We propose an integrated training and research plan designed to provide the PI with the experiences and skills necessary for transition to independence as a clinical research scientist with a focus on cognitive rehabilitation in schizophrenia. The centerpiece of the training plan is designed to provide the PI with skills in approaches to rehabilitation of neurocognitive deficits in schizophrenia and to help the PI conceptualize and test potential mechanisms of action of changes in neurocognitive function on more distal measures of psychosocial status. The program consists of three formal training modules that are designed to provide conceptual and practical skills in: (1) drill-and-practice restorative approaches to cognitive remediation; (2) how changes in neurocognitive skill may relate to simulated measures of functional skills, and (3) how change in neurocognitive function may relate to change in actual psychosocial status, e.g., community function and competitive vocational success. The last module will also include more general training in behavioral treatment trials research and biostatistics. Training will occur through interactions with the sponsor and through training visits to Cambridge University, the University of California at San Diego, the University of Southern California and the University of Maryland. While several recent studies have investigated the efficacy of cognitive remediation treatment for deficits in attention, memory and problem-solving in schizophrenia no study, to our knowledge, has: (1) compared the effects of extended, computer-assisted cognitive remediation training to a control condition consisting of equivalent duration and quality of clinician interaction and experience on a computer, and (2) investigated effects of remediation on a variety of neuropsychological and psychosocial outcome measures over time to help assess duration of effects, generalization and potential mechanisms of action. We propose a study of 105 patients with schizophrenia in outpatient rehabilitation who will be randomly assigned to either: (1) computer-assisted cognitive remediation training, (2) computer-literacy training, or (3) a non-computer-trained control group to help address these limitations.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08MH069888-03
Application #
7222704
Study Section
Special Emphasis Panel (ZMH1-ERB-S (01))
Program Officer
Hsiao, John
Project Start
2005-04-01
Project End
2007-06-30
Budget Start
2007-04-01
Budget End
2007-06-30
Support Year
3
Fiscal Year
2007
Total Cost
$9,825
Indirect Cost
Name
Hartford Hospital
Department
Type
DUNS #
065533796
City
Hartford
State
CT
Country
United States
Zip Code
06102
Corbera, Silvia; Wexler, Bruce E; Poltorak, Ania et al. (2017) Cognitive remediation for adults with schizophrenia: Does age matter? Psychiatry Res 247:21-27
Kurtz, Matthew M; Mueser, Kim T; Thime, Warren R et al. (2015) Social skills training and computer-assisted cognitive remediation in schizophrenia. Schizophr Res 162:35-41
Raskin, Sarah A; Maye, Jacqueline; Rogers, Alexandra et al. (2014) Prospective memory in schizophrenia: relationship to medication management skills, neurocognition, and symptoms in individuals with schizophrenia. Neuropsychology 28:359-65
Choi, Kee-Hong; Wykes, Til; Kurtz, Matthew M (2013) Adjunctive pharmacotherapy for cognitive deficits in schizophrenia: meta-analytical investigation of efficacy. Br J Psychiatry 203:172-8
Kurtz, Matthew M; Olfson, Rachel H; Rose, Jennifer (2013) Self-efficacy and functional status in schizophrenia: relationship to insight, cognition and negative symptoms. Schizophr Res 145:69-74
Juhasz, Barbara J; Chambers, Destinee; Shesler, Leah W et al. (2012) Evaluating lexical characteristics of verbal fluency output in schizophrenia. Psychiatry Res 200:177-83
Tolman, Arielle W; Kurtz, Matthew M (2012) Neurocognitive predictors of objective and subjective quality of life in individuals with schizophrenia: a meta-analytic investigation. Schizophr Bull 38:304-15
Kurtz, Matthew M; Bronfeld, Melanie; Rose, Jennifer (2012) Cognitive and social cognitive predictors of change in objective versus subjective quality-of-life in rehabilitation for schizophrenia. Psychiatry Res 200:102-7
Kurtz, Matthew M (2012) Cognitive remediation for schizophrenia: current status, biological correlates and predictors of response. Expert Rev Neurother 12:813-21
Kurtz, Matthew M; Richardson, Christi L (2012) Social cognitive training for schizophrenia: a meta-analytic investigation of controlled research. Schizophr Bull 38:1092-104

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