title: A feasibility study of a new computerised cognitive remediation for young adults with schizophrenia.
abstract: Cognitive remediation therapy is effective for improving cognition, symptoms and social functioning in individuals with schizophrenia; however, the impact on visual episodic memory remains unclear. The objectives of this feasibility study were: (1) to explore whether or not CIRCuiTS--a new computerised cognitive remediation therapy programme developed in England--improves visual episodic memory and other cognitive domains in young adults with early course schizophrenia; and (2) to evaluate acceptability of the CIRCuiTS programme in French-Canadians. Three participants with visual episodic memory impairments at baseline were recruited from clinical settings in Canada, and consented to participate. Neuropsychological, clinical and social functioning was evaluated at baseline and post-treatment. Intervention involved 40 sessions of cognitive remediation. First, the reliable change index (RCI) revealed that each participant demonstrated significant post-therapy change in episodic memory and in other cognitive domains. The response profile was characterised by the use of organisational strategies. Second, the treatment was considered acceptable to participants in terms of session frequency (number of sessions per week), intensity (hours per week; total hours), and number of missed sessions and total completed sessions. This preliminary study yielded encouraging data demonstrating the feasibility of the CIRCuiTS programme in French-Canadian young adults with schizophrenia.
authors.affiliation: a École de psychologie , Université Laval , Québec , Canada.|b Centre de recherche de l'Institut universitaire en santé mentale de Québec , Québec , Canada.
authors.forename: Caroline
authors.initials: C
authors.lastname: Cellard
authors.affiliation: d Institute of Psychiatry , King's College London , London , UK.
authors.forename: Clare
authors.initials: C
authors.lastname: Reeder
authors.affiliation: a École de psychologie , Université Laval , Québec , Canada.
authors.forename: Andrée-Anne
authors.initials: AA
authors.lastname: Paradis-Giroux
authors.affiliation: b Centre de recherche de l'Institut universitaire en santé mentale de Québec , Québec , Canada.|c Département de psychiatrie, Faculté de Médecine , Université Laval , Québec , Canada.
authors.forename: Marc-André
authors.initials: MA
authors.lastname: Roy
authors.affiliation: b Centre de recherche de l'Institut universitaire en santé mentale de Québec , Québec , Canada.
authors.forename: Elsa
authors.initials: E
authors.lastname: Gilbert
authors.affiliation: a École de psychologie , Université Laval , Québec , Canada.
authors.forename: Hans
authors.initials: H
authors.lastname: Ivers
authors.affiliation: b Centre de recherche de l'Institut universitaire en santé mentale de Québec , Québec , Canada.
authors.forename: Roch-Hugo
authors.initials: RH
authors.lastname: Bouchard
authors.affiliation: b Centre de recherche de l'Institut universitaire en santé mentale de Québec , Québec , Canada.|c Département de psychiatrie, Faculté de Médecine , Université Laval , Québec , Canada.
authors.forename: Michel
authors.initials: M
authors.lastname: Maziade
authors.affiliation: d Institute of Psychiatry , King's College London , London , UK.
authors.forename: Til
authors.initials: T
authors.lastname: Wykes
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy; D003201:Computers; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D061212:Memory, Episodic; D009483:Neuropsychological Tests; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012984:Software; D016896:Treatment Outcome; D014796:Visual Perception; D055815:Young Adult
keywords: Case study; Cognitive remediation; Computerised; Schizophrenia; Visual episodic memory; Young adults