Schizophrenia - Cognitive remediation Therapy for Schizophrenia

6 important questions on Schizophrenia - Cognitive remediation Therapy for Schizophrenia

Define Cognitive remediation therapy for Schizophrenia

behavioural and cognitive exercises to improve neurocognitive functions (attention, memory, executive functioning, processing speed) impaired in schizophrenia.

Objective of Cognitive remediation therapy

  1. Improve core cognitive domains
  2. Facilitate better functional outcomes
  3. Enhance learning capacity
  4. Reduce negative symptoms indirectly

Basis of Cognitive Remediation training in Shchizophrenia

Based on neuroplasticity — repeated practice can strengthen neural connections.
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Example of Cognitive remediation training


  1. Attention -  digit span exercises.
  2. Memory -  recall strategies, chunking
  3. Executive function - Planning, problem-solving
  4. Processing speed - Timed visual search or reaction-time tasks.
  5. Social Cognition - Emotion recognition 

Evidence on Cognitive remediation training in Schizophrenia

Meta-analyses show medium effect sizes (Cohen’s d ≈ 0.45–0.60) for cognitive improvement.
• Best outcomes when CRT is integrated with psychosocial rehabilitation.

Principles of Cognitive Remediation training for Schizophrenia

• Focuses on generalisation — transferring skills from training to daily life.
• Uses feedback, reinforcement, and adaptive difficulty.
• tailored to individual needs.
• computer-assisted/therapist-guided

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