Digital technology for addressing cognitive impairment in recent-onset psychosis: A perspective.
Cognition
Digital therapy
Functional recovery
Psychosis
Treatment
Journal
Schizophrenia research. Cognition
ISSN: 2215-0013
Titre abrégé: Schizophr Res Cogn
Pays: United States
ID NLM: 101632223
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
21
12
2021
revised:
25
02
2022
accepted:
25
02
2022
entrez:
14
3
2022
pubmed:
15
3
2022
medline:
15
3
2022
Statut:
epublish
Résumé
Cognitive impairments in psychosis negatively impact functional recovery and quality of life. Existing interventions for improving cognitive impairment in recent-onset psychosis show inconsistent treatment efficacy, small effects, suboptimal engagement and limited generalizability to daily life functioning. In this perspective we explore how digital technology has the potential to address these limitations in order to improve cognitive and functional outcomes in recent-onset psychosis. Computer programs can be used for standardized, automated delivery of cognitive remediation training. Virtual reality provides the opportunity for learning and practicing cognitive skills in real-world scenarios within a virtual environment. Smartphone apps could be used for notification reminders for everyday tasks to compensate for cognitive difficulties. Internet-based technologies can offer psychoeducation and training materials for enhancing cognitive skills. Early findings indicate some forms of digital interventions for cognitive enhancement can be effective, with well-established evidence for human-supported computer-based cognitive remediation in recent-onset psychosis. Emerging evidence regarding virtual reality is favorable for improving social cognition. Overall, blending digital interventions with human support improves engagement and effectiveness. Despite the potential of digital interventions for enhancing cognition in recent-onset psychosis, few studies have been conducted to date. Implementation challenges affecting application of digital technologies for cognitive impairment in recent-onset psychosis are sustained engagement, clinical integration, and lack of quality in the commercial marketplace. Future opportunities lie in including motivational frameworks and behavioral change interventions, increasing service engagement in young people and lived experience involvement in digital intervention development.
Identifiants
pubmed: 35281550
doi: 10.1016/j.scog.2022.100247
pii: S2215-0013(22)00012-9
pmc: PMC8914197
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100247Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
The authors have declared that there are no conflicts of interest in relation to the subject of this study.
Références
Psychol Med. 2014 Jul;44(9):1889-99
pubmed: 24172842
Int J Geriatr Psychiatry. 2010 Jun;25(6):643-9
pubmed: 19806599
Neuropsychiatr Dis Treat. 2016 Jan 06;12:57-67
pubmed: 26792993
Clin Psychol Rev. 2020 Jul;79:101871
pubmed: 32502941
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
J Med Internet Res. 2020 May 5;22(5):e17098
pubmed: 32369036
JAMA Psychiatry. 2018 Mar 1;75(3):270-279
pubmed: 29387877
Schizophr Bull. 2018 Aug 20;44(5):1010-1020
pubmed: 29939367
JMIR Serious Games. 2013 Dec 12;1(1):e3
pubmed: 25658754
World Psychiatry. 2021 Oct;20(3):318-335
pubmed: 34505369
Evid Based Ment Health. 2018 Aug;21(3):116-119
pubmed: 29871870
Psychol Med. 2011 Jan;41(1):163-73
pubmed: 20380784
J Med Internet Res. 2020 Jun 23;22(6):e16317
pubmed: 32442160
J Med Internet Res. 2017 May 10;19(5):e153
pubmed: 28490417
Early Interv Psychiatry. 2017 Feb;11(1):72-76
pubmed: 26011657
J Child Psychol Psychiatry. 2017 Apr;58(4):474-503
pubmed: 27943285
Early Interv Psychiatry. 2020 Feb;14(1):37-43
pubmed: 30908854
Psychiatry Res. 2021 Jun;300:113928
pubmed: 33857847
JMIR Ment Health. 2020 Jul 28;7(7):e18990
pubmed: 32720904
Psychiatry Res. 2021 Nov;305:114232
pubmed: 34649185
Psychol Med. 2017 Sep 4;:1-11
pubmed: 28866988
Psychiatr Serv. 2004 Sep;55(9):1022-8
pubmed: 15345762
Early Interv Psychiatry. 2021 Oct;15(5):1243-1255
pubmed: 33260266
Neuropsychology. 2009 May;23(3):315-36
pubmed: 19413446
NPJ Schizophr. 2017 May 8;3:20
pubmed: 28560266
NPJ Digit Med. 2019 Mar 22;2:18
pubmed: 31304366
J Behav Ther Exp Psychiatry. 2014 Mar;45(1):81-9
pubmed: 24063993
JAMA Psychiatry. 2018 Jun 1;75(6):555-565
pubmed: 29800949
World Psychiatry. 2021 Jun;20(2):233-243
pubmed: 34002511
Schizophr Res. 2020 Feb;216:479-487
pubmed: 31812327
JAMA Psychiatry. 2021 Aug 1;78(8):848-858
pubmed: 33877289
Lancet Psychiatry. 2018 Mar;5(3):217-226
pubmed: 29429948
Front Psychiatry. 2016 Apr 20;7:64
pubmed: 27148093
Schizophr Res. 2020 Jan;215:49-53
pubmed: 31699627
Front Psychiatry. 2020 Mar 25;11:219
pubmed: 32269534
Neuropsychiatr Dis Treat. 2006 Dec;2(4):531-6
pubmed: 19412501
Cost Eff Resour Alloc. 2021 Jul 1;19(1):36
pubmed: 34210341
Front Psychiatry. 2019 Nov 15;10:831
pubmed: 31803083
Schizophr Bull. 2007 Jul;33(4):912-20
pubmed: 17567627
Am J Psychiatry. 2010 Feb;167(2):160-9
pubmed: 20048021
Schizophr Res. 2016 Aug;175(1-3):204-208
pubmed: 27132495
J Med Internet Res. 2019 Jan 14;21(1):e11528
pubmed: 31344671
Lancet Psychiatry. 2019 Mar;6(3):257-266
pubmed: 30522979
JMIR Ment Health. 2020 Dec 15;7(12):e24578
pubmed: 33206051
Schizophr Res. 2015 Oct;168(1-2):213-22
pubmed: 26305063
Psychiatry Res. 2011 Sep 30;189(2):166-72
pubmed: 21529970
Front Psychiatry. 2018 Dec 05;9:622
pubmed: 30568606
Psychiatr Serv. 2018 Apr 1;69(4):377-388
pubmed: 29241435
Schizophr Bull. 2006 Oct;32(4):776-85
pubmed: 16885205
Schizophr Bull. 2021 Aug 21;47(5):1243-1253
pubmed: 33761534
Schizophr Res. 2018 Dec;202:369-377
pubmed: 30031616
Mhealth. 2020 Jan 05;6:3
pubmed: 32190614
Int Rev Psychiatry. 2021 May;33(3):337-362
pubmed: 34121587
Schizophr Res. 2015 Aug;166(1-3):86-91
pubmed: 26032567
Asian J Psychiatr. 2021 Apr;58:102587
pubmed: 33618070
J Child Psychol Psychiatry. 2020 Aug;61(8):928-940
pubmed: 32572961
Br J Psychiatry. 2019 Jul;215(1):388-394
pubmed: 30696495
Am J Psychiatry. 2011 May;168(5):472-85
pubmed: 21406461
Psychiatr Serv. 2016 Jan;67(1):141-2
pubmed: 26725495
Dialogues Clin Neurosci. 2020 Jun;22(2):169-177
pubmed: 32699517
Neurosci Biobehav Rev. 2019 Dec;107:828-845
pubmed: 31557548
Schizophr Res. 2013 Oct;150(1):136-43
pubmed: 23938175
Neuropsychology. 2017 Oct;31(7):787-797
pubmed: 28368139
Psychol Med. 2013 Jun;43(6):1161-73
pubmed: 23237010
Psychiatry Res. 2021 May;299:113848
pubmed: 33725578