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Cognitive remediation for young people with schizophrenia
ISRCTN ISRCTN75187865
ClinicalTrials.gov identifier
Public title Cognitive remediation for young people with schizophrenia
Scientific title
Acronym N/A
Serial number at source SCYP 97/06
Study hypothesis Cognitive remediation will improve cognition relative to treatment as usual
Lay summary
Ethics approval Approved by the South London and Maudsley Ethics Committee as an amendment to a previous application, reference number: 008/99 and the North East London Ethics Committee Oct 02, reference number: P/02/192
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Schizophrenia
Participants - inclusion criteria 1. A diagnosis of schizophrenia according to the Diagnostic and Statistical Manual, 4th (DSM IV); had a first episode while still a teenager and their duration of illness was 3 years or less
2. Cognitive difficulties in cognitive flexibility (below the 16th centile on the Wisconsin Card Sort Test) and/or memory (poor performance on the Rivermead Behavioural Memory Test)
3. Difficulties in social functioning (at least one problem on the Social Behaviour Scale)
4. Stable medication, in terms of type and dose, for at least one month prior to inclusion
Participants - exclusion criteria 1. Evidence of organic brain disorder (e.g. epilepsy)
2. A diagnosis of current substance abuse as defined by the DSM IV
3. A plan to change medication during the trial
Anticipated start date 30/09/1998
Anticipated end date 30/09/2004
Status of trial Completed
Patient information material
Target number of participants 40
Interventions Cognitive remediation therapy versus usual care
Primary outcome measure(s) 1. Cognitive flexibility (number of categories achieved on the Wisconsin Card Sort Test [WCST] Heaton et al.)
2. Memory (raw score from Digit Span: Wechsler Adult Intelligence Scale-III [WAIS-III] Wechsler,1981)
3. Planning (modified six elements)
Secondary outcome measure(s) 1. Social Behaviour Schedule ([SBS] Wykes and Sturt, 1986) for social functioning
2. Brief Psychiatric Rating Scale (for symptoms) using Lukoff et al. version and Shaffer Factor Scores
3. Quality of Life Scale (for social inclusion)
4. Rosenberg Self Esteem Scale (Rosenberg, 1965)
Sources of funding Mental Health Foundation SCYP 97/06, research support account PAH9009
Trial website
Publications 1. 2007 results in http://www.ncbi.nlm.nih.gov/pubmed/17524620
Contact name Prof  Til  Wykes
  Address Department of Psychology
P O Box 77
Institute of Psychiatry
De Crespigny Park
  City/town London
  Zip/Postcode SE5 8AF
  Country United Kingdom
Sponsor King's College London (UK)
  Address De Crespigny Park
  City/town London
  Zip/Postcode SE5 8AF
  Country United Kingdom
  Sponsor website: http://www.iop.kcl.ac.uk
Date applied 20/03/2006
Last edited 07/12/2010
Date ISRCTN assigned 05/05/2006
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