Developing of group cognitive rehabilitation activities for people with chronic schizophrenia
Keywords:
cognitive functions, chronic schizophrenia, cognitive rehabilitationAbstract
Objective: To design group activities for cognitive rehabilitation for people with chronic schizophrenia and to conduct a pilot study on the effectiveness of these activities.
Methods: A novel program for cognitive rehabilitation activities were designed and tested for content validity. These activities were then piloted in participants diagnosed with chronic schizophrenia at Srithanya hospital from April 2018 to September 2018. Participants were purposively selected to participate in the activities and were assessed with neuropsychological tests before and after the program. Data were analyzed using descriptive statistic and Wilcoxon matched-pairs signed-rank test.
Result: The group activities consisted of consisted of 5 modules that were to be implemented for 12 weeks, three sessions per week and three hours per session. Of the sixteen selected participants, ten participants met the minimal requirement for the program were included in the analysis. After completing the activities, the participants demonstrated higher scores of learning ability, from the WLL1, WLL3, and WLL total scores of word list learning. Participants’ cognitive flexibility ability from the perseverative error score of WCST, planning ability from the overall move score of Tower of London and working memory from the digit backward of digit span subtest also increased significantly.
Conclusion: The cognitive rehabilitation group activities designed may improve the cognitive functions of people with chronic schizophrenia. However, more study should be conducted in a larger sample and should include a control group.
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