정신분열병 환자를 위한 인지재활훈련프로그램의 개발

Abstract

Objects：The purpose of this study was to investigate the effects of cognitive differentiation training program-Korean version(a training program of attention and conceptual abilities) on cognitive function, psychopathology and problem solving skills in patients with schizophrenia. Methods：A total of patients diagnosed as schizophrenia using DSM-IV were randomly assigned to 2 groups. The training group went through a total of 22 sessions of cognitive differentiation training (60min/session×2sessions/wk×11wks). The attention-placebo control group received psychoeducation program during the same period. Arithmetic, vocabulary, similarities, picture completion of Wechsler Adult Intelligence Scale-Korean version, Positive and Negative Syndrome Scale, and Social Problem Solving Scales were administered to all patients, both before and after the training program. Results：In the arithmetic scores(F＝6.35, af＝1, p＝0.018) of Wechsler Adult Intelligence Scale- Korean version, and total scores(F＝6.35, af＝1, p＝0.018) and problem solving skill scale scores (F＝4.88, af＝1, p＝0.036) of social problem solving scale, interaction effects of training was significant. Conclusion：Our findings suggest that cognitive differentiation training program-Korean version is effective on improving auditory attention and problem solving skills in patients with schizophrenia