The Implementation and Review of Cognitive Remediation Training for First Episode Psychosis in Singapore

Bibliographic Data

ID15519314
AuthorsNigel Ian Ming Chong (National University of Singapore), Yogeswary Maniam (Institute of Mental Health, corresponding author), Yi Chian Chua (0000-0002-3906-4736, Institute of Mental Health), Charmaine Tang (0000-0002-6248-2565, Institute of Mental Health)
Year2021
Volume12
Pages784935-784935
Publication date2021-11-30
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.784935
PMID34916979
OpenAlexW3216009646
LanguageEN
References cited50

Objective: Early intervention in patients with first episode psychosis (FEP) can improve cognitive abilities, with both short- and long-term benefits. In this paper, we describe the implementation and review of cognitive remediation training (CRT) in an Asian FEP population. The outcomes of the training are also evaluated and discussed. Methods: This naturalistic paper describes in detail the real-life implementation and conduct of CRT in an early psychosis intervention service. One hundred and nine patients with FEP underwent a 24-session CRT programme, using Cogpack and Neuropsychological Educational Approach to Remediation. The program is evaluated with pre- and post-CRT assessment scores which included Montreal Cognitive Assessment and Brief Assessment of Cognition in Schizophrenia. The rates of improvement on these cognitive assessments were evaluated using paired t -tests, with statistical significance set at p ≤ 0.05. Results: Of the 109 patients who underwent CRT, a total of 92 (84.4%) completed all 24 sessions. Paired t -tests between pre- and post-CRT assessments scores revealed that participants significantly improved on majority of the measures, including verbal memory, digit sequencing, and symbol coding. Conclusion: As with other cognitive remediation programmes, CRT has shown to improve cognitive functioning in patients with FEP. The results support the use of CRT in an Asian context and may serve as guidance for the implementation of similar training programmes in other Asian early psychosis intervention services

Cognition · Cognitive remediation therapy · Cognitive Training · Context (archaeology · Intervention (counseling · Population · Psychiatry · Psychosis · Schizophrenia (object-oriented programming · Clinical Psychology · Functional Brain Connectivity Studies · Medicine · Mental Health and Psychiatry · Psychology · Schizophrenia research and treatment

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