フルテキストファイル
著者
Mogami Tamiko Department of Fundamental Nursing, School of Health Science, Tottori University Faculty of Medicine 研究者総覧 KAKEN
キーワード
cognitive function
functional outcome
psychiatric rehabilitation
remediation
schizophrenia
抄録
The importance of treatment of cognitive impairments of people with schizophrenia has long been established. Among many pharmaceutical and non-pharmaceutical approaches, cognitive remediation offers one of the best promises for the rehabilitation of cognitive impairments of schizophrenia. The purpose of this paper is to introduce one such approach, the Neuropsychological Educational Approach to Remediation (NEAR). NEAR has been utilized as a leading treatment model for cognitive impairments of schizophrenia. Cognitive remediation including NEAR is administered within a framework of psychiatric rehabilitation program. Cognitive remediation is most effectively administered when the rehabilitation goals in the social and domain are clarified. Social functions associated with the cognitive impairments of schizophrenia are discussed in the specific categories of independent living skills, vocational skills and social problem-solving. Highlights of various models of cognitive remediation are presented to illustrate the unique features of NEAR. In the theoretical framework of NEAR, intrinsic motivation, personalization and contextualization are the central concepts, and the patients are regarded as learners aiming for independent living. In order to provide a clinical overview, specific treatment issues, staff training and patient characteristics are discussed. A summary of the NEAR outcome studies with a diverse psychiatric population is presented to demonstrate its effectiveness. Functional measures associated with cognitive impairments are presented to suggest directions for future studies.
出版者
Tottori University Faculty of Medicine
資料タイプ
学術雑誌論文
ISSN・ISBN
1346-8049
書誌ID
AA00892882
掲載誌名
Yonago Acta medica
最新掲載誌名
Yonago Acta medica
50
4
開始ページ
69
終了ページ
80
発行日
2007-12
著者版フラグ
出版社版
著作権表記
Yonago Acta medica 編集委員会
掲載情報
Yonago Acta medica. 2007, 50(4), 69-80
部局名
医学部・医学系研究科・医学部附属病院
言語
英語