Cognitive Remediation Therapy (CRT)

Cognitive remediation therapy (CRT) is a set of techniques designed to teach ‘thinking skills’ and can be thought of as a form of cognitive rehabilitation. It involves training in a set of tasks designed to improve cognitive abilities and social functioning. The domains targeted depend upon client need, but might include attention, working memory, planning, and executive function. CRT has been studied most often in schizophrenia/psychosis, but also in other conditions such as anorexia nervosa. Patients with schizophrenia show cognitive deficits in executive functioning, verbal fluency, and distractibility (Wykes & van der Gaag, 2001). Patients with anorexia nervosa have difficulties in set shifting tasks which is believed to correspond to cognitive inflexibility / rigid thinking seen in this client group (Tchanturia, Davies, & Campbell, 2007).

What is Cognitive Remediation?

Components of CRT Programs

Wykes and van der Gaag (2001) categorize some of the components and features of CRT programs.
Type of interventionShaping behavior through reinforcementChanging the environmentPractice aloneDyadic teachingScaffolding
Target of interventionSpecific task performanceSpecific cognitive strategy (e.g., use of planning)
Type of outcomeNeuropsychological test performanceSocial functioningSymptom level
Medium of trainingIndividual treatmentGroup treatmentComputerized trainingPaper and pencil tasks

References

  • Tchanturia, K., Davies, H., & Campbell, I. C. (2007). Cognitive remediation therapy for patients with anorexia nervosa: preliminary findings. Annals of General Psychiatry, 6(1), art. 14. doi.org/10.1186/1744-859X-6-14

  • Wykes, T., & van der Gaag, M. (2001). Is it time to develop a new cognitive therapy for psychosis—cognitive remediation therapy (CRT)? Clinical Psychology Review, 21(8), 1227–1256.

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