title: Cognitive remediation for individuals with psychosis in a supported education setting: a randomized controlled trial.
abstract: Cognitive remediation (CR) has demonstrated good outcomes when paired with supported employment, however little is known about its effectiveness when integrated into a supported education program. This randomized controlled trial examined the effectiveness of integrating CR within a supported education program compared with supported education without CR. Thirty-seven students with psychosis were recruited into the study in the 2012 academic year. Academic functioning, cognition, self-esteem, and symptomatology were assessed at baseline, at 4months following the first academic term in which CR was provided, and at 8months assessing maintenance of gains. The treatment group demonstrated better retention in the academic program and a trend of improvement across a range of academic functional domains. While both treatment and control groups showed improvement in cognitive measures, the outcomes were not augmented by CR training. CR was also associated with significant and sustained improvements in self esteem. Further research, investigating specific intervention components is required to clarify the mixed findings regarding the effectiveness of CR in an education setting.
authors.affiliation: University of Toronto Department of Psychiatry, Toronto Centre for Addiction and Mental Health, 1001 Queen St. W., Toronto, Ontario M6J 1H1Canada. Electronic address: sean_kidd@camh.net.
authors.forename: Sean A
authors.initials: SA
authors.lastname: Kidd
authors.affiliation: George Brown College, Redirection Through Education Program, St James Campus, 200 King St E, Rm 524A, Toronto, ON, M5A 3W8. Electronic address: jkaur@georgebrown.ca.
authors.forename: Jaswant
authors.initials: J
authors.lastname: Kaur
authors.affiliation: Toronto Centre for Addiction and Mental Health, 1001 Queen St. W., Toronto, Ontario M6J 1H1 Canada. Electronic address: gursharan.virdee@camh.ca.
authors.forename: Gursharan
authors.initials: G
authors.lastname: Virdee
authors.affiliation: University of Toronto Department of Psychiatry, Toronto Centre for Addiction and Mental Health, 1001 Queen St. W., Toronto, Ontario M6J 1H1Canada. Electronic address: tony.george@camh.ca.
authors.forename: Tony P
authors.initials: TP
authors.lastname: George
authors.affiliation: University of Toronto Department of Psychiatry, Toronto Centre for Addiction and Mental Health, 1001 Queen St. W., Toronto, Ontario M6J 1H1Canada. Electronic address: kwame.mckenzie@camh.ca.
authors.forename: Kwame
authors.initials: K
authors.lastname: McKenzie
authors.affiliation: Toronto Centre for Addiction and Mental Health, 1001 Queen St. W., Toronto, Ontario M6J 1H1 Canada. Electronic address: yarissa.herman@camh.ca.
authors.forename: Yarissa
authors.initials: Y
authors.lastname: Herman
mesh_terms: D000328:Adult; D003071:Cognition; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004519:Education, Special / Q000379:methods*; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*; D012044:Regression Analysis; D012649:Self Concept; D013334:Students; D013997:Time Factors; D016896:Treatment Outcome; D014495:Universities
keywords: Academic functioning; Cognitive remediation; Randomized controlled trial; Schizophrenia; Severe mental illness; Supported education