关键词: Cognitive training neuropsychological deficits neuropsychological interventions obsessive-compulsive disorder

来  源:   DOI:10.1177/02537176231207781   PDF(Pubmed)

Abstract:
UNASSIGNED: Cognitive training (CT) for illness-linked neuropsychological deficits has been attempted in psychiatric disorders and, more recently, in obsessive-compulsive disorder (OCD). However, studies are few and far between, with a limited understanding of factors contributing to efficacy. This article aims to provide a comprehensive critical review of studies employing CT in OCD.
UNASSIGNED: This systematic review follows the Preferred Reporting of Items for Systematic Review and Meta-Analyses Protocols. Empirical studies that used any form of CT/remediation in individuals with OCD were included.
UNASSIGNED: Eight articles met the criteria for inclusion, of which five were randomized controlled trials, two were case series, and one was an open-label trial. The studies have predominantly demonstrated improved trained cognitive functions, with only two showing generalization to untrained domains like clinical symptoms and socio-occupational functioning.
UNASSIGNED: There are few controlled trials of CT in OCD, which limits conclusions of efficacy. Given the sparse research in the area, the review summarizes the current status of research and examines important methodological considerations that may inform future studies.
摘要:
已尝试在精神疾病中进行与疾病相关的神经心理缺陷的认知训练(CT),最近,强迫症(OCD)。然而,研究很少,对影响疗效的因素了解有限。本文旨在对强迫症中使用CT的研究进行全面的批判性综述。
本系统评价遵循系统评价和荟萃分析方案项目的首选报告。包括在强迫症患者中使用任何形式的CT/修复的实证研究。
八篇文章符合入选标准,其中五项是随机对照试验,两个是案例系列,一个是开放标签试验。这些研究主要证明了训练后的认知功能得到了改善,只有两个在临床症状和社会职业功能等未经训练的领域表现出普遍性。
强迫症的CT对照试验很少,这限制了功效的结论。鉴于该地区的研究稀疏,这篇综述总结了研究的现状,并探讨了可能为未来研究提供信息的重要方法学考虑因素。
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