PMID- 32978034 OWN - NLM STAT- MEDLINE DCOM- 20220614 LR - 20230502 IS - 1573-2509 (Electronic) IS - 0920-9964 (Print) IS - 0920-9964 (Linking) VI - 243 DP - 2022 May TI - Neurocognitive and social cognitive training for youth at clinical high risk (CHR) for psychosis: A randomized controlled feasibility trial. PG - 302-306 LID - S0920-9964(20)30461-8 [pii] LID - 10.1016/j.schres.2020.09.005 [doi] AB - BACKGROUND: Cognitive deficits are present in individuals at clinical high risk for psychosis (CHRP). We developed Cognition for Learning and for Understanding Everyday Social Situations (CLUES), an integrated social- and neurocognitive remediation intervention for CHRP, and examined its feasibility and efficacy compared to an active control intervention in a pilot randomized controlled trial. METHOD: Thirty-eight individuals at CHR-P were randomized to CLUES or Enriched Acceptance and Commitment Therapy (EnACT). Participants were assessed at baseline, end of treatment and 3-month follow-up for changes in social/role functioning, neuro- and social cognition, and symptoms. RESULTS: Social functioning significantly improved for participants in CLUES over EnACT, at end of treatment and 3-month follow-up. CLUES participants also showed greater improvements in social cognition (theory of mind and managing emotions). CONCLUSION: The results support feasibility of CLUES and suggest preliminary efficacy. Future randomized controlled trials of CLUES in a larger sample, with additional treatment sites, could help determine efficacy of CLUES, and investigate whether CLUES can be effectively implemented in other settings. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Friedman-Yakoobian, Michelle S AU - Friedman-Yakoobian MS AD - Public Psychiatry Division of Department of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical Center, 75 Fenwood Road, Boston, MA 02115, United States of America. Electronic address: mfriedm3@bidmc.harvard.edu. FAU - Parrish, Emma M AU - Parrish EM AD - Public Psychiatry Division of Department of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical Center, 75 Fenwood Road, Boston, MA 02115, United States of America. FAU - Eack, Shaun M AU - Eack SM AD - University of Pittsburgh, School of Social Work and Department of Psychiatry, United States of America. FAU - Keshavan, Matcheri S AU - Keshavan MS AD - Public Psychiatry Division of Department of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical Center, 75 Fenwood Road, Boston, MA 02115, United States of America. LA - eng GR - R34 MH105596/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200922 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - *Acceptance and Commitment Therapy MH - Adolescent MH - Cognition MH - Feasibility Studies MH - Humans MH - *Psychotic Disorders/psychology/therapy MH - Randomized Controlled Trials as Topic MH - *Schizophrenia/therapy MH - Social Cognition PMC - PMC7982348 MID - NIHMS1631912 OTO - NOTNLM OT - Acceptance and commitment therapy OT - Clinical high risk for psychosis OT - Cognitive remediation OT - Randomized controlled trial OT - Schizophrenia OT - Treatment EDAT- 2020/09/27 06:00 MHDA- 2022/06/15 06:00 PMCR- 2023/05/01 CRDT- 2020/09/26 05:23 PHST- 2019/09/23 00:00 [received] PHST- 2020/06/28 00:00 [revised] PHST- 2020/09/08 00:00 [accepted] PHST- 2020/09/27 06:00 [pubmed] PHST- 2022/06/15 06:00 [medline] PHST- 2020/09/26 05:23 [entrez] PHST- 2023/05/01 00:00 [pmc-release] AID - S0920-9964(20)30461-8 [pii] AID - 10.1016/j.schres.2020.09.005 [doi] PST - ppublish SO - Schizophr Res. 2022 May;243:302-306. doi: 10.1016/j.schres.2020.09.005. Epub 2020 Sep 22.