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Case Rep Psychiatry. 2012;2012:503023. doi: 10.1155/2012/503023. Epub 2012 Oct 11.

Rehabilitation of executive functions in a real-life setting: goal management training applied to a person with schizophrenia.

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  • 1Cognitive Psychopathology Unit, Department of Psychology, Cognition and Behavior, University of Liège, 4000 Liège, Belgium ; Psychiatry Service I, Inserm 666 Unit, 67091 Strasbourg, France.


The aim was to assess the efficacy of a modified version of Goal Management Training (GMT) in a person with schizophrenia who had difficulties in attaining the final goal for new and multitasking daily-life situations. GMT is designed to improve abilities in establishing goal-directed plans and carrying them out effectively. Beneficial effects of GMT were measured for several clinical questionnaires, laboratory tasks, and three real-life situations: meal preparation (trained, familiar); washing (nontrained, familiar); meeting preparation (nontrained, unfamiliar). The results revealed improvement in planning and on trained laboratory and meal preparation tasks and a generalization of GMT effects on nontrained laboratory and everyday tasks. Self-esteem also improved. Finally, a two-year followup indicated the durability of the beneficial effects.

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