Cognitive Training for Schizophrenia

CD
CM
Overseen ByClaire McDonald
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Minnesota
Must be taking: Psychiatric medications
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores new methods to improve cognitive and visual skills in adults with schizophrenia. Participants will be randomly assigned to one of two computer-based training programs: Cognitive Control Training or Perceptual Discrimination Training. These programs aim to assist with mental tasks such as attention and memory. The trial will measure changes in brain activity and task performance before and after training. Adults with schizophrenia who are in stable condition and live near the Twin Cities in Minnesota are invited to participate. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance cognitive therapies for schizophrenia.

What prior data suggests that these cognitive training programs are safe for participants?

Studies have shown that cognitive control training is safe and well-tolerated by people with schizophrenia. Participants in earlier research reported improved thinking skills after this training. Another study found that after several weeks of training, people experienced significant improvements in their thinking abilities without major side effects.

Perceptual discrimination training has also been studied, though specific safety information for people with schizophrenia remains less clear. However, similar cognitive training types have improved how people perceive and understand things. These findings suggest that perceptual discrimination training might also be safe and helpful for people with schizophrenia.

Overall, both types of training show promise in improving thinking skills, with evidence supporting their safety and tolerance among participants.12345

Why are researchers excited about this trial?

Researchers are excited about these treatments for schizophrenia because they focus on enhancing cognitive functions, which are often impaired in individuals with this condition. Unlike standard treatments like antipsychotic medications, which primarily target symptoms like hallucinations and delusions, Cognitive Control Training and Perceptual Discrimination Training aim to improve cognitive skills. Cognitive Control Training helps participants maintain important information in their memory during decision-making tasks, while Perceptual Discrimination Training focuses on improving visual processing and attentional control. These innovative approaches could provide a new avenue for improving daily functioning and quality of life for people with schizophrenia.

What evidence suggests that this trial's treatments could be effective for schizophrenia?

This trial will compare two types of computer-based brain exercises for people with schizophrenia: Cognitive Control Training and Perceptual Discrimination Training. Research has shown that computer-based brain exercises can improve mental health and thinking skills in schizophrenia. Specifically, Cognitive Control Training, which focuses on memory and decision-making, has demonstrated positive effects on thinking abilities. Meanwhile, Perceptual Discrimination Training, which helps individuals notice small visual differences, can also enhance thinking and social skills. This targeted brain training has improved listening and speaking skills in people with severe schizophrenia. Overall, both types of training show promise in enhancing thinking abilities in people with schizophrenia.678910

Who Is on the Research Team?

CD

Caroline Demro, PhD, LP

Principal Investigator

University of Minnesota

Are You a Good Fit for This Trial?

This trial is for adults aged 18-79 living near the Twin Cities, Minnesota. Participants must be in good physical health, able to read and write English, have no major neurological disorders or recent substance abuse, and be stable if diagnosed with schizophrenia or schizoaffective disorder.

Inclusion Criteria

All participants in good general physical health with no major neurological disorder or head injury with prolonged unconsciousness, and no current moderate or severe substance use disorder
All participants agree to refrain from using recreational drugs for 1 week prior to each scanning session, including marijuana
All participants have given written informed consent
See 6 more

Exclusion Criteria

Other relevant comorbidity such as epilepsy, developmental disability, or visual impairment
For healthy controls, personal or immediate first-degree family history of psychotic or mood disorder including schizophrenia spectrum, bipolar I or II, major depressive disorder, PTSD, panic disorder, OCD, dysthymic disorder
I have a major neurological disorder.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessments

Participants complete baseline clinical assessments, cognitive and visual tasks, EEG, MRI, and magnetic resonance spectroscopy

2-4 weeks
Multiple visits (in-person)

Cognitive Training

Participants undergo approximately 10 hours of cognitive training over 2 to 6 weeks, either in perceptual discrimination or cognitive control training

2-6 weeks
Multiple sessions (virtual)

Follow-up

Participants are monitored for changes in cognitive and visual task performance, EEG measures, and brain metabolite concentrations

up to 7 months
Multiple visits (in-person)

Optional Extended Baseline

Participants may choose to complete additional baseline scanning visits before cognitive training

up to 42 months

What Are the Treatments Tested in This Trial?

Interventions

  • Cognitive Control Training
  • Perceptual Discrimination Training

Trial Overview

The study compares two types of computerized cognitive training—perceptual discrimination training and cognitive control training—in people with schizophrenia/schizoaffective disorder and healthy controls. Training lasts about 10 hours over 2–6 weeks; brain function is measured before and after.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Perceptual Discrimination TrainingExperimental Treatment1 Intervention
Group II: Cognitive Control TrainingExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Minnesota

Lead Sponsor

Trials
1,459
Recruited
1,623,000+

Citations

The effectiveness of computerized cognitive training on ...

As a result, the study showed that 30 sessions of computerized cognitive training can have a positive effect on overall mental health and some ...

2.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/37725667/

Exploring the Effectiveness of Group Cognitive Stimulation ...

The results indicate that GCST positively impacts overall cognitive and social functions but not higher-order cognitive function (working ...

3.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41782049/

Effect of cognitive behavioral social skills training on ...

Despite evidence from clinical trials suggesting beneficial effects of CBSST on functioning and negative symptoms, the overall efficacy of CBSST ...

The efficacy of computerized cognitive drill and practice ...

The current study showed evidence for the efficacy of computerized cognitive drill and practice training in patients with schizophrenia-spectrum disorders.

Effectiveness of cognitive skills training in schizophrenia

Results: Cognitive assessment before and after the study phase showed that patients in the experimental group had made significantly more improvement than the ...

Computerized Training Boosts Cognition in Schizophrenia

The results showed that after 50 hours of training during a 10-week period, participants in the active group made significant gains in cognition ...

7.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/31072761/

Neural Effects of Cognitive Training in Schizophrenia

Although several studies reported increased left prefrontal cortical activation after cognitive training, the lack of statistically significant overlap of ...

Brain Training for Schizophrenia · Info for Participants

In a previous study, cognitive training proved to be safe and well-tolerated by people with schizophrenia. Research shows that programs like Brain Basics and ...

9.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/23367504/

Combining computerized social cognitive training ... - PubMed

Conclusions: Computerized training of auditory processing/verbal learning in schizophrenia results in significant basic neurocognitive gains. Further ...

Does Metacognitive Training Improve the Quality of Life in ...

2014 also showed an improvement in quality of life regarding the social variable when compared to the control of COGPACK + antipsychotic ...