Effectiveness of cognitive remediation in the treatment of schizophrenia (clinical case)

Effectiveness of cognitive remediation in the treatment of schizophrenia (clinical case)

 

Authors

 

D.A. Petkun

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

V.V. Tiguntsev

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

A.A. Agarkov

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

M.N. Mazur

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

Yu.N. Gorbatsevich

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

Yu.L. Maltseva

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

T.V. Pogorelova

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

 

https://doi.org/10.26617/1810-3111-2024-2(123)-24-31

 

Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2024; 2 (123):  24-31.

 

Abstract

In recent decades, neurocognitive deficits were considered in the literature as a third group of symptoms of schizophrenia, in addition to positive and negative ones. Longitudinal studies showed statistically significant decline in working memory and processing speed in first-episode individuals and in at-risk individuals who subsequently experienced a psychotic episode. These manifestations of insufficiency of cognitive functions lead to disruption of social adaptation and reduce the ability of patients to work. For a long time, there was no single examination tool that would cover most higher mental functions, including their qualitative and quantitative aspects: memory, attention and executive skills. The article presented a clinical case of a 23-year-old psychiatric hospital patient with schizophrenia, which occurred with manifestations of neurocognitive deficits in the form of mild disorders of verbal and working memory, moderate impairments of verbal fluency and motor function. The patient received individual cognitive remediation classes with an individual selection of techniques. As a result of motivated medical and neuropsychological tactics, positive dynamics were achieved in the form of an improvement in all cognitive functions.

 

Keywords: schizophrenia, neurocognitive deficit, cognitive remediation, standardized scale “Brief assessment of cognitive functions in patients with schizophrenia”, psychocorrection, rehabilitation.

 

Article (pdf)

 

Contacts

 

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Materials  

 

For citation: Petkun D.A., Tiguntsev V.V., Agarkov A.A., Mazur M.N., Gorbatsevich Yu.N., Maltseva Yu.L., Pogorelova T.V. Effectiveness of cognitive remediation in the treatment of schizophrenia (clinical case). Siberian Herald of Psychiatry and Addiction Psychiatry.2024; 2 (123): 24-31. https://doi.org/10.26617/1810-3111-2024-2(123)-24-31

 

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