Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study
Schizophrenia is associated with deficits in theory of mind (ToM) (i.e., the ability to infer the mental states of others) and cognition. Associations have often been reported between cognition and ToM, and ToM mediates the relationship between impaired cognition and impaired functioning in schizoph...
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doaj-67bea590af3e48dd9d66c490085bc45b2020-11-24T21:45:41ZengHindawi LimitedSchizophrenia Research and Treatment2090-20852090-20932017-01-01201710.1155/2017/72038717203871Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case StudyÉlisabeth Thibaudeau0Caroline Cellard1Clare Reeder2Til Wykes3Hans Ivers4Michel Maziade5Marie-Audrey Lavoie6William Pothier7Amélie M. Achim8École de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaÉcole de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, UKInstitute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, UKÉcole de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaCentre de Recherche de l’Institut Universitaire en Santé Mentale de Québec, Québec, QC, G1J 2G3, CanadaÉcole de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaÉcole de Psychologie, Université Laval, Québec, QC, G1V 0A6, CanadaCentre de Recherche de l’Institut Universitaire en Santé Mentale de Québec, Québec, QC, G1J 2G3, CanadaSchizophrenia is associated with deficits in theory of mind (ToM) (i.e., the ability to infer the mental states of others) and cognition. Associations have often been reported between cognition and ToM, and ToM mediates the relationship between impaired cognition and impaired functioning in schizophrenia. Given that cognitive deficits could act as a limiting factor for ToM, this study investigated whether a cognitive remediation therapy (CRT) that targets nonsocial cognition and metacognition could improve ToM in schizophrenia. Four men with schizophrenia received CRT. Assessments of ToM, cognition, and metacognition were conducted at baseline and posttreatment as well as three months and 1 year later. Two patients reached a significant improvement in ToM immediately after treatment whereas at three months after treatment all four cases reached a significant improvement, which was maintained through 1 year after treatment for all three cases that remained in the study. Improvements in ToM were accompanied by significant improvements in the most severely impaired cognitive functions at baseline or by improvements in metacognition. This study establishes that a CRT program that does not explicitly target social abilities can improve ToM.http://dx.doi.org/10.1155/2017/7203871 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Élisabeth Thibaudeau Caroline Cellard Clare Reeder Til Wykes Hans Ivers Michel Maziade Marie-Audrey Lavoie William Pothier Amélie M. Achim |
spellingShingle |
Élisabeth Thibaudeau Caroline Cellard Clare Reeder Til Wykes Hans Ivers Michel Maziade Marie-Audrey Lavoie William Pothier Amélie M. Achim Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study Schizophrenia Research and Treatment |
author_facet |
Élisabeth Thibaudeau Caroline Cellard Clare Reeder Til Wykes Hans Ivers Michel Maziade Marie-Audrey Lavoie William Pothier Amélie M. Achim |
author_sort |
Élisabeth Thibaudeau |
title |
Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study |
title_short |
Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study |
title_full |
Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study |
title_fullStr |
Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study |
title_full_unstemmed |
Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study |
title_sort |
improving theory of mind in schizophrenia by targeting cognition and metacognition with computerized cognitive remediation: a multiple case study |
publisher |
Hindawi Limited |
series |
Schizophrenia Research and Treatment |
issn |
2090-2085 2090-2093 |
publishDate |
2017-01-01 |
description |
Schizophrenia is associated with deficits in theory of mind (ToM) (i.e., the ability to infer the mental states of others) and cognition. Associations have often been reported between cognition and ToM, and ToM mediates the relationship between impaired cognition and impaired functioning in schizophrenia. Given that cognitive deficits could act as a limiting factor for ToM, this study investigated whether a cognitive remediation therapy (CRT) that targets nonsocial cognition and metacognition could improve ToM in schizophrenia. Four men with schizophrenia received CRT. Assessments of ToM, cognition, and metacognition were conducted at baseline and posttreatment as well as three months and 1 year later. Two patients reached a significant improvement in ToM immediately after treatment whereas at three months after treatment all four cases reached a significant improvement, which was maintained through 1 year after treatment for all three cases that remained in the study. Improvements in ToM were accompanied by significant improvements in the most severely impaired cognitive functions at baseline or by improvements in metacognition. This study establishes that a CRT program that does not explicitly target social abilities can improve ToM. |
url |
http://dx.doi.org/10.1155/2017/7203871 |
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