Evidence map›Paper›PMID 31556864›Full record

ReviewEpidemiology and psychiatric sciences2019

Cognitive remediation in schizophrenia: the earlier the better?

Marcella Bellani, Chiara Ricciardi, Maria Gloria Rossetti, Niccolò Zovetti, Cinzia Perlini, Paolo Brambilla

Open access · hybridAbstract readReview
In one paragraph

Review in Epidemiology and psychiatric sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 34 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Marcella BellaniDepartment of Neurosciences, Section of Psychiatry, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0003-1727-5396
Chiara RicciardiDepartment of Neurosciences, Section of Psychiatry, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Maria Gloria RossettiDepartment of Neurosciences, Section of Psychiatry, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Niccolò ZovettiDepartment of Neurosciences, Section of Psychiatry, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Cinzia PerliniDepartment of Neurosciences, Section of Clinical Psychology, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0002-4281-0920
Paolo BrambillaDepartment of Neurosciences and Mental Health, IRCCS Ca'Granda Ospedale Maggiore Policlinico, Milan, Italy.
University of Verona · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Impairments in neuro and social cognition are considered core features of schizophrenia (SCZ) since they affect patients' functioning and contribute to poor socio-occupational outcomes. Therefore, the improvement of cognitive performances has become a primary goal in the care of patients with SCZ, especially in the first phases of the disease, as early interventions may favour better long-term outcomes. Cognitive remediation (CR) is a behavioural training aimed at improving cognitive functions with the goal of durability and generalisation in everyday life. Neuroimaging studies suggest that CR leads to neuroplasticity in chronic SCZ, whereas only a few studies tested the neural effects of CR in the early phase of the disease. Thus, in this review, we aimed at summarising CR-induced structural and functional brain changes in early SCZ. Existing evidence showed a protective effect of CR on grey matter volume in selected medial-temporal (i.e. hippocampus, parahippocampus and amygdala) and thalamic regions whereas functional changes affected mostly dorsolateral prefrontal and insular cortices both associated with improvements in cognitive performance and emotion regulation. Overall, CR in early SCZ appears to be associated with neural adaptations mostly allocated in prefrontal and limbic regions, however future longitudinal studies are needed to clarify whether the positive effects of cognitive training persist over time. It may also be interesting to investigate whether the application of CR in the early v. the late stage of the disease may lead to incremental benefits.

Indexed as

BrainCognitive RemediationEarly Medical InterventionFunctional NeuroimagingHumansSchizophreniaTime FactorsCognitioncognitive remediationearly schizophrenianeuroimagingreview

Identifiers

PMID31556864
PMCPMC8061237
OpenAlexW2975767696

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.