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Arithmetic Training With the Kumon Method for Cognition in Schizophrenia

Not Applicable
Completed
Conditions
Schizophrenia
Interventions
Other: placebo
Other: cognitive training
Registration Number
NCT03055520
Lead Sponsor
University of Sao Paulo
Brief Summary

A randomized placebo-controlled trial of arithmetic training (with the Kumon Method) as an errorless learning method for improvement of cognition in schizophrenia. Outpatients were included after signing an informed consent. The trial consisted of 48 sessions of arithmetic training (twice a week, for 6 months) or placebo (nonspecific recreation, 48 sessions). The patients were evaluated with a neuropsychological battery at baseline, after 6 months (end of intervention) and after 12 months after baseline. The Positive and Negative Syndrome Scale (PANSS) and the Personal and Social Performance scale (PSP) were applied at baseline, after 6 months (end of intervention) and 12 months after baseline. Primary outcome was the performance on three cognitive domains (attention, executive functions and working memory).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
51
Inclusion Criteria
  • Literate (≥5 years of formal education).
  • Diagnostic criteria for schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-IV-TR).
  • Clinically stable, with constant antipsychotic medication regimen for ≥8 weeks before screening
  • No hospitalizations in the last 6 months.
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Exclusion Criteria
  • Other Axis I psychiatric disorders, substance abuse or dependence.
  • History of head trauma or other neurologic diseases.
  • Severe or uncontrolled medical diseases, history of mental retardation or attendance in special-education classes,
  • Suicide risk
  • Participation in any other kind of psychosocial intervention.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
nonspecific recreationplacebo-
arithmetic training (Kumon method)cognitive training-
Primary Outcome Measures
NameTimeMethod
improvement in attentionchange from baseline to 6 months and to 12 months

neuropsychological battery

improvement in working memorychange from baseline to 6 months and to 12 months

neuropsychological battery

improvement in executive functionchange from baseline to 6 months and to 12 months

neuropsychological battery

Secondary Outcome Measures
NameTimeMethod
psychopathologychange from baseline to 6 months and to 12 months

Evaluation with the Positive and Negative Syndrome Scale (PANSS)

functioningchange from baseline to 6 months and to 12 months

Evaluation with the Personal and Social Performance (PSP) scale

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