© 1999 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
Cognitive Functioning in Schizophrenia: Implications for Psychiatric Rehabilitation
Professor of Psychology, University of Nebraska—Lincoln, and Clinical Psychologist, Community Transition Program, Lincoln Regional Center Lincoln, NE
Graduate student in the Department of Psychology, University of Nebraska Lincoln
Clinical research associate, Department of Psychology, University of Nebraska Lincoln, and clinical psychologist, Community Transition Program, Lincoln Regional Center
Clinical associate, Department of Psychology, University of Nebraska Lincoln, and Program Director, Community Transition Program, Lincoln Regional Center
Research fellow, Department of Psychiatry and Behavioral Science, Veterans Affairs Medical Center Portland, OR
Graduate student in the Department of Psychology, University of Nebraska Lincoln
Reprint requests should be sent to Dr. W.D. Spaulding, Dept. of Psychology, University of Nebraska-Lincoln, Lincoln, NE 68588-0308
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.
Keywords: Cognitive rehabilitation
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