Compensatory Interventions for Cognitive Impairments in Psychosis: A Systematic Review and Meta-Analysis.

Adult Cognitive Dysfunction / etiology Cognitive Remediation Female Humans Male Outcome Assessment, Health Care Psychotic Disorders / complications Schizophrenia / complications
environmental modification errorless learning external strategies functional outcome internal self-management schizophrenia severe mental illness

Journal

Schizophrenia bulletin
ISSN: 1745-1701
Titre abrégé: Schizophr Bull
Pays: United States
ID NLM: 0236760

Informations de publication

Date de publication:
08 07 2020
Historique:
pubmed: 14 2 2020
medline: 18 5 2021
entrez: 14 2 2020
Statut: ppublish

Résumé

Cognitive compensatory interventions aim to alleviate psychosocial disability by targeting functioning directly using aids and strategies, thereby minimizing the impact of cognitive impairment. The aim was to conduct a systematic review and meta-analysis of cognitive compensatory interventions for psychosis by examining the effects on functioning and symptoms, and exploring whether intervention factors, study design, and age influenced effect sizes. Electronic databases (Ovid Medline, PsychINFO) were searched up to October 2018. Records obtained through electronic and manual searches were screened independently by two reviewers according to selection criteria. Data were extracted to calculate estimated effects (Hedge's g) of treatment on functioning and symptoms at post-intervention and follow-up. Study quality was assessed using Cochrane Collaboration's risk of bias tool. Twenty-six studies, from 25 independent randomized controlled trials (RCTs) were included in the meta-analysis (1654 participants, mean age = 38.9 years, 64% male). Meta-analysis revealed a medium effect of compensatory interventions on functioning compared to control conditions (Hedge's g = 0.46, 95% CI = 0.33, 0.60, P < .001), with evidence of relative durability at follow-up (Hedge's g = 0.36, 95% CI = 0.19, 0.54, P < .001). Analysis also revealed small significant effects of cognitive compensatory treatment on negative, positive, and general psychiatric symptoms, but not depressive symptoms. Estimated effects did not significantly vary according to treatment factors (ie, compensatory approach, dosage), delivery method (ie, individual/group), age, or risk of bias. Longer treatment length was associated with larger effect sizes for functioning outcomes. No evidence of publication bias was identified. Cognitive compensatory interventions are associated with robust, durable improvements in functioning in people with psychotic illnesses.

Identifiants

DOI: 10.1093/schbul/sbz134 PMID: 32052837 PMC: PMC7345816
pubmed: 32052837
pii: 5735262
doi: 10.1093/schbul/sbz134
pmc: PMC7345816
doi:

Types de publication

Journal Article Meta-Analysis Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

869-883

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

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Auteurs

Kelly Allott (K)

Orygen, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Kristi van-der-El (K)

Orygen, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Shayden Bryce (S)

Orygen, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Emma M Parrish (EM)

San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego State University, San Diego, CA.

Susan R McGurk (SR)

Department of Occupational Therapy, Center for Psychiatric Rehabilitation, Boston University, Boston, MA.

Sarah Hetrick (S)

Orygen, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.
Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.

Christopher R Bowie (CR)

Department of Psychology, Queen's University, Kingston, Ontario, ON, Canada.

Sean Kidd (S)

Department of Psychiatry, University of Toronto, Toronto, Ontario, ON, Canada.

Matthew Hamilton (M)

Orygen, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Eoin Killackey (E)

Orygen, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Dawn Velligan (D)

Department of Psychiatry, University of Texas Health Science Centre, San Antonio, TX.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Compensatory Interventions for Cognitive...
questionsmedicales.fr › Troubles mentaux › Troubles neurocognitifs › Troubles de la cognition › Dysfonctionnement cognitif › Compensatory Interventions for Cognitive...
questionsmedicales.fr › Disciplines et activités comportementales › Psychothérapie › Thérapie comportementale › Remédiation cognitive › Compensatory Interventions for Cognitive...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Compensatory Interventions for Cognitive...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Compensatory Interventions for Cognitive...
questionsmedicales.fr › Troubles mentaux › Schizophrénie et troubles avec traits psychotiques › Troubles psychotiques › Compensatory Interventions for Cognitive...
questionsmedicales.fr › Troubles mentaux › Schizophrénie et troubles avec traits psychotiques › Schizophrénie › Compensatory Interventions for Cognitive...