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A Neuropsychological Rehabilitation Program for Cognitive Impairment in Psychiatric and Neurological Conditions: A Review That Supports Its Efficacy.
Behavioural Neurology ( IF 2.7 ) Pub Date : 2019-10-21 , DOI: 10.1155/2019/4647134
Ainara Gómez-Gastiasoro 1 , Javier Peña 1 , Naroa Ibarretxe-Bilbao 1 , Olaia Lucas-Jiménez 1 , María Díez-Cirarda 1 , Oiane Rilo 1 , Genoveva Montoya-Murillo 1 , Leire Zubiaurre-Elorza 1 , Natalia Ojeda 1
Affiliation  

Neuropsychological rehabilitation has been the focus of much scientific research over the past decades due to its efficacy in different pathologies. Advances in the neuropsychology field have led to improvements and changes in neuropsychological interventions, which in turn have given rise to different approaches and rehabilitation programs. REHACOP is an integrative neuropsychological rehabilitation program designed by specialist neuropsychologists. With an integrated bottom-up and top-down approach, REHACOP includes neurocognition, social cognition, and daily living tasks hierarchically organized on an increasing level of difficulty. Task arrangement is addressed to maximize improvements and transfer effects into participant’s daily living. To date, REHACOP has been implemented on different clinical samples such as patients with schizophrenia, multiple sclerosis (MS), and Parkinson’s disease (PD). This manuscript presents the efficacy data of REHACOP across these three populations and discusses it in the context of the available literature. Overall, the magnitude of improvements obtained by means of REHACOP ranged from medium to high across samples. These changes were not restricted to specific neurocognitive domains since participants attending the REHACOP program also showed changes in social cognition and daily functioning variables by means of both direct and transfer effects. Results regarding REHACOP’s efficacy in psychiatric and neurological conditions have contributed to expanding the existing evidence about the use of structured neuropsychological rehabilitation. In addition, the results obtained after its implementation highlighted the need and importance of designing and implementing integrative neuropsychological rehabilitation programs that are focused not only on cognition per se but also on participants’ performance in daily living.

中文翻译:


针对精神和神经疾病认知障碍的神经心理康复计划:支持其功效的评论。



由于其对不同病理的功效,神经心理康复在过去几十年中一直是许多科学研究的焦点。神经心理学领域的进步导致了神经心理学干预措施的改进和变化,这反过来又催生了不同的方法和康复计划。 REHACOP 是由专业神经心理学家设计的综合神经心理康复计划。 REHACOP 采用自下而上和自上而下的综合方法,包括神经认知、社会认知和日常生活任务,这些任务按照难度递增的层次进行组织。任务安排旨在最大限度地提高参与者的日常生活并将效果转移到参与者的日常生活中。迄今为止,REHACOP已应用于不同的临床样本,例如精神分裂症、多发性硬化症(MS)和帕金森病(PD)患者。本手稿介绍了 REHACOP 在这三个人群中的疗效数据,并在现有文献的背景下进行了讨论。总体而言,通过 REHACOP 获得的改进程度在样本中从中到高不等。这些变化并不局限于特定的神经认知领域,因为参加 REHACOP 项目的参与者还通过直接效应和转移效应表现出社会认知和日常功能变量的变化。 REHACOP 在精神和神经系统疾病中的疗效结果有助于扩大有关结构化神经心理康复使用的现有证据。 此外,实施后获得的结果凸显了设计和实施综合神经心理康复计划的必要性和重要性,该计划不仅关注认知本身,还关注参与者的日常生活表现。
更新日期:2019-10-21
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