Family-directed cognitive adaptation for schizophrenia.
Cognitive impairment is pervasive in schizophrenia and is a major cause of poor functioning and caregiver burden. However, there are few treatments specifically aimed at helping families cope with a relative's cognitive difficulties and reducing the effects of cognitive impairments on the client's daily functioning. Family-directed cognitive adaptation (FCA) is a 16-session treatment developed to address this need. In this article, we provide a rationale for the development of FCA, describe the program itself, and summarize a pilot study aimed at evaluating the acceptability and feasibility of the treatment. We conclude with a case example of a family who participated in the program.
Friedman-Yakoobian
Michelle S
MS
Massachusetts Mental Health Center, 180 Morton Street, Jamaica Plain, MA 02130, USA. Mfriedm3@bidmc.harvard.edu
Mueser
Kim T
KT
Giuliano
Anthony
A
Goff
Donald C
DC
Seidman
Larry J
LJ
D000223:Adaptation, Psychological; D000328:Adult; D000739:Anecdotes as Topic; D017028:Caregivers / Q000523:psychology*; D015928:Cognitive Behavioral Therapy; D006801:Humans; D008297:Male; D010865:Pilot Projects; D016730:Program Development; D012559:Schizophrenia / Q000503:physiopathology