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A randomized controlled trial on the efficacy of cognitive remediation therapy against cognitive disorder in schizophrenia.

Research Project

Project/Area Number 23591707
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionNational Center of Neurology and Psychiatry

Principal Investigator

NAKAGOME KAZUYUKI  独立行政法人国立精神・神経医療研究センター, 病院臨床研究推進部, 部長 (30198056)

Co-Investigator(Kenkyū-buntansha) MOGAMI Tamiko  鳥取大学, 大学院医学系研究科, 教授 (80368414)
KANEKO Koichi  鳥取大学, 医学部, 教授 (50194907)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2012: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2011: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords精神科リハビリテーション医学 / 認知矯正療法 / 近赤外線スペクトロスコピー / 統合失調症 / 認知機能障害 / 神経心理検査 / 脳画像法 / 多施設共同臨床試験 / 無作為化対照比較試験
Research Abstract

Not enough sample size was recruited for RCT of NEAR. Therefore, a quasi-random study was run in addition, using 19 patients with schizophrenia participating in the NEAR session lasting for 6 months (NEAR group) and 12 being treated as usual for the same period (TAU group). Cognitive function change as well as the change in the hemodynamic response to a working memory task (2-back) in the frontal area within 6 months was compared between groups. NEAR group showed a significant improvement in motor and executive function as well as a significant increase in the hemodynamic response in the right frontopolar area as compared to TAU group. It was suggested that NEAR may improve cognitive function through its enhancing effect on frontal cortex activity.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (24 results)

All 2014 2013 2012 2011 Other

All Journal Article (16 results) (of which Peer Reviewed: 5 results) Presentation (6 results) (of which Invited: 2 results) Book (2 results)

  • [Journal Article] A pilot study on the effects of cognitive remediation on hemodynamic responses in the prefrontal cortices of patients with schizophrenia: A multi-channel near-infrared spectroscopy study.2014

    • Author(s)
      Pu S, Nakagome K, Yamada T, Ikezawa S, Itakura M, Satake T, Ishida H, Nagata I, Mogami T, Kaneko K.
    • Journal Title

      Schizophr Res

      Volume: 153 Issue: 1-3 Pages: 87-95

    • DOI

      10.1016/j.schres.2014.01.031

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 認知矯正療法NEARについて2012

    • Author(s)
      最上多美子,池澤聰,兼子幸一,中込和幸
    • Journal Title

      Schizophrenia Frontier

      Volume: 13(1) Pages: 24-27

    • Related Report
      2013 Final Research Report
  • [Journal Article] 統合失調症の社会的転帰の改善を踏まえた認知機能障害への治療的アプローチ‐社会認知と動機づけ‐2012

    • Author(s)
      中込和幸
    • Journal Title

      Schizophrenia Frontier

      Volume: 13(1) Pages: 34-41

    • Related Report
      2013 Final Research Report
  • [Journal Article] The pilot study of a Neuropsychological Educational Approach to Cognitive Remediation for patients with schizophrenia in Japan2012

    • Author(s)
      Ikezawa S, Mogami T, Hayami Y, Sato I, Kato T, Kimura I, Pu S, Kaneko K, Nakagome K
    • Journal Title

      Psychiatry Res

      Volume: 195 Pages: 107-110

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 認知矯正療法NEARについて.2012

    • Author(s)
      最上多美子、池澤聰、兼子幸一、中込和幸
    • Journal Title

      Schizophrenia Frontier

      Volume: 13 Pages: 24-27

    • Related Report
      2012 Research-status Report
  • [Journal Article] 統合失調症の社会的転帰の改善を踏まえた認知機能障害への治療的アプローチ-社会認知と動機づけ-.2012

    • Author(s)
      中込和幸
    • Journal Title

      Schizophrenia Frontier

      Volume: 13 Pages: 34-41

    • Related Report
      2012 Research-status Report
  • [Journal Article] 認知矯正療法による予後改善-NEARを中心に.特集・統合失調症の予後改善に向けての新たな戦略2011

    • Author(s)
      最上多美子,中込和幸
    • Journal Title

      精神医学

      Volume: 53(2) Pages: 143-149

    • NAID

      40017658518

    • Related Report
      2013 Final Research Report
  • [Journal Article] 第12回感情・行動・認知研究会シンポジウムII「うつ病の最新疫学と臨床」うつ病の認知機能とNIRS・脳機能画像2011

    • Author(s)
      中込和幸
    • Journal Title

      分子精神医学

      Volume: 11(3) Pages: 83-85

    • Related Report
      2013 Final Research Report
  • [Journal Article] 認知リハビリテーションに情動の視点を加える.特集精神療法における認知・行動・情動2011

    • Author(s)
      中込和幸
    • Journal Title

      精神神経学雑誌

      Volume: 113(11) Pages: 1102-1108

    • NAID

      40019123497

    • Related Report
      2013 Final Research Report
  • [Journal Article] 統合失調症の認知機能障害に対する認知矯正療法の効果2011

    • Author(s)
      最上多美子,池澤聰,兼子幸一,朴盛弘,中込和幸
    • Journal Title

      日本神経精神薬理学雑誌

      Volume: 31 Pages: 245-249

    • NAID

      10030338188

    • Related Report
      2013 Final Research Report
  • [Journal Article] 内発的動機づけの役割に焦点化した認知機能リハビリテーションNEAR2011

    • Author(s)
      最上多美子,池澤聰,長田泉美,木村一朗,岡純子,速水淑子,廣江ゆう,安井いづみ,片山征爾,河野倫子,加藤明孝,足立典子,兼子幸一,中込和幸
    • Journal Title

      精神医学

      Volume: 53(1) Pages: 49-55

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 認知矯正療法による予後改善-NEARを中心に.特集・統合失調症の予後改善に向けての新たな戦略.2011

    • Author(s)
      最上多美子,中込和幸
    • Journal Title

      精神医学

      Volume: 53 Pages: 143-149

    • NAID

      40017658518

    • Related Report
      2011 Research-status Report
  • [Journal Article] 認知リハビリテーションに情動の視点を加える.特集 精神療法における認知・行動・情動.2011

    • Author(s)
      中込和幸
    • Journal Title

      精神神経学雑誌

      Volume: 113 Pages: 1102-1108

    • NAID

      40019123497

    • Related Report
      2011 Research-status Report
  • [Journal Article] 統合失調症の認知機能障害に対する認知矯正療法の効果.2011

    • Author(s)
      最上多美子,池澤聰,兼子幸一,朴盛弘,中込和幸
    • Journal Title

      日本神経精神薬理学雑誌

      Volume: 31 Pages: 245-249

    • NAID

      10030338188

    • Related Report
      2011 Research-status Report
  • [Journal Article] 内発的動機づけの役割に焦点化した認知機能リハビリテーションNEAR.2011

    • Author(s)
      最上多美子,池澤聰,長田泉美,木村一朗,岡純子,速水淑子,廣江ゆう,安井いづみ,片山征爾,河野倫子,加藤明孝,足立典子,兼子幸一,中込和幸
    • Journal Title

      精神医学

      Volume: 53 Pages: 49-55

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] The pilot study of a Neuropsychological Educational Approach to Cognitive Remediation for patients with schizophrenia in Japan.2011

    • Author(s)
      Ikezawa S, Mogami T, Hayami Y, Sato I, Kato T, Kimura I, Pu S, Kaneko K, Nakagome K.
    • Journal Title

      Psychiatry Res

      Volume: 195 Issue: 3 Pages: 107-110

    • DOI

      10.1016/j.psychres.2011.07.020

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] The dissemination process of NEAR in Japan2013

    • Author(s)
      Nakagome K
    • Organizer
      Morning Symposium : Future directions for cognitive remediation. Cognitive Remediation in Psychiatry
    • Place of Presentation
      New York
    • Related Report
      2013 Final Research Report
  • [Presentation] 認知リハビリテーションについて2012

    • Author(s)
      中込和幸
    • Organizer
      第20回日本精神障害者リハビリテーション学会
    • Place of Presentation
      横須賀(神奈川県立福祉保健大学)
    • Related Report
      2013 Final Research Report
  • [Presentation] 統合失調症の認知機能障害に対する心理社会的アプローチ2011

    • Author(s)
      中込和幸
    • Organizer
      第19回日本精神障害者リハビリテーション学会
    • Place of Presentation
      京都(常照ホール) (大会企画シンポジウム)
    • Related Report
      2013 Final Research Report
  • [Presentation] 統合失調症の認知機能障害に対する心理社会的アプローチ.2011

    • Author(s)
      中込和幸
    • Organizer
      第19回日本精神障害者リハビリテーション学会(招待講演)
    • Place of Presentation
      京都 佛教大学紫野キャンパス 常照ホール
    • Related Report
      2011 Research-status Report
  • [Presentation] The dissemination process of NEAR in Japan. Morning Symposium: Future directions for cognitive remediation.

    • Author(s)
      Nakagome K.
    • Organizer
      Cognitive Remediation in Psychiatry
    • Place of Presentation
      The Conference Center(New York)
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 認知リハビリテーションについて

    • Author(s)
      中込和幸
    • Organizer
      第20回日本精神障害者リハビリテーション学会 ランチョンセミナー
    • Place of Presentation
      神奈川県立福祉保健大学
    • Related Report
      2012 Research-status Report
    • Invited
  • [Book] 9 Treatment-resistant schizophrenia, Clinical Manual for Treatment of Schizophrenia2012

    • Author(s)
      Nakagome K, Mogami T (Lauriello J and Pallanti S (eds.))
    • Publisher
      American Psychiatric Publishing, Washington DC
    • Related Report
      2013 Final Research Report
  • [Book] 9 Treatment-resistant schizophrenia. In Lauriello J and Pallanti S (eds.), Clinical Manual for Treatment of Schizophrenia.2012

    • Author(s)
      Nakagome K, Mogami T.(分担)
    • Total Pages
      40
    • Publisher
      American Psychiatric Publishing, Washington DC
    • Related Report
      2012 Research-status Report

URL: 

Published: 2011-08-05   Modified: 2019-07-29  

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