Cognitive functioning in schizophrenia

Implications for psychiatric rehabilitation

William D Spaulding, Shelley K. Fleming, Dorie Reed, Mary Sullivan, Daniel Storzbach, Mona Lam

Research output: Contribution to journalReview article

138 Citations (Scopus)

Abstract

Research in psychopathology and the cognitive neurosciences suggests new applications in psychiatric rehabilitation. Analysis of performance deficits on laboratory tasks can contribute to treatment planning, individual and family counseling, and staff consultation, much like it does in cases of brain injury and other types of central nervous system neuropathology. Recognition of the nature of cognitive impairments in schizophrenia can inform design of psychosocial techniques such as social and living skills training. Cognitive impairments are increasingly seen as potential targets for pharmacological and psychosocial treatment and rehabilitation. In this article, three key issues for application of cognitive technology in psychiatric rehabilitation of schizophrenia and related disorders are formulated as straightforward, clinically relevant questions: (1) What is the prognostic significance of cognitive impairment in acute psychosis? (2) Can cognitive functioning improve in the chronic, residual course? (3) How does cognitive improvement benefit other aspects of recovery and rehabilitation? These questions are addressed through review of previous findings and new multivariate analyses of cognitive functioning in the acute, post-acute, and chronic residual phases of schizophrenia.

Original languageEnglish (US)
Pages (from-to)275-289
Number of pages15
JournalSchizophrenia Bulletin
Volume25
Issue number2
DOIs
StatePublished - Jan 1 1999

Fingerprint

Schizophrenia
Family Planning Services
Psychopathology
Psychotic Disorders
Brain Injuries
Counseling
Referral and Consultation
Rehabilitation
Multivariate Analysis
Central Nervous System
Pharmacology
Technology
Therapeutics
Research
Psychiatric Rehabilitation
Cognitive Dysfunction
Social Skills
Cognitive Neuroscience
Neuropathology

Keywords

  • Cognitive rehabilitation

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Cognitive functioning in schizophrenia : Implications for psychiatric rehabilitation. / Spaulding, William D; Fleming, Shelley K.; Reed, Dorie; Sullivan, Mary; Storzbach, Daniel; Lam, Mona.

In: Schizophrenia Bulletin, Vol. 25, No. 2, 01.01.1999, p. 275-289.

Research output: Contribution to journalReview article

Spaulding, William D ; Fleming, Shelley K. ; Reed, Dorie ; Sullivan, Mary ; Storzbach, Daniel ; Lam, Mona. / Cognitive functioning in schizophrenia : Implications for psychiatric rehabilitation. In: Schizophrenia Bulletin. 1999 ; Vol. 25, No. 2. pp. 275-289.
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