Cognitive disorders in schizophrenia can be observed in relatives and persons even before the first episode. The patterns of these disorders may be specific to the occurrence of a later episode. After the first episode, the disorders remain relatively stable and are partly correlated with negative symptoms. Furthermore, the cognitive deficits have a negative impact on the social and occupational functional level. Recent studies suggest that cognitive remediation has small to moderate effects on cognition, and thus can also improve overall patient function.
Risikopatienten für eine spätere Schizophrenie zeigen bereits vor einer 1. Episode kognitive Funktionseinbußen. Im Verlauf bleiben diese relativ stabil auf niedrigem Niveau. Trainingsprogramme können hier psychosoziale und kognitive Defizite verbessern.
Georg Thieme Verlag KG Stuttgart · New York.