Evidence map›Paper›PMID 26759167›Full record

Trial reportBMC psychiatry2016

Study protocol: a randomised controlled trial of cognitive remediation for a national cohort of forensic mental health patients with schizophrenia or schizoaffective disorder.

Ken O'Reilly, Gary Donohoe, Danny O'Sullivan, Ciaran Coyle, Ronan Mullaney, Paul O'Connell, Catherine Maddock, Andrea Nulty, Padraic O'Flynn, Carina O'Connell and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02360813 (Randomised Controlled Trial to Evaluate the Efficacy of Cognitive Remediation Within a Secure Forensic Setting for Schizophrenia Spectrum Patients), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02360813 nacompletednot on this map

Randomised Controlled Trial to Evaluate the Efficacy of Cognitive Remediation Within a Secure Forensic Setting for Schizophrenia Spectrum Patients

TypeinterventionalSponsorCentral Mental HospitalRan2014 to 2017Enrolled65ConditionsSchizophrenia, Schizoaffective Disorder, Cognitive DeficitsArmsCognitive Remediation Therapy, Treatment as usual
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Ken O'ReillyDepartment of Psychiatry, Trinity College Dublin, Dublin, Ireland. oreillk5@tcd.ie.
Gary DonohoeDepartment of Psychiatry, Trinity College Dublin, Dublin, Ireland. DONOGHUG@imx1.tcd.ie.
Danny O'SullivanNational Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin 14, Ireland. danny.osullivan2@hse.ie.
Ciaran CoyleNational Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin 14, Ireland. ciaran.coyle@hse.ie.
Ronan MullaneyDepartment of Psychiatry, Trinity College Dublin, Dublin, Ireland. rmullan@tcd.ie.
Paul O'ConnellDepartment of Psychiatry, Trinity College Dublin, Dublin, Ireland. paul.oconnell@hse.ie.
Catherine MaddockNational Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin 14, Ireland. Catherine.maddock@hse.ie.
Andrea NultyNational Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin 14, Ireland. andrea.nulty@hse.ie.
Padraic O'FlynnNational Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin 14, Ireland. padraic.oflynn@hse.ie.
Carina O'ConnellNational Forensic Mental Health Service, Central Mental Hospital, Dundrum, Dublin 14, Ireland. carina.oconnell@hse.ie.
Harry G KennedyDepartment of Psychiatry, Trinity College Dublin, Dublin, Ireland. kennedh@tcd.ie.
Central Mental Hospital · IETrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence is accumulating that cognitive remediation therapy (CRT) is an effective intervention for patients with schizophrenia or schizoaffective disorder. To date there has been no randomised controlled trial (RCT) cohort study of cognitive remediation within a forensic hospital. The goal of this study is to examine the effectiveness of a trial of cognitive remediation for forensic mental health patients with schizophrenia or schizoaffective disorder.

methodsAn estimated sixty patients will be enrolled in the study. Participants will be randomised to one of two conditions: CRT with treatment as usual (TAU), or TAU. CRT will consist of 42 individual sessions and 14 group sessions. The primary outcome measure for this study is change in cognitive functioning using the MATRICS Consensus Cognitive Battery (MCCB). Secondary outcomes include change in social and occupational functioning, disorganised symptoms, negative symptoms, violence, participation in psychosocial treatment and recovery. In addition to these effectiveness measures, we will examine patient satisfaction. DISCUSSION: Cognitive difficulties experienced by schizophrenia spectrum patients are associated with general functioning, ability to benefit from psychosocial interventions and quality of life. Research into the treatment of cognitive difficulties within a forensic setting is therefore an important priority. The results of the proposed study will help answer the question whether cognitive remediation improves functional outcomes in forensic mental health patients with schizophrenia or schizoaffective disorder. Forensic mental health patients are detained for the dual purpose of receiving treatment and for public protection. There can be conflict between these two roles perhaps causing forensic services to have an increased length of stay compared to general psychiatric admissions. Ultimately a focus on emphasising cognition and general functioning over symptoms may decrease tension between the core responsibilities of forensic mental health services.

trial registrationClinicalTrials.gov Identifier: NCT02360813. Trial registered Feb 4th 2015 and last updated May 1(st) 2015.

Indexed as

AdultAgedClinical ProtocolsCognitive Behavioral TherapyCohort StudiesFemaleForensic PsychiatryHumansMaleMiddle AgedPatient SatisfactionPersons with Psychiatric DisordersPsychotic DisordersQuality of LifeSchizophreniaTreatment Outcome

Identifiers

PMID26759167
PMCPMC4711170
OpenAlexW2237774811

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.