[en] Background: Schizophrenia is associated with a reduction in accessing specific autobiographical information. This is consistent with the abnormal development of the personal identity characterizing this mental disorder. The present study evaluates the effect of a cognitive intervention on autobiographical memory and on the capacity to project oneself in the future in people suffering from schizophrenia.
Sampling and Method: The intervention consisted of group sessions during which participants were trained to recollect specific events reported in their diary. Further, exercises to stimulate their thoughts on their personal identity were proposed. An AM test was administrated before and after the intervention, as well as at three months follow-up. Further, neuropsychological and affective assessments were conducted before and after treatments. Patients’ performances were compared to those from the control group
Results: The capacities to generate specific events are improved by the cognitive intervention, and that the benefits are preserved 3 months later. However, no neuropsychological or affective benefit was found.
Conclusion: Despite positive results on specific memory, the significant benefits have to be extended to other clinical variables such as symptom reduction, neuropsychological and social functioning. Nevertheless, the results revealed that CRT on AM could be a useful additional intervention for schizophrenia patients.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Blairy, Sylvie ; Université de Liège - ULiège > Département des sciences cognitives > Psychologie clinique cognitive et comportementale
Neumann, Aurore
Nutthals, Frédérique
Pierret, Leslie
Collet, Denis
Philippot, Pierre
Language :
English
Title :
Improvement of Autobiographical Memory in Schizophrenia Patients Following a Cognitive Intervention: A Preliminary Study.
Publication date :
2008
Journal title :
Psychopathology
ISSN :
0254-4962
eISSN :
1423-033X
Publisher :
S. Karger, Basel, Switzerland
Volume :
41
Pages :
388-396
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Any distribution of this article without written consent from S. Karger AG Basel is a violation of the copyright. The distribution of the pdf is based on the number of acesses required by the first author. Please contact permission@karger.ch
Huron C, Danion JM: Impairment of constructive memory in schizophrenia. Int Clin Psychopharmacol 2002;17:127-133.
Danion JM, Huron C, Robert P: Schizophrenia and autonoetic awareness. Eur Neuropsychopharmacol 2001;11(suppl 3):S133-S134.
Williams JMG, Broadbent K: Autobiographical memory in attempted suicide patients. J Abnorm Psychol 1986;95:144-149.
Feinstein A, Golberg TE, Nowlin B, Weinberger DR: Types and characteristics of remote memory impairment in schizophrenia. Schizophr Res 1998;30:155-163.
Ruitort M, Cuervo C, Danion J, Peretti C, Salame P: Reduced levels of specific autobiographical memories in schizophrenia. Psychiatry Res 2003;117:35-45.
Iqbal Z, Birchwood M, Hemsley D, Jackson C, Morris E: Autobiograpical memory and post-psychotic depression in first episode psychosis. Br J Clin Psychol 2004;43:97-104.
Harrison CL, Fowler D: Negative symptoms, trauma and autobiographical memory: an investigation of individuals recovering from psychosis. J Nerv Ment Dis 2004;192:745-753.
Danion JM, Cuervo C, Piolino P, Huron C, Riutort M, Peretti CS, Eustache F: Conscious recollection in autobiographical memory: an investigation in schizophrenia. Conscious Cogn 2005;14:535-547.
Neumann A, Blairy S, Lecompte D, Philippot P: Specificity deficit in the recollection of emotional memories in schizophrenia. Conscious Cogn 2007;16:469-484.
D'Argembeau A, Van der Linden M: Phenomenal characteristics associated with projecting oneself back into the past and forward into the future: influence of valence and temporal distance. Conscious Cogn 2004;13:844-858.
Williams JMG, Ellis NC, Tyers C, Healy H, Rose G, MacLeod AK: The specificity of autobiographical memory and imageability of the future. Mem Cognit 1996;24:116-125.
Conway M, Pleydell-Pearce CW: The construction of autobiographical memories in the self-memory system. Psychol Rev 2000;107:261-288.
Tulving E:Memory and consciousness. Can Psychol 1985;26:1-12.
Wheeler MA, Stuss DT, Tulving E: Toward a theory of episodic memory: the frontal lobes and autonoetic consciousness. Schizophr Bull 1997;121:331-354.
Ramponi C, Barnard P, Nimmo-Smith I: Recollection deficits in dysphoric mood: an effect of schematic models and executive mode? Memory 2004;12:655-670.
Raes F, Hermans D, De Decker A, Williams JMG, Demyttenaere K, Sabbe B, Pieters G, Eelen P: Is overgeneral autobiographical memory an isolated memory phenomenon in major depression? Memory 2006;14:584-594.
Danion JM, Rizzio L, Bruant A: Functional mechanisms underlying impaired recognition memory and conscious awareness in patients with schizophrenia. Arch Gen Psychiatry 1999;56:639-644.
Rizzio L, Danion JM, Van der Linden M, GrangéD: Patients with schizophrenia remember that an event has occurred, but not when. Br J Psychiatry 1996;168:427-431.
Rizzio L, Danion JM, Van der Linden M, GrangéD, Rohmer JG: Impairment of memory for spatial context in schizophrenia. Neuropsychol 1996;10:376-384.
Huron C, Danion JM, Giacomoni F, Grangé D, Robert P, Rizzio L: Impairment of recognition memory with, but not without, conscious recollection in schizophrenia. Am J Psychiatry 1995;152:1737-1742.
Estroff SE: Self, identity and subjective experiences of schizophrenia: in search of the subject. Schizophr Bull 1989;15:189-196.
Fabrega H: The self and schizophrenia: a cultural perspective. Schizophr Bull 1989;15:277-290.
Gara MA, Rosenberg S, Cohen BD: Personal identity and the schizophrenic process: an integration. Psychiatry 1987;50:267-279.
De Bonis M, De Boeck P, Lida-Pulik H, Feline A: Identity disturbances and self-other differentiation in schizophrenics, borderlines, and normal controls. Compr Psychiatry 1995;36:362-366.
Robey KL, Cohen BD, Gara MA: Self-structure in schizophrenia. J Abnorm Psychol 1989;98:436-442.
Yip KS: Traditional Chinese religious beliefs and superstitions in delusions and hallucinations of Chinese schizophrenic patients. Int J Soc Psychiatry 2003;49:97-111.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 4. Washington, American Psychiatric Association, 1994.
Pichot P, Overall JE: Echelle abrégée d'appréciation psychiatrique. Paris, Edition du Centre de Psychologie Appliquée, 1967.
Woods SW: Chlorpromazine equivalent doses for the newer atypical antipsychotics. J Clin Psychiatry 2003;64:663-667.
Williams JMG: Depression and the specificity of autobiographical memory; in Rubin DC (ed): Remembering Our Past: Studies in Autobiographical Memory. Cambridge, Cambridge University Press, 1996, pp 244-267.
Benton AL, Hamsher K: Multilingual Aphasia Examination. Iowa City, University of Iowa, 1976.
Wechsler D: Weschler Adult Intelligence Scale, ed 3 (WAIS-III). London, The Psychological Corporation, 1997.
Stroop JR: Studies of interference in serial verbal reactions. J Exp Psychol 1935;20:206-207.
Beck AT: The Beck Depression Inventory - II. San Antonio, Harcourt Brace, 1996.
Roder V, Mueller DR, Mueser KT, Brenner HD: Integrated Psychological Therapy (IPT) for schizophrenia: is it effective? Schizophr Bull 2006;32(suppl 1):S81-S93.
Green MF: What are the functional consequences of neurocognitive deficits in schizophrenia? Am J Psychiatry 1996;153:321-330.
Keefe RS, Bilder RM, Harvey PD, Davis SM, Palmer BW, Gold JA, et al: Baseline neurocognitive deficits in the CATIE schizophrenia trial. Neuropsychopharmacology 2006;31:2033-2046.
Milev P, Beng-Choon H, Arndt S, Andreasen N: Predictive values of neurocognition and negative symptoms on functional outcome in schizophrenia: a longitudinal first-episode study with 7-year follow-up. Am J Psychiatry 2005;162:495-506.
Bark N, Revheim N, Huq F, Khalderov V, Ganz ZW, Medalia A: The impact of cognitive remediation on symptoms of schizophrenia. Schizophr Res 2003;63:229-235.
Penadés R, Boget T, Catalan R, Salamero M, Boget, T, Puig O, Guarch J, Gasto C: Cognitive remediation therapy for outpatients with chronic schizophrenia: a controlled and randomized study. Schizophr Res 2006;87:323-331.
Wexler BE, Bell MD: Cognitive remediation and vocational rehabilitation for schizophrenia. Schizophr Bull 2005;31:931-941.
Wykes T, Reeder C, Williams C, Corner J, Rice C, Everitt B: Are the effects of cognitive remediation therapy (CRT) durable? Results from an exploratory trial in schizophrenia. Schizophr Res 2003;61:163-174.