Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Planning and problem-solving training for patients with schizophrenia: a randomized controlled trial | Rodewald et al. BMC Psychiatry 2011 11 73 http 1471-244X 11 73 BMC Psychiatry RESEARCH ARTICLE Open Access Planning and problem-solving training for patients with schizophrenia a randomized controlled trial 112 1 3 2 Katlehn Rodewald Mirjam Rentrop Daniel V Holt Daniela Roesch-Ely Matthias BackenstraB Joachim Funke Matthias Weisbrod1 4 and Stefan Kaiser 5 Abstract Background The purpose of this study was to assess whether planning and problem-solving training is more effective in improving functional capacity in patients with schizophrenia than a training program addressing basic cognitive functions. Methods Eighty-nine patients with schizophrenia were randomly assigned either to a computer assisted training of planning and problem-solving or a training of basic cognition. Outcome variables included planning and problem-solving ability as well as functional capacity which represents a proxy measure for functional outcome. Results Planning and problem-solving training improved one measure of planning and problem-solving more strongly than basic cognition training while two other measures of planning did not show a differential effect. Participants in both groups improved over time in functional capacity. There was no differential effect of the interventions on functional capacity. Conclusion A differential effect of targeting specific cognitive functions on functional capacity could not be established. Small differences on cognitive outcome variables indicate a potential for differential effects. This will have to be addressed in further research including longer treatment programs and other settings. Trial registration NCT00507988 Background Cognitive deficits are important predictors of functional outcome in patients with schizophrenia 1 2 . This finding has motivated the development of different psychological treatment approaches to improve cognitive deficits which have been subsumed under the term cognitive remediation 3
