随机对照试验
荟萃分析
认知矫正疗法
心理信息
认知
双相情感障碍
临床心理学
生活质量(医疗保健)
医学
心理学
梅德林
物理疗法
内科学
精神科
心理治疗师
法学
政治学
作者
Cecilia Samamé,Paula Durante,Brenda Lucía Cattaneo,Ivan Aprahamian,Sergio Strejilevich
标识
DOI:10.1017/s0033291723001897
摘要
Abstract A significant percentage of people with bipolar disorder (BD) exhibit suboptimal functional adjustment, even when appropriately treated and after symptomatic recovery is achieved. Given that cognitive impairment is one of the strongest correlates of socio-occupational outcomes and quality of life in BD, cognitive remediation (CR) is currently acknowledged as a promising treatment that could help bridge the gap between symptomatic and full functional recovery. The aim of this review was to explore the efficacy of CR approaches in improving cognitive and functional outcomes in BD patients. PubMed, PsycINFO, and CENTRAL were searched from inception to November 2022. Randomized controlled trials exploring the effects of CR on cognition and/or functional adjustment in adult BD patients were eligible. Ten studies based on seven independent trials ( n = 586) were included. Change-score effect sizes (Hedges' g ) were obtained for efficacy outcome measures and combined by means of meta-analytic procedures. Small but significant overall effects were observed for working memory ( g = 0.32, 95% CI 0.11–0.52), planning ( g = 0.30, 95% CI 0.03–0.56), and verbal learning ( g = 0.40, 95% CI 0.15–0.66). However, CR was not found to exert any significant effects on functional outcomes at treatment completion or at follow-up assessment. Although CR may modestly enhance the cognitive performance of BD patients, this effect does not translate into an improvement at the functional level. The current data do not support the inclusion of CR as a treatment recommendation in clinical practice guidelines for the management of BD.
科研通智能强力驱动
Strongly Powered by AbleSci AI