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KMID : 0897520010060020139
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Journal of Korean Association of Social Psychiatry
2001 Volume.6 No. 2 p.139 ~ p.147
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Effects of Cognitive Behavioral Rehabilitation Therapy on the Cognitive Functions in Schizophrenia
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Lee Won-Hye
Hwang Tae-Yeon
Lee Woo-Kyung
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Abstract
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Objectives：This study was designed to investigate the outcomes of the Cognitive Behavioral Rehabilitation Therapy(CBRT) for chronic schizophrenic patients.
Methods：The subjects were 30 chronic chronic schizophrenic inpatients. CBRT group(N=12) was given orientation training, visual discrimination and organization training, attention and concetration training, and memory function training. Compared groups were given psychosocial rehabilitation(N=9) and general inpatient care(N=9). Korean Wechsler Intelligence Scale(KWIS), Continuous Performance Test(CPT), Span of Apprehension(SPAN), Verbal memory test and Verbal fluency test were performed before and after the interventions.
Results：CBRT group were significantly improved in full IQ, performance IQ, picture complete, block design, Span 12matrix, verbal fluency. But psychosocial rehabilitation group was only improved in performance IQ and general inpatient group showed no significant effects in all outcomes variables.
Conclusion：Our findings suggest that CBRT for chronic schizophrenic patient was effective on improving general cognitive function. Especially, it increased psychomotor activity and entailed improvement of visual alertness, vigilance, perceptual organization and mental flexibility. In the future studies, follow-up study of effectiveness must be performed and generalization of cognitive functional improvement from CBRT into other psychosocial functions should be reviewed.
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KEYWORD
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CBRT(Cognitive behavioral rehabilitation therapy), Schizophrenia, Cognitive function, Neuropsychological evaluation, Outcomes study
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