THE EFFECT OF COGNITIVE REHABILITATION ON THE NEUROPSYCHOLOGICAL STATUS OF PATIENTS IN DRUG-ABUSE TREATMENT WHO DISPLAY NEUROCOGNITIVE IMPAIRMENT
THE EFFECT OF COGNITIVE REHABILITATION ON THE NEUROPSYCHOLOGICAL STATUS OF PATIENTS IN DRUG-ABUSE TREATMENT WHO DISPLAY NEUROCOGNITIVE IMPAIRMENT
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DOI：
10.1037/h0080316
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发表时间：
1994-06-01
影响因子：
2.7
通讯作者：
LUCENTE, S
中科院分区：
文献类型：
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作者：
FALSSTEWART, W;LUCENTE, S
接受药物滥用治疗的患者也有认知障碍(N=72)，根据刑事司法系统的要求，他们必须在住院项目中完成至少6个月的治疗，他们被随机分配到四组中的一组。其中一组患者(n=18)接受了为期6个月的每周2小时的计算机辅助认知康复；第二组(n=18)接受了为期6个月的每周2小时的渐进式肌肉放松；第三组(n=18)接受了计算机打字教学；第四组(n=18)除了接受程序提供的治疗外，没有接受任何治疗。所有患者在入院时进行神经心理测试，此后每月进行一次测试，为期6个月。结果表明，认知康复组居民在治疗的前2个月表现出更快的认知恢复速度，在居住的前4个月有更有效的认知功能。这些患者也被临床工作人员评为在治疗计划中更“适当参与”的患者。对这些发现的临床意义进行了讨论。
Patients engaged in drug abuse treatment who also had cognitive impairment (N = 72), mandated by the criminal justice system to complete at least 6 months of treatment in a residential program, were randomly assigned to one of four groups. One group of patients (n = 18) received 2 hours of computer-assisted cognitive rehabilitation per week over a 6-month period; a second group (n = 18) received 2 hours of progressive muscle relaxation per week over a 6-month period; a third group (n = 18) was taught typing on a computer; and a fourth group (n = 18) received no treatment beyond that provided by the program. All patients were tested with a neuropsychological test battery upon admission and at monthly intervals thereafter for 6 months. Results indicated that residents in the cognitive rehabilitation group demonstrated a faster rate of cognitive recovery during the first 2 months of treatment and had more efficient cognitive functioning over the first 4 months of residence. These patients were also rated as more ''appropriately participatory'' in the treatment program by the clinical staff. Clinical implications of these findings are discussed.