The remediation effects of working memory training in schizophrenia patients with prominent negative symptoms
Open accessAbstract
Introduction: Negative symptoms, particularly amotivation and anhedonia, are important predictors of poor functional outcome in patients with schizophrenia. There has been interest in the efficacy and mechanism of non-pharmacological interventions to alleviate these symptoms. The present study aimed to examine the remediation effect of working memory (WM) training in patients with schizophrenia with prominent negative symptoms.Methods: Thirty-one schizophrenia patients with prominent negative symptoms were recruited and assigned to either a WM training group or a treatment-as-usual (TAU) control group. The WM training group underwent 20 sessions of training using the dual n-back task over one month. A functional neuroimaging paradigm of the Affective Incentive Delay (AID) task was administered before and after the training intervention to evaluate the remediation effect of the intervention.Results: Our results showed that the WM training group demonstrated significant improvement in the WM training task and inattention symptoms. Compared with the TAU group, increased brain activations were observed at the right insula and the right frontal sub-gyral after WM training in the training group.Conclusions: These findings support the efficacy of WM training in ameliorating hedonic dysfunction in schizophrenia patients with prominent negative symptoms.
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To address potential non-independence, the synthesis was re-run after excluding potentially overlapping studies with shared first authors, retaining only one study per first-author set.
“To address potential non-independence, we re-ran the synthesis after excluding potentially overlapping studies with shared first authors31,48,54,60,67, retaining only one study per first-author set.”
From Meta-analysis of computerised working memory training: behavioural gains, training parameters, transfer mechanisms, and neural correlates (2026) · cites this paper as [54]
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- Authors
- Li, X., Chu, M.-Y., Lv, Q.-Y., Hu, H.-X., Li, Z., Yi, Z.-H., Wang, J.-H., Zhang, J.-Y., Lui, S. S. Y., Cheung, E. F. C., Shum, D. H. K., & Chan, R. C. K.
- Affiliations
- Chinese Academy of Sciences (CN)
- Shanghai Jiao Tong University (CN)
- Shanghai Mental Health Centre, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
- MRI Center, Shanghai Mental Health Centre, Shanghai, People’s Republic of China
- Castle Peak Hospital (CN)
- Griffith University (AU)
- Corresponding author
- Chan, Raymond C. K.
- ORCID
- Venue
- Cognitive Neuropsychiatry
- Publisher
- Informa UK Limited
- Published
- 2019-10-04
- Volume
- 24
- Issue
- 6
- Pages
- 434-453
- ISSN
- 1354-6805 (ISSN-L)
- 1464-0619
- OpenAlex
- W2977477573
- Cited by
- 12
- References
- 78
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 2 · 2021: 2 · 2020: 2
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Cognitive Neuropsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repository of Institute of Psychology, Chinese Academy of Sciences (Institute of Psychology, Chinese Academy of Sciences) (submittedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Griffith Research Online (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- working memory training, schizophrenia, negative symptoms, anhedonia, amotivation, dual n-back task, inattention, insula, frontal cortex, non-pharmacological treatment
- MeSH terms
- Psychiatric Rehabilitation, Cognitive Remediation, Adult, Cerebral Cortex, Female, Humans, Learning, Magnetic Resonance Imaging, Male, Schizophrenia, Treatment Outcome, Anhedonia, Functional Neuroimaging
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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