Advertisement

Cognitive Remediation Therapy (CRT): presupposti e descrizione

  • S. BarlatiEmail author
  • G. Deste
  • A. Vita

Riassunto

I deficit cognitivi costituiscono una caratteristica centrale e permanente della schizofrenia e hanno un impatto significativo sul funzionamento sociale dei pazienti affetti, sulla loro risposta ai programmi riabilitativi tradizionali e sulla stessa sintomatologia psicotica (Alptekin et al., 2005; Faerden et al., 2009; Green et al., 2000; Heinrichs e Zakzanis, 1998; Milev et al., 2005). In quest’ottica la Cognitive Remediation Therapy (CRT) si propone specificamente di riabilitare l’attenzione, la memoria e le funzioni esecutive, cioè le aree particolarmente deficitarie nella schizofrenia (Wykes e Reeder, 2005). La CRT consiste in un programma di training cognitivo strutturato costituito da tre moduli elaborati per lo sviluppo di funzioni quali la flessibilità cognitiva, la memoria di lavoro e la pianificazione, con l’obiettivo di indurre la persona a sviluppare strategie proprie per risolvere i problemi, con il supporto di un terapista che guida il soggetto nella risposta adeguata alle richieste dell’ambiente (Wykes e Reeder, 2005).

Bibliografia

  1. Alptekin K, Akvardar Y, Kivircik Akdede BB et al (2005). Is quality of life associated with cognitive impairment in schizophrenia? Prog Neuropsychopharmacol Biol Psychiatry 29:239–244PubMedCrossRefGoogle Scholar
  2. Baddeley AD, Wilson BA (1994). When implicit learning fails: Amnesia and the problem of error elimination. Neuropsychologia 32:53–68PubMedCrossRefGoogle Scholar
  3. Collins A, Brown JS, Newman SE (1995). L’apprendistato cognitivo. In: Pontecorvo C, Ajello AM, Zucchermaglio C (eds) I contesti sociali dell’apprendimento. LED, Milano, pp 181–231Google Scholar
  4. Delahunty A, Morice R (1993). A training programme for the remediation of cognitive deficits in schizophrenia. Department of Health, AlburyGoogle Scholar
  5. Delahunty A, Reeder C, Wykes T et al (2001). Cognitive remediation therapy manual, 2 edn. Kings College Institute of Psychiatry, LondonGoogle Scholar
  6. Faerden A, Vaskinn A, Finset A et al (2009). Apathy is associated with executive functioning in first episode psychosis. BMC Psychiatry 9:1PubMedCrossRefGoogle Scholar
  7. Green M, Kern R, Braff D, Mintz J (2000). Neurocognitive deficits and functional outcome in schizophrenia: Are we measuring the right stuff? Schizophr Bull 26:119–136PubMedCrossRefGoogle Scholar
  8. Heinrichs RW, Zakzanis KK (1998). Neurocognitive deficit in schizophrenia: a quantitative review of the evidence. Neuropsychology 12:426–445PubMedCrossRefGoogle Scholar
  9. Medalia A, Choi J (2009). Cognitive remediation in schizophrenia. Neuropsychol Rev 19:353–364PubMedCrossRefGoogle Scholar
  10. Medalia A, Lim R (2004). Treatment of cognitive dysfunction in psychiatric disorders. J Psych Practice 10:17–25CrossRefGoogle Scholar
  11. Milev P, Ho BC, Arndt S, Andreasen NC (2005). Predictive values of neurocognition and negative symptoms on functional outcome in schizophrenia: a longitudinal first-episode study with 7-year follow-up. Am J Psychiatry 162:495–506PubMedCrossRefGoogle Scholar
  12. Reichenberg A (2010). The assessment of neuropsychological functioning in schizophrenia. Dialogues Clin Neurosci 12:383–392PubMedGoogle Scholar
  13. Velligan DI, Kern RS, Gold JM (2006). Cognitive rehabilitation for schizophrenia and the putative role of motivation and expectancies. Schizophr Bull 32:474–485PubMedCrossRefGoogle Scholar
  14. Wood D, Bruner JS, Ross G (1976). The role of tutoring in problem solving. J Child Psychol Psychiatry 17:89–100PubMedCrossRefGoogle Scholar
  15. Wykes T (2000). Cognitive rehabilitation and remediation in schizophrenia. In: Sharma T, Harvey P (eds) Cognition and schizophrenia: Impairments, importance and treatment strategies. Oxford University Press, Oxford, pp 332–351Google Scholar
  16. Wykes T, Reeder C (eds) (2005). Cognitive remediation therapy for schizophrenia. Theory and Practice. Routledge, LondonGoogle Scholar
  17. Wykes T, Reeder C (2013). Terapia di Rimedio Cognitivo (CRT).Traduzione e adattamento italiani a cura di Barlati S e Vita A (eds) in collaborazione con: Deste G, Cella M, Bonomi M, Briganti R, Roselli GM. In pubblicazioneGoogle Scholar

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Unità Operativa di Psichiatria 20, Dipartimento di Salute MentaleAzienda Ospedaliera Spedali Civili di BresciaItaly

Personalised recommendations