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BMC Psychiatry. 2011 Apr 28;11:73. doi: 10.1186/1471-244X-11-73.

Planning and problem-solving training for patients with schizophrenia: a randomized controlled trial.

Author information

  • 1Section of Experimental Psychopathology, Department of General Adult Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Germany.

Abstract

BACKGROUND:

The purpose of this study was to assess whether planning and problem-solving training is more effective in improving functional capacity in patients with schizophrenia than a training program addressing basic cognitive functions.

METHODS:

Eighty-nine patients with schizophrenia were randomly assigned either to a computer assisted training of planning and problem-solving or a training of basic cognition. Outcome variables included planning and problem-solving ability as well as functional capacity, which represents a proxy measure for functional outcome.

RESULTS:

Planning and problem-solving training improved one measure of planning and problem-solving more strongly than basic cognition training, while two other measures of planning did not show a differential effect. Participants in both groups improved over time in functional capacity. There was no differential effect of the interventions on functional capacity.

CONCLUSION:

A differential effect of targeting specific cognitive functions on functional capacity could not be established. Small differences on cognitive outcome variables indicate a potential for differential effects. This will have to be addressed in further research including longer treatment programs and other settings.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00507988.

PMID:
21527028
PMCID:
PMC3103422
DOI:
10.1186/1471-244X-11-73
[PubMed - indexed for MEDLINE]
Free PMC Article
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