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Treatment Response to Rehabilitation in Patients With Schizophrenia

Not Applicable
Completed
Conditions
Schizophrenia
Interventions
Behavioral: Cognitive Remediation
Behavioral: Computer-skills training
Registration Number
NCT00063336
Lead Sponsor
Hartford Hospital
Brief Summary

This study will examine the ways in which schizophrenia-related symptoms affect response to a rehabilitation program for people with schizophrenia.

Detailed Description

Patients with schizophrenia often suffer neurocognitive impairment and psychosocial and vocational difficulties. This study will help identify those patients most likely to benefit from existing behavioral treatments and provide clues for how to modify treatments for those who do not benefit.

Two studies will be conducted. The first will investigate the relationship of symptoms and neurocognitive variables at study entry to psychosocial and vocational status 2 years later. The second study will investigate the relationship of symptoms and neurocognitive variables at study entry to treatment response in patients assigned to either a cognitive remediation track or a computer skills track as part of their rehabilitation treatment.

Both the cognitive remediation and computer skills training programs will last 4 to 6 months. Participants will be assessed pre- and post-treatment. Neuropsychological, psychosocial and vocational status will be measured.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
46
Inclusion Criteria
  • DSM-IV criteria for schizophrenia or schizoaffective disorder
  • In need of intensive outpatient care
  • Treatment with atypical antipsychotic medication for a minimum of 6 months prior to study entry
Exclusion Criteria
  • Auditory or visual impairment
  • Mental retardation (IQ less than 70)
  • Traumatic brain injury with loss of consciousness
  • Presence or history of any neurological illness that may affect brain physiology
  • Lack of proficiency in English
  • Concurrent substance abuse and/or dependence

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Cognitive RemediationParticipants will receive cognitive remediation treatment.
2Computer-skills trainingParticipants will receive computer-skills training.
Primary Outcome Measures
NameTimeMethod
Neuropsychological test battery, including measures of visual, verbal memory, and problem-solving abilitiesMeasured pre- and post-treatment
Schizophrenia symptomsMeasured pre- and post-treament
UCSD Performance-Based Skills AssessmentMeasured pre- and post-treatment
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Schizophrenia Rehabilitation Program, Institutes of Living

🇺🇸

Hartford, Connecticut, United States

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