PMID- 25467705 OWN - NLM STAT- MEDLINE DCOM- 20150526 LR - 20220409 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 225 IP - 1-2 DP - 2015 Jan 30 TI - Pilot study of cognitive remediation therapy on cognition in young people at clinical high risk of psychosis. PG - 93-98 LID - S0165-1781(14)00847-6 [pii] LID - 10.1016/j.psychres.2014.10.021 [doi] AB - Individuals at clinical high risk (CHR) of psychosis evidence cognitive deficits. Given suggestions that deficits in cognition are related to poor functional outcome, cognition is a good treatment target. The aim of this study was to test the efficacy of cognitive remediation therapy (CRT) in improving cognition of CHR individuals. Participants were tested at baseline, immediately following CRT and 9 months post-baseline. The mixed effects modelling demonstrated no differences in cognition between the experimental group and the control group at any time point. For the experimental group, however, there was a trend towards improvement in speed of processing between baseline and 9-month follow-up (t(29)=-2.91, P=0.06) and at post-CRT compared to 9-month follow-up (t(29)=-2.99, P<0.05). In the control group, significant improvements in working memory were observed between post-CRT and 9-month follow-up (t(29)=-3.06, P<0.05). Despite significant improvements in social functioning in the intervention group between baseline and 9-month follow-up (t(28)=-3.26, P<0.05), these improvements were not correlated with cognition. There were trends towards improvement and no trends of decline in the two groups. While CRT may be valuable for individuals at CHR, the type of intervention employed needs to be carefully considered. CI - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved. FAU - Piskulic, Danijela AU - Piskulic D AD - Hotchkiss Brain Institute, Department of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, Canada; Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia. Electronic address: danijela.piskulic@unimelb.edu.au. FAU - Barbato, Mariapaola AU - Barbato M AD - Hotchkiss Brain Institute, Department of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, Canada; Mathison Centre for Mental Health Research & Education, Calgary, Alberta, Canada. FAU - Liu, Lu AU - Liu L AD - Hotchkiss Brain Institute, Department of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, Canada; Mathison Centre for Mental Health Research & Education, Calgary, Alberta, Canada. FAU - Addington, Jean AU - Addington J AD - Hotchkiss Brain Institute, Department of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, Canada; Mathison Centre for Mental Health Research & Education, Calgary, Alberta, Canada. LA - eng GR - U01MH08984/MH/NIMH NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20141104 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adolescent MH - Adult MH - Alberta MH - Cognition Disorders/diagnosis/psychology/*therapy MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Memory, Short-Term MH - Neuropsychological Tests/*statistics & numerical data MH - Pilot Projects MH - Psychometrics MH - Remedial Teaching/*methods MH - Risk MH - Schizophrenia/diagnosis/*therapy MH - *Schizophrenic Psychology MH - Schizotypal Personality Disorder/diagnosis/psychology/*therapy MH - Single-Blind Method MH - Young Adult OTO - NOTNLM OT - Clinical high risk OT - Cognition OT - Cognitive remediation therapy OT - Functional outcome EDAT- 2014/12/04 06:00 MHDA- 2015/05/27 06:00 CRDT- 2014/12/04 06:00 PHST- 2014/03/27 00:00 [received] PHST- 2014/08/20 00:00 [revised] PHST- 2014/10/25 00:00 [accepted] PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/05/27 06:00 [medline] AID - S0165-1781(14)00847-6 [pii] AID - 10.1016/j.psychres.2014.10.021 [doi] PST - ppublish SO - Psychiatry Res. 2015 Jan 30;225(1-2):93-98. doi: 10.1016/j.psychres.2014.10.021. Epub 2014 Nov 4.