Cognitive Skills Training Using Computer for Patients With Severe Mental Illness
|Schizophrenia Schizoaffective Disorder||Behavioral: Computerized Cognitive Skill Training Behavioral: CRT and Social Cognition||Phase 4|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Two arm, parallel group, randomized, blinded 12 -week intervention study of two forms of cognitive remediation in patients with chronic schizophreniaMasking: Outcomes Assessor
Raters were blind to the type of interventionsPrimary Purpose: Treatment
|Official Title:||Computerized Cognitive Skills Training in Severe Mental Illness|
- Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) [ Time Frame: Week 0, and Week 12 (after completion of Cognitive Remediation) ]Comprehensive battery of neuro-cognitive tests
- Facial Emotional Discrimination Task (FEDT) and Facial Emotional Identification Task (FEIT) [ Time Frame: Week 0, and Week 12 (after compeltion of Cognitive Remediation) ]Test of facial emotion presentations on pictures to patients
- Personal and Social Performance Scale (PSP) [ Time Frame: Week 0, and Week 12 after completion of Cognitive Remediation ]Social function scale with four sub domains of social functioning
- Positive and Negative Syndrome Scale (PANSS) [ Time Frame: Week 0, Week 6 (Midpoint) and Week 12 after completion of Cognitive Remediation ]30 item Gold standard for measurement of psychiatric symptoms
|Actual Study Start Date:||February 2003|
|Study Completion Date:||December 2016|
|Primary Completion Date:||December 2016 (Final data collection date for primary outcome measure)|
Experimental: Computerized Cognitive Remediation
Two arms: 1. Computerized Cognitive Remediation treatment using COGPACK. and 2. PositScience. Each arm is further randomized to either MindReader or no Mindreader.(Social Cognition Training).
Behavioral: Computerized Cognitive Skill Training
Behavioral: Cognitive Remediation 45 mins 2 times per week sessions of cognitive remediation (COGPACK) over twelve weeks.
Other Name: Cognitive Remediation Therapy
Experimental: CRT + Social Cognition Training
Two 45-minute sessions of Computerized Cognitive Remediation using COGPACK, one 45-minute discussion session, plus one 45 minute Mind Reader Interactive Guide to Emotions per week for 12 weeks. compared to two 45-minute sessions of PositScience, plus one 45-min Discussion session plus one minute of Mind Reader, Interactive Guide to Emotions
Behavioral: CRT and Social Cognition
Mind Reading, The Interactive Guide to Emotions for one 45 minute session per week for 12 weeks.
Other Name: Social Emotional Functioning
Subjects are stable inpatients and outpatients with schizophrenia or schizoaffective disorder who are receiving atipsychotic medication at Manhattan Psychiatric Center.
Patients receive baseline assessments (MCCB-MATRICS; Personal and Social Performance Scale, FEDT/FEIT and PANSS) and then are assigned to Cognitive Remediation (CRT) using the COGPACK program, patients are then randomly assigned to a social cognition program (Mind Reader Interactive Guide to Emotions) for a period of 12 weeks. Following 12 weeks of treatment in either CRT + Mind Reader or CRT alone, assessments are repeated by raters.
Cognitive Remediation (CRT): CRT (COGPACK, Marker and Olbrich, 1998) consists of computerized practice tests for seven cognitive domains. There are 64 programs for testing and training, each with several variants for the domains of visuomotor skills, comprehension, reaction, vigilance, memory, language, and intellectual skills. Exercises in COGPACK can be edited and expanded. Patients attend 2 (45-minutes each) groups and 1 discussion group.
Social Cognition Training: Mind Reader (Baron-Cohen et al, 2004) is an interactive computerized program of emotions and mental states. It is based on a taxonomic system of 412 emotions and mental states, grouped into 24 emotion groups, and six developmental levels (from age 4 to adulthood). The emotions and mental states are organized systematically, according to the emotion groups and developmental levels. Patients assigned to Mind Reader attend 1 group per week.
Both the CRT and Mind Reader are administered in small groups of six to eight patients each.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01036282
|United States, New York|
|Manhattan Psychiatric Center|
|New York, New York, United States, 10605|
|Principal Investigator:||Jean-Pierre Lindenmayer, M.D.||Nathan S. Kline Institute for Psychiatric Research and Manhattan Psychiatric Center|