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planning and problem-solving training for patients with schizophrenia a randomized controlled trial计划和解决问题的训练精神分裂症患者随机对照试验
Rodewald et al. BMC Psychiatry 2011, 11:73
/1471-244X/11/73
RESEARCH ARTICLE Open Access
Planning and problem-solving training for
patients with schizophrenia: a randomized
controlled trial
1 1 2 1 3 2
Katlehn Rodewald , Mirjam Rentrop , Daniel V Holt , Daniela Roesch-Ely , Matthias Backenstraß , Joachim Funke ,
Matthias Weisbrod1,4 and Stefan Kaiser5*
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: ClinicalT NC
Background
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