Dawn I} and Christina Plagiannakos and Aristotle Voineskos",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.scog.2019.100157",
language = "English (US)",
journal = "Schizophrenia Research: Cognition",
issn = "2215-0013",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - A comparison of compensatory and restorative cognitive interventions in early psychosis

AU - Kidd, Sean A.

AU - Herman, Yarissa

AU - Virdee, Gursharan

AU - Bowie, Christopher R.

AU - Velligan, Dawn I

AU - Plagiannakos, Christina

AU - Voineskos, Aristotle

PY - 2019/1/1

Y1 - 2019/1/1

N2 - This randomized trial examined the relative effectiveness of primarily compensatory and primarily restorative cognitive interventions in an early psychosis population. A total of 56 patients were randomized to one of two treatments which were applied for four months with a five month follow up assessment. Comparisons were between (1) Cognitive Adaptation Training (CAT) – a treatment that uses environmental supports and weekly home visits to compensate for cognitive challenges and improve community functioning and (2) Action Based Cognitive Remediation (ABCR) – a treatment involving computerized cognitive drill and practice exercises, simulations, goal setting, and behavioral activation. Linear mixed effects models demonstrated significant effects on community functioning for both CAT and ABCR without a difference between conditions (n = 39), with an indication of greater gains at follow up in the ABCR group (n = 31). Improvements in symptomatology were less robust with mixed findings across neurocognition metrics. 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.

AB - This randomized trial examined the relative effectiveness of primarily compensatory and primarily restorative cognitive interventions in an early psychosis population. A total of 56 patients were randomized to one of two treatments which were applied for four months with a five month follow up assessment. Comparisons were between (1) Cognitive Adaptation Training (CAT) – a treatment that uses environmental supports and weekly home visits to compensate for cognitive challenges and improve community functioning and (2) Action Based Cognitive Remediation (ABCR) – a treatment involving computerized cognitive drill and practice exercises, simulations, goal setting, and behavioral activation. Linear mixed effects models demonstrated significant effects on community functioning for both CAT and ABCR without a difference between conditions (n = 39), with an indication of greater gains at follow up in the ABCR group (n = 31). Improvements in symptomatology were less robust with mixed findings across neurocognition metrics. 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.

KW - Cognitive adaptation training

KW - Cognitive remediation

KW - Psychosis

KW - Randomized trial

KW - Schizophrenia

UR - http://www.scopus.com/inward/record.url?scp=85069721581&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069721581&partnerID=8YFLogxK

U2 - 10.1016/j.scog.2019.100157

DO - 10.1016/j.scog.2019.100157

M3 - Article

JO - Schizophrenia Research: Cognition

JF - Schizophrenia Research: Cognition

SN - 2215-0013

M1 - 100157

ER -