title: Meta-cognitive skills training enhances computerized cognitive remediation outcomes among individuals with first-episode psychosis.
abstract: Meta-cognitive skills training (MST) is a frequent component of cognitive remediation programmes for individuals with psychosis. However, no study has investigated whether incorporating such activities produces increased clinical benefits compared with computerized cognitive remediation alone.
  
  
  
  Individuals with first-episode psychosis who completed computerized cognitive remediation with concurrent meta-cognitive skills training (CCR + MST) were compared with a historical control group who received computerized cognitive remediation alone (CCR) and did not differ from the CCR + MST group with regard to pre-intervention cognition, diagnosis, age, duration of psychotic illness or sex. Participants completed assessments of cognition and real-world functioning before and after 6 months of treatment.
  
  
  
  Individual receiving CCR + MST experience greater gains in cognition and real-world functioning than individuals who received CCR.
  
  
  
  MST may be an important component within cognitive remediation programmes for first-episode psychosis.
authors.affiliation: Department of Psychiatry, The University of Arizona, Tucson, Arizona, USA.|Department of Psychology, The University of Arizona, Tucson, Arizona, USA.|Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio, USA.
authors.forename: Nicholas J K
authors.initials: NJK
authors.lastname: Breitborde
authors.affiliation: Department of Psychology, The University of Arizona, Tucson, Arizona, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Woolverton
authors.affiliation: Department of Psychology, The University of Arizona, Tucson, Arizona, USA.
authors.forename: Spencer C
authors.initials: SC
authors.lastname: Dawson
authors.affiliation: VISN-22 Mental Illness, Research, Education and Clinical Center (MIRECC), VA San Diego Healthcare System, La Jolla, California, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Bismark
authors.affiliation: Department of Psychiatry, The University of Arizona, Tucson, Arizona, USA.
authors.forename: Emily K
authors.initials: EK
authors.lastname: Bell
authors.affiliation: Department of Sleep Medicine, National Jewish Health, Denver, Colorado, USA.
authors.forename: Christina J
authors.initials: CJ
authors.lastname: Bathgate
authors.affiliation: Department of Psychiatry, Yale University, New Haven, Connecticut, USA.
authors.forename: Kaila
authors.initials: K
authors.lastname: Norman
mesh_terms: D000072466:Cognitive Remediation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D000067489:Metacognition; D011618:Psychotic Disorders / Q000628:therapy*; D013813:Therapy, Computer-Assisted; D016896:Treatment Outcome; D055815:Young Adult
keywords: cognition; cognitive remediation; first-episode psychosis; meta-cognition; treatment