title: The Role of Motivation in Cognitive Remediation for People with Schizophrenia.
abstract: Motivation impairment is an often prominent component of schizophrenia symptomatology that impacts treatment engagement and reduces the functional benefit from psychosocial interventions. Intrinsic motivation in particular has been shown to be impaired in schizophrenia. Nowhere is the role of intrinsic motivation impairment more evident than in cognitive remediation for schizophrenia. This chapter describes the theoretical determinants of motivation to learn and illustrates how those determinants have been translated into therapeutic techniques that enhance intrinsic motivation in a clinical context. We review the extant research that indicates how motivation enhancing techniques yield treatment-related improvements within cognitive remediation therapy and, more broadly, in other behavioral skills-based interventions for schizophrenia.
authors.affiliation: Department of Psychiatry, Columbia University Medical Center, 1051 Riverside Drive, Mailbox 104, New York, USA. saperst@nyspi.columbia.edu.
authors.forename: Alice M
authors.initials: AM
authors.lastname: Saperstein
authors.affiliation: Department of Psychiatry, Columbia University Medical Center, 1051 Riverside Drive, Mailbox 104, New York, USA.
authors.forename: Alice
authors.initials: A
authors.lastname: Medalia
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D007858:Learning; D009042:Motivation; D026684:Personal Autonomy; D011582:Psychological Theory; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology
keywords: Cognitive remediation; Expectancy-value theory; Intrinsic motivation; Self-determination theory