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Mental Health Practice in a Digital World pp 81–122Cite as

Computerized Cognitive Training Based upon Neuroplasticity

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Part of the book series: Health Informatics ((HI))

Abstract

Computer assisted cognitive training is used in the treatment of traumatic brain injury (TBI), schizophrenia, and attention deficit hyperactivity disorder (ADHD). Pilot studies and case studies have now progressed to randomized controlled trials and meta-analyses that demonstrate efficacy of computer assisted cognitive training. In patients with schizophrenia, computer assisted cognitive remediation has demonstrated improvement in general and social cognition, as well as verbal and working memory, attention/vigilance, and speed of processing. Cognitive rehabilitation in TBI has shown evidence for effectiveness of attention training and language and visual spatial training for aphasia and neglect. Cogmed, a computerized massed practice approach to working memory training, has an adaptive process, to adjust to the person’s performance. Cogmed has frequently been used with patients diagnosed with ADHD. Compliance with treatment is a key to achieving benefit. Working memory training is based on neural plasticity, the concept where the brain is stimulated and reacts by changing. These changes are in neural pathways and synapses. Computerized cognitive training does result in changes in the brain, and these changes are sustained over time. Cogmed has resulted in increased verbal and visual spatial working memory and improvements in attention with ADHD clients. Also gains in reading comprehension and mathematics have been found after completing Cogmed.

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Authors and Affiliations

  1. Pearson, Carmel, IN, USA

    Charles Shinaver Ph.D.

  2. Pearson, Pembroke, MA, USA

    Peter C. Entwistle Ph.D.

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  1. Charles Shinaver Ph.D.
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Correspondence to Charles Shinaver Ph.D. .

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Editors and Affiliations

  1. BayCare Medical Group, Behavioral Health, BayCare Health System, Clearwater, Florida, USA

    Naakesh A. Dewan

  2. Health Sciences, Professor of Clinical Psychiatry, UCLA David Geffen School of Medicine, Los Angeles, California, USA

    John S. Luo

  3. Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA

    Nancy M. Lorenzi

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Shinaver, C., Entwistle, P.C. (2015). Computerized Cognitive Training Based upon Neuroplasticity. In: Dewan, N., Luo, J., Lorenzi, N. (eds) Mental Health Practice in a Digital World. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-14109-1_5

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