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首页> 外文期刊>Psychiatric rehabilitation journal >Stability and Generalization of Combined Theory of Mind and Cognitive Remediation Interventions in Schizophrenia: Follow-Up Results
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Stability and Generalization of Combined Theory of Mind and Cognitive Remediation Interventions in Schizophrenia: Follow-Up Results

机译：精神分裂症中思想组合理论的稳定性和概括理论及认知补救干预措施：随访结果

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Objective: Daily functional impairment is a main target of treatment in schizophrenia. Multiple rehabilitation treatments have been developed to improve patients' sociocognitive and neurocognitive abilities and to generalize the benefits to functioning. However, whether the effects of these treatments can be generalized and maintained remains equivocal. Our study aims to evaluate the stability and generalization of benefits, following combined Theory of Mind (ToM) and cognitive remediation (CR) trainings, compared with an active control group + CR, at a 3-year follow-up. Method: Sixty-seven outpatients with schizophrenia who had completed an earlier study of ToM and CR were recruited for a 3-year follow-up assessment. We examined changes in ToM and functioning, at baseline. after treatment, and at follow-up. Results: ANOVAs showed significant Time x Group interactions on ToM and functioning. ANOVAs showed significant differences between groups in effect sizes of ToM and functioning from before treatment to follow-up. Conclusions and Implications for Practice: Posttrainine TOM improvement was maintained at follow-up, and ToM + CR participants experienced greater functional improvement than participants in the control condition. This study represents the first attempt to report the stability and generalization of treatment effects obtained by combining CR and ToM interventions after 3 years. Combined sociocognitive and neurocognitive treatments can enhance rehabilitation practice for people with schizophrenia to achieve good results on both cognitive and functional outcomes and to maintain positive outcomes.
机译：目的：日常功能障碍是精神分裂症治疗的主要目标。已经开发出多种康复治疗，以改善患者的社会认知和神经认知能力，并概括了运作的益处。然而，这些治疗的效果是否可以是广义和维持的仍然是难以的。我们的研究旨在评估益处的稳定性和泛化，后续思想（汤姆）和认知修复（CR）培训，与活性对照组+ Cr相比，在3年的随访中。方法：招募了六十七位，曾完成过汤姆和CR的早期研究的精神分裂症的门诊患者进行了3年的后续评估。我们在基线检查了汤姆和运作的变化。治疗后，随访。结果：Anovas在汤姆和运作中显示出大量时间X组互动。 Anovas在汤姆和治疗前与随访的治疗之前的作用效果大小之间存在显着差异。结论和对实践的影响：在随访期间维持过犯下的汤姆改善，汤姆+ CR参与者的功能改善比对照条件的参与者更高。本研究代表了第一次报告通过在3年后结合Cr和Tom干预的治疗效果的稳定性和泛化。合并的社交认知和神经成像治疗可以提高精神分裂症的人的康复实践，以实现认知和功能结果的良好结果，并保持积极的结果。

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