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Title: The Implementation and Review of Cognitive Remediation Training for First Episode Psychosis in Singapore
Authors: Chong, Nigel Ian Ming
Maniam, Yogeswary
Chua, Yi Chian
Tang, Charmaine
Keywords: cognition
cognitive remediation
early intervention programmes
first-episode psychosis
Issue Date: 30-Nov-2021
Publisher: Frontiers Media S.A.
Citation: Chong, Nigel Ian Ming, Maniam, Yogeswary, Chua, Yi Chian, Tang, Charmaine (2021-11-30). The Implementation and Review of Cognitive Remediation Training for First Episode Psychosis in Singapore. Frontiers in Psychiatry 12 : 784935. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Objective: Early intervention in patients with first episode psychosis (FEP) can improve cognitive abilities, with both short- and long-term benefits. In this paper, we describe the implementation and review of cognitive remediation training (CRT) in an Asian FEP population. The outcomes of the training are also evaluated and discussed. Methods: This naturalistic paper describes in detail the real-life implementation and conduct of CRT in an early psychosis intervention service. One hundred and nine patients with FEP underwent a 24-session CRT programme, using Cogpack and Neuropsychological Educational Approach to Remediation. The program is evaluated with pre- and post-CRT assessment scores which included Montreal Cognitive Assessment and Brief Assessment of Cognition in Schizophrenia. The rates of improvement on these cognitive assessments were evaluated using paired t-tests, with statistical significance set at p ? 0.05. Results: Of the 109 patients who underwent CRT, a total of 92 (84.4%) completed all 24 sessions. Paired t-tests between pre- and post-CRT assessments scores revealed that participants significantly improved on majority of the measures, including verbal memory, digit sequencing, and symbol coding. Conclusion: As with other cognitive remediation programmes, CRT has shown to improve cognitive functioning in patients with FEP. The results support the use of CRT in an Asian context and may serve as guidance for the implementation of similar training programmes in other Asian early psychosis intervention services. Copyright © 2021 Chong, Maniam, Chua and Tang.
Source Title: Frontiers in Psychiatry
ISSN: 1664-0640
DOI: 10.3389/fpsyt.2021.784935
Rights: Attribution 4.0 International
Appears in Collections:Students Publications

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