Cited by 104Schizophrenia research and treatmentPsychotherapy Techniques and ApplicationsSubstance Abuse Treatment and Outcomes

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Motivational Interviewing to Increase Cognitive Rehabilitation Adherence in Schizophrenia

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Fiszdon, Joanna M., Kurtz, Matthew M., Choi, Jimmy, Bell, Morris D., Martino, Steve·2016·Schizophrenia Bulletin

DOI 10.1093/schbul/sbv143PMC PMC4753608

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Abstract

Adherence to treatment in psychiatric populations is notoriously low. In this randomized, controlled, proof-of-concept study, we sought to examine whether motivational interviewing (MI) could be used to enhance motivation for, adherence to, and benefit obtained from cognitive rehabilitation. Dual diagnosis MI, developed specifically for individuals with psychotic symptoms and disorganization, was further adapted to focus on cognitive impairments and their impact. Sixty-four outpatients diagnosed with schizophrenia spectrum disorders completed baseline assessments and were randomized to receive either the 2-session MI focused on cognitive functioning or a 2-session sham control interview focused on assessment and feedback about preferred learning styles. Next, all participants were given 4 weeks during which they could attend up to 10 sessions of a computer-based math training program, which served as a brief analog for a full course of cognitive rehabilitation. As hypothesized, MI condition was associated with greater increases in task-specific motivation along with greater training program session attendance. Moreover, postinterview motivation level predicted session attendance. There were no significant differences in improvement on a measure of cognitive training content, which may have been due to the abbreviated nature of the training. While the literature on the efficacy of MI for individuals with psychosis has been mixed, we speculate that our positive findings may have been influenced by the adaptations made to MI as well as the focus on a nonpharmacological intervention.

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10.1176/appi.ajp.130.10.1157 · DOI
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Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.007
Cognition and Its Impairment in Schizophrenia and Related Psychotic Disorders
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.003
Who Responds Best? Predictors and Moderators of Cognitive Enhancement
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.010
Individual and Group Approaches to Cognitive Enhancement
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.008
Research in Cognitive Enhancement
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.013
Approaches to Assessment and Monitoring Treatment Response
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.012
Choosing the Right Treatment for the Right Patient
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.011
Getting Ready for Cognitive Enhancement
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.006
Cognitive Enhancement
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.005
Glossary
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.014
Foreword
Dame, T. W. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.001
References
(2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.015
Preface
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.002
Crowd Interest Mapping to Assess Engagement
Assunção, G., Patrão, B., & Menezes, P. J. (2022) · International Journal of Online and Biomedical Engineering (iJOE) · doi:10.3991/ijoe.v18i02.25445
Psychosocial interventions for adults diagnosed with schizophrenia: a theoretical review of studies from 2010-2020Preprint
Beri, V. (2021) · doi:10.31219/osf.io/d6q8t
Index
Keshavan, M. S., & Eack, S. M. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108163682.016
Online motivational interviewing counselling approach to reduce tobacco use
Pócs, D. (2021) · doi:10.14232/phd.11021
Motivation Disorders in Patients with Schizophrenia
Kuzminova, M. V., Солохина, Т. А., & Nochevkina, A. I. (2022) · Psikhiatriya · doi:10.30629/2618-6667-2022-20-3-85-97
Motivational Interviewing Effect on Medication Adherence and Other Outcomes in People with Schizophrenia (PwS): A Review
Cahaya, N., Kristina, S. A., Widayanti, A. W., & Green, J. (2023) · BIO Web of Conferences · doi:10.1051/bioconf/20237505011 · Cited by 1
Motivational Interviewing: Quality Improvement Training for Behavioral Health Care Workers
Hair, G., Nies, M. A., Tillemans, A., & Cote, L. (2024) · Journal of Doctoral Nursing Practice · doi:10.1891/jdnp-2024-0009
Treatment discontinuation of remotely delivered cognitive remediation for schizophrenia: a systematic review and meta-analysis
Wen, M., Zhang, J., Jiang, K., Liu, J., & Zhu, X. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1643496

Authors: Fiszdon, J. M., Kurtz, M. M., Choi, J., Bell, M. D., & Martino, S.
Affiliations: Yale University (US)
Wesleyan University (US)
Hartford Hospital (US)
Corresponding author: Fiszdon, Joanna M.
ORCID: Fiszdon, Joanna M.
Kurtz, Matthew M.
Choi, Jimmy
Bell, Morris D.
Martino, Steve
Venue: Schizophrenia Bulletin
Publisher: Oxford University Press (OUP)
Published: 2015-09-29
Volume: 42
Issue: 2
Pages: 327-334
ISSN: 0586-7614 (ISSN-L)
1745-1701
DOI: 10.1093/schbul/sbv143
PMC: PMC4753608
OpenAlex: W2306067812
Cited by: 104
References: 47
Citations by year: 2026: 3 · 2025: 4 · 2024: 5 · 2023: 8 · 2022: 15 · 2021: 4 · 2020: 8 · 2019: 30 · 2018: 12 · 2017: 10 · 2016: 5
FWCI: 7.30
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Schizophrenia Bulletin (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: U.S. Department of Veterans Affairs (I21 RX000598)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: motivational interviewing, cognitive rehabilitation
MeSH terms: Adult, Female, Humans, Learning, Male, Mathematics, Middle Aged, Patient Compliance, Schizophrenia, Treatment Outcome, Cognitive Dysfunction, Motivational Interviewing

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Motivational Interviewing to Increase Cognitive Rehabilitation Adherence in Schizophrenia

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