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Revista chilena de neuro-psiquiatría

versión On-line ISSN 0717-9227


LOUBAT O, Margarita; GARATE M, Roberto  y  CUTURRUFO A, Nelson. The cognitive rehabilitation of patients with long-standing schizophrenia: a challenge for health teams. Rev. chil. neuro-psiquiatr. [online]. 2016, vol.54, n.4, pp.299-308. ISSN 0717-9227.

Introduction: The differences in the scores observed in the attention, memory and executive functions regarding the use of a cognitive rehabilitation program in patients with long-standing schizophrenia are analysed. Method: The participants were selected through a nonprobability sampling with a purposive sample ofcritical cases (n = 31). It is a causal research, which considers a quasi-experimental design of two groups (experimental and control) with pre and postintervention measures. To measure the variables, the TMTA & B, WAIS, ROCF and the Stroop P & C tests were administered. Results: The intervention had a clinically significant impact on the domains of visual spatial attention and the executive function (speed of verbal information processing), given by the differences caused by the post-intervention means. There were only statistically significant differences of means in the post-test scores for the Rey-Osterrieth complex figure test, in the Memory-Time variable, whose treatment has a low impact and false negative rates higher than initially expected. At the same time, regarding the variability of the scores, there were not statistically significant differences for any of the variables analysed. Conclusions: Training the identification of symbols, using memories of details of projected images and simple words association, in a group-competition context with playful elements, have a clinically relevant impact on the rehabilitation of the visual spatial attention and the speed of verbal information processing of patients with long-standing schizophrenia. The statistically significant differences of means require to be considered with care.

Palabras clave : Schizophrenia; cognitive rehabilitation; attention; memory; executive function.

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