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Psychiatric rehabilitation: An innovative program of integrative neurocognitive remediation therapy for patients with cognitive dysfunction

Published online by Cambridge University Press:  13 August 2021

A. Rogiers ,
Z. Van Lieshout ,
S. Van Eycken ,
D. Kyndt ,
J.-C. Le Febvre ,
A. Lapyte ,
C. De Gols  and
C. Kornreich
A. Rogiers*
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
Z. Van Lieshout
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
S. Van Eycken
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
D. Kyndt
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
J.-C. Le Febvre
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
A. Lapyte
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
C. De Gols
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
C. Kornreich
Affiliation:
Psychiatry, CHU Brugmann, Brussels, Belgium
*
*Corresponding author.

Abstract

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Introduction

Neurocognitive dysfunction is associated with important socio-professional consequences and diminished quality of life. In the Neurocognitive Remediation Clinic of the Centre Hospitalier Universitaire Brugmann (Brussels, Belgium), patients suffering from neurocognitive dysfunctions related to common mental disorders (e.g. psychotic, mood, adjustment disorders) are considered for Neurocognitive Remediation Therapy (NCRT), combining personalized computerized cognitive training and strategy training, with group sessions of physical rehabilitation and cognitive behavior therapy.

Objectives

This cross-sectional study aims to assess the efficacy of a 12 week (1day/week) NCRT program organized within the day clinic.

Methods

Patients who completed the NCRT between March 2018 and June 2019 were eligible to participate. Efficacy was assessed using the cognitive failure questionnaire (CFQ) and a 17-item questionnaire assessing daily functioning. Current scores on the CFQ were compared to the scores before and after NCRT. Additionally NCF was retrospectively assessed through the neuropsychological test results before and after NCRT.

Results

Of the eligible 38 patients, 27 consented to participate (18 women/9 men); median age was 52 years, range (29-61); median time since stop NCRT was 7 months, range (4-17). Twenty patients (80%) reported improvement in daily function. Subjective neurocognitive function improved significantly immediately after NCRT (t=2.681, df=23, p=0.013) and remained stable at time of assessment (t=2.775, df=24, p=0.011). After NCRT at least 1 neuropsychological subtest normalized in 25 patients (96.15%). Divided attention, long-term visual memory and planning improved in respectively 80%, 75% and 75% of the patients.

Conclusions

Our innovative integrative program improves neuropsychological performances and sustainably ameliorate subjective neurocognitive and daily function.

Disclosure

No significant relationships.

Keywords

RehabilitationNeurocognitive functiondaily functionremediation therapy
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S154
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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