Developing a Cognitive Training Strategy for First-Episode Schizophrenia: Integrating Bottom-Up and Top-Down Approaches.
It is clear that people with schizophrenia typically have cognitive problems in multiple domains as part of their illness. The cognitive deficits are among the main contributors to limitations in their everyday functioning, including their work recovery. Cognitive remediation has been applied succes...
| Publicado en: | American Journal of Psychiatric Rehabilitation Vol. 17; no. 3; pp. 225 - 254 |
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| Autores principales: | , , , , , |
| Formato: | tables/charts Journal Article |
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Taylor & Francis Ltd
Jul-Sep2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103891880&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103891880 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15487768 A9Q jtl: American Journal of Psychiatric Rehabilitation issn: 15487768 maglogo: N pubinfo: dt: Jul-Sep2014 vid: 17 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 103891880 98354509 10.1080/15487768.2014.935674 103891880 ppf: 225 ppct: 29 formats: fmt: @attributes: type: P tig: atl: Developing a Cognitive Training Strategy for First-Episode Schizophrenia: Integrating Bottom-Up and Top-Down Approaches. aug: au: Nuechterlein, Keith H. Ventura, Joseph Subotnik, Kenneth L. Hayata, Jacqueline N. Medalia, Alice Bell, Morris D. affil: Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, and Department of Psychology, UCLA, Los Angeles, California, USA sug: subj: Cognitive Therapy Methods Schizophrenia Psychosocial Factors Schizophrenia Therapy Cognition Schizophrenia Rehabilitation Rehabilitation, Psychosocial Psychiatrists Skill Acquisition Employment, Supported Therapy, Computer Assisted ab: It is clear that people with schizophrenia typically have cognitive problems in multiple domains as part of their illness. The cognitive deficits are among the main contributors to limitations in their everyday functioning, including their work recovery. Cognitive remediation has been applied successfully to help people with long-term, persistent schizophrenia to improve their cognitive functioning, but it is only beginning to be applied with individuals who have recently had a first episode of psychosis. Several different approaches to cognitive training have been developed. Some approaches emphasize extensive systematic practice with lower-level cognitive processes and building toward higher-level processes (bottom-up), while others emphasize greater focus on high-level cognitive processes that normally integrate and organize lower-level processes (top-down). Each approach has advantages and disadvantages for a disorder like schizophrenia, with its multiple levels of cognitive dysfunction. In addition, approaches to cognitive remediation differ in the extent to which they systematically facilitate transfer of learning to everyday functioning. We describe in this article the cognitive training approach that was developed for a UCLA study of people with a recent first episode of schizophrenia, a group that may benefit greatly from early intervention that focuses on cognition and recovery of work functioning. This approach integrated bottom-up and top-down computerized cognitive training and incorporated an additional weekly group session to bridge between computerized training and application to everyday work and school functioning. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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