title: [Which cognitive remediation programs are adapted to first episode of psychosis?].
abstract: Cognitive remediation is efficient to treat cognitive disorders associated with schizophrenia. Since (i) these disorders play a negative role in functional outcome and (ii) antipsychotics do not improve significantly cognition, cognitive remediation should be systematically used with patients with schizophrenia and after the first episode of psychosis. A comprehensive neuropsychological assessment, that precedes the beginning of cognitive remediation, allows targeting the most impaired cognitive domains. Cognitive remediation intervention takes place after symptoms stabilization. It needs also that the antipsychotic treatment was prescribed at minimal fully effective dose and that the patients have acquired a minimal understanding of their disease (i.e. after psychoeducation). Cognitive remediation programs that have been validated for schizophrenia (NEAR, CET, NET, IPT, CRT…) can be used after the first episode of psychosis.
authors.affiliation: Centre de Réhabilitation, Hôpital du Vinatier, Université Lyon 1 & UMR 5229 (CNRS), France. nicolas.franck@ch-le-vinatier.fr
authors.forename: N
authors.initials: N
authors.lastname: Franck
mesh_terms: D000293:Adolescent; D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001364:Awareness; D003072:Cognition Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D004644:Emotions; D005149:Facial Expression; D006801:Humans; D033183:Interdisciplinary Communication; D007398:Interpersonal Relations; D009483:Neuropsychological Tests; D010353:Patient Education as Topic; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012565:Schizophrenic Psychology; D012951:Socialization; D055815:Young Adult
chemical_list: D014150:Antipsychotic Agents