Factors associated with a positive response to cognitive remediation in a community psychiatric sample

Abstract

This study examined some of the factors associated with a positive response to cognitive remediation. Forty-eight adult participants completed 26 hours of cognitive skills training at an outpatient psychiatric clinic. Results showed significant posttreatment improvement on measures of sustained attention and readiness for employment. Notably, participant-determined attendance was associated with greater cognitive improvement. In addition, there was a threshold of treatment intensity below which there was no treatment effect. This study underscores the importance of addressing treatment intensity in the implementation of cognitive remediation in the community and highlights the potential contribution of motivation to treatment adherence.