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

The DOI matches its Crossref record; 46 of the 47 references it cites were found in a registry or an index.

Motivational Interviewing to Increase Cognitive Rehabilitation Adherence in Schizophrenia

Open access
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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  1. 10.1176/appi.ajp.130.10.1157 · DOI
  2. 10.1016/1052-2263(94)00115-I · DOI

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Metadata

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
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
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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