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Table 2 Training to improve sociocognitive deficits

From: A systematic review on improving cognition in schizophrenia: which is the more commonly used type of training, practice or strategy learning?

DRILL AND STRATEGY

Authors

Targeted deficits

Type of training

Measured variables

Results

Control and samples

[85]

Social context appraisal

Social cognition enhancement training (SCET) and standard psychiatric rehab

Perceptual organization and sequencing in social contexts, emotion recognition

In SCET, some variables improved after 2 months, others after 6 months

Control group N = 34

[86]

Social cognition deficits

social cognition and interaction training (SCIT) and Control: coping skills groups

Emotion and social perception, theory of mind, attributional style, cognitive flexibility, and social relationships

Improved in all sociocogntive measures. Better self-reported social relationships

Control group N = 28

[87]

Emotion perception, attributional style, and theory of mind

SCIT and coping skills groups

Facial emotion identification and discrimination, social perception, theory of mind, attributional style and ambiguity, cognitive flexibility

Improvement in all aspects for participants in SCIT

Control group N = 18

[88]

Social cue recognition

Vigilance+memory training or vigilance alone

Social cue recognition

Better recognition of social cues in vigilance+memory

Control group N = 40

[89]

Emotional intelligence

Cognitive enhancement therapy (CET) and enriched supportive therapy (EST)

Emotional Intelligence

CET group improved in emotional intelligence

Control group N = 38

[90]

Learning and interpretation of social situations

Stimulus identification, interpretation of images and assignment of title

Sustained and selective attention, functional outcome, social perception

Improvement in all variables in therapy group, maintained at 6 months

Control group N = 18

[91]

Perception and interpretation of social situations

Integrated Psychological Therapy (IPT)

Social perception, attention, psychopathology and social functioning

IPT improved social perception. No differences in attention or symptoms between groups

Control group N = 20

[92]

Emotion perception

Emotion Management Training (EMT) or problem-solving

Emotion perception in self and others, social adjustment, coping strategies, psychopathology

EMT improved emotion perception, social adjustment and psychopathology. At 4 month follow up, gains maintained in social adjustment and psychopathology only

Control group N = 22

[93]

Social cognitive skills

Presentations, group practice and training exercises

Facial emotion identification, social perception, attributional style, theory of mind, speed of processing, attention/vigilance, working memory, verbal and visual learning, reasoning, problem-solving and social cognition

Improvement in facial affect perception only

Control group N = 31

[94]

Social cognitive deficits

Socio-cognitive skills training (SCST) Other conditions 1: Cognitive Remediation (CR) 2: standardm illness management skills training, 3: Hybrid treatment that combined elements of SCST and neurocognitive remediation

Emotional processing, social perception, attributional bias, and mentalizing

The SCST group demonstrated greater improvements over time than comparison groups in the social cognitive domain of emotional processing, including improvement in measures of facial affect perception and emotion management.

Control group N = 68

[95]

Theory of Mind (ToM)

Analyses and reasoning about social interaction scenes

ToM, symptoms, psychopathology, attribution

Slight improvement in ToM (not significant) in training group from first to second training session. No improvement in symptoms

Control group N = 14

[96]

Emotion perception

CR and computerized Emotion Perception intervention compared with CR only

Emotion recognition, emotion discrimination, personal and social performance (also neurocognition)

Combined CR with emotion perception remediation produced greater improvements in emotion recognition, emotion discrimination, social functioning, and neurocognition

Control group N = 59

[97]

Emotion recognition and ToM

Emotion and ToM Imitation Training and problem-solving

Psychopathology, symptoms, emotion recognition, ToM, neurocognition, flexibility, social functioning, attribution, neurophysiological activation

Training improved sociocognition (strongest was emotion recognition) and social functioning

Control group N = 32

[98]

Social cognition

State reasoning training for social cognitive impairment (SOCog-MSRT)

Theory of mind, Social understanding, Inference of complex mental states from the eyes Working memory, IQ

Improvement in ability to reason causally about false beliefs, to infer complex mental states from the eyes, and to intuitively understand social situations. However individuals with poorer working memory and lower premorbid IQ did not benefit

None N = 14

[99]

Social cognition

SCIT

Emotion perception, attributional style and theory of mind

Improved emotion perception, improved theory of mind, and a reduced tendency to attribute hostile intent to others

None N = 17

[100]

Emotion perception, ToM and social skills

SCIT and Treatment-As-Usual (TAU)

Emotion perception, theory of mind, attributional style, social skills in role-play

SCIT+TAU improved emotion perception but improvements on theory of mind inconsistent

Control group N = 31

[101]

Visual attention and facial emotion perception

CR and repeated exposure

Emotion recognition

Improvements in pre-post- means for CRT and maintained one month post-training

Control group N = 40

[102]

Emotion recognition and social perception

Social Cognitive Training Program and TAU

Emotion recognition, psychopathology, social functioning, social perception

Training improved social perception between group but no improvement in emotion recognition

Control group N = 14

[103]

Emotional communication, (Perception of facial emotional expression)

Computerized emotion training program

Identification of emotions, differentiation of facial emotions, working memory

Compared to baseline significantly better at identification of facial emotions. No changes in differentiation of facial emotions and working memory

None N = 20

[104]

Social cognition and quality of life

Family-social-cognition and social stimulation (F-SCIT)

Memory, visual-spatial scanning, divided attention, inhibition, emotion perception, theory of mind, empathy, reasoning, attributional style, insight, social functioning, quality of life

F-SCIT improved social withdrawal, interpersonal communications, prosocial activities, independence/competence, theory of mind, emotion perception

Control group N = 52

[105]

Social and emotion perception

CR

Emotion and general perception, attention, memory, executive functioning, visual processing, cognitive flexibility and interference

Improvement of emotion perception and executive functioning, other areas of neurocognition not affected

Placebo group N = 42

DRILL AND PRACTICE

[106]

Deficits in facial affect recognition

Training of affect recognition (TAR) Controls groups: (TAU or CR)

Facial affect recognition, face recognition, and neurocognitive performance

Patients under TAR (but not CRT or TAU) significantly improved in facial affect recognition. Patients under CRT improved in verbal memory functions.

Control groups N = 77

[107]

Prosodic affect recognition, theory of mind

Training of Affect Recognition (TAR) and CR

Facial affect recognition, prosodic affect recognition, theory of mind, social competence in role-play

Larger pre- post- improvements on TAR for all variables

Control group N = 38

  1. Note. SCIT = social cognition and interaction training. TAU = treatment-as-usual. CR = cognition remediation.