Psychological assessment and intervention in cognition in mental disorder. - TMEIC

Reference of the Group:

GIUV2017-344

 
Description of research activity:
Overall, the research activity of our working group has focused on the assessment of cognitive functioning in patients with mental disorders, the development of alternatives to facilitate the assessment of their intellectual functioning, the specific study of implicit memory in these same patients to determine to what extent the types of tasks and the parameters used to assess the functioning of this memory system condition the results of such assessment and, finally, the evaluation of the effectiveness of rehabilitation programmes of cognition in mental disorders, especially in schizophrenia. This work has been carried out for more than two decades with the support of research projects funded by the Universitat de València, the Consellería de Educación, the Consellería de Sanidad and the Ministerio de Educación. This research has resulted in the publication of numerous works which are listed in the attached CVs. More specifically, our research activity has been developed through the following lines of work: Cognitive assessment in schizophrenia. This line of research focuses on the evaluation of neurocognitive functioning, including social cognition, in the mental disorder in...Overall, the research activity of our working group has focused on the assessment of cognitive functioning in patients with mental disorders, the development of alternatives to facilitate the assessment of their intellectual functioning, the specific study of implicit memory in these same patients to determine to what extent the types of tasks and the parameters used to assess the functioning of this memory system condition the results of such assessment and, finally, the evaluation of the effectiveness of rehabilitation programmes of cognition in mental disorders, especially in schizophrenia. This work has been carried out for more than two decades with the support of research projects funded by the Universitat de València, the Consellería de Educación, the Consellería de Sanidad and the Ministerio de Educación. This research has resulted in the publication of numerous works which are listed in the attached CVs. More specifically, our research activity has been developed through the following lines of work: Cognitive assessment in schizophrenia. This line of research focuses on the evaluation of neurocognitive functioning, including social cognition, in the mental disorder in order to determine the interrelationships that exist between the different cognitive domains, and to assess the extent to which they determine the social functioning of the patient. In the context of this line of research, our attention has focused on the neurocognitive domains of attention, episodic memory and executive functioning, and within social cognition, on the domains of emotional perception, theory of mind, social perception and attributional style. Although they could be framed within the field referred to in our research line nº1, our research team has been developing two more specific lines of research (lines nº2 and nº3). Intellectual functioning in schizophrenia. This line of research focuses on the development of abbreviated versions of the classic tests used to assess intellectual functioning, with the aim of facilitating their use in patients with mental disorders and allowing rapid screening of the patient. Implicit memory in schizophrenia. In general terms, scientific evidence indicates that implicit memory functioning is preserved in mental disorder. However, sometimes the evidence is contradictory and the reason may lie in the disparity of tasks used in the assessment of implicit memory and in the methodological conditions that occur within each test. In this line of research, our work focuses on clarifying which tasks are the most appropriate and which methodological conditions should be considered within these tasks in order to validly assess implicit memory. Assessment of cognitive deficits in people with different diagnoses of mental disorder, basically schizophrenia, by means of tasks widely used in experimental psychology such as lexical decision and fragment completion. Psychological intervention in cognition in schizophrenia. In this line of research our work focuses on the evaluation of programmes focused on the rehabilitation of neurocognition and social cognition to improve the social functioning of people with mental disorders (e.g. IPT, Gradior, EMT).
[Read more][Hide]
 
Web:
 
Scientific-technical goals:
  • Identificar los patrones de interrelacion entre la neurocognicion, la cognicion social y el funcionamiento social en pacientes con trastorno mental. Para alcanzar este objetivo es necesaria la evaluacion de la neurocognicion (atencion, memoria episodica y funcionamiento ejecutivo), la cognicion social (percepcion emocional, teoria de la mente, percepcion social y estilo atribucional) y el funcionamiento social del paciente. La identificacion de esos patrones de interrelacion permite determinar que aspectos de la neurocognicion y de la cognicion social tienen un efecto sobre el funcionamiento cotidiano del paciente y en consecuencia identificar los dominios neurocognitivos y de cognicion social sobre los que dirigir la atencion para el desarrollo de programas de rehabilitacion.
  • La pruebas utilizadas en la evaluacion del funcionamiento intelectual requieren completar distintas tareas que en total necesitan de un periodo amplio de tiempo. En el caso de los pacientes con trastorno mental este tiempo aun es mayor, y completar la evaluacion supone un esfuerzo suplementario para estos pacientes. Estas circunstancias hacen que en numerosas ocasiones no se realice una adecuada valoracion de su funcionamiento intelectual. Dada esta situacion, nuestro objetivo es desarrollar versiones abreviadas de las pruebas mas utilizadas en la evaluacion del funcionamiento intelectual (escalas Wechsler) para su utilizacion especifica en pacientes con esquizofrenia. Estas versiones persiguen alcanzar una fiabilidad equivalente a la que tienen las versiones completas de las pruebas, reducir notablemente el tiempo necesario para completarlas e, indirectamente, favorecer su utilizacion en la valoracion de estos pacientes.
  • El estudio del funcionamiento de la memoria implicita en el trastorno mental se ha desarrollado de manera amplia en los ultimos años porque, frente a la evidencia consistente de que la memoria episodica esta deteriorada, la evidencia sobre el posible deterioro de la memoria implicita no ha sido tan consistente. En buena medida esto se ha debido a la variedad de pruebas de laboratorio utilizadas para su evaluacion y al modo como se han manipulado los parametros utilizados en esas pruebas. En este contexto nuestro objetivo es el de clarificar cual es el patron de resultados que pueden observarse cuando se evalua el funcionamiento de la memoria implicita en funcion del tipo de tarea experimental utilizada (p.e. completado de fragmentos, decision lexica) y los parametros manipulados en esas tareas (p.e. fuerza asociativa, asincronia estimular).
  • Nuestro trabajo del estudio del funcionamiento intelectual, neurocognitivo y de la cognicion social en pacientes con un trastorno mental grave como es la esquizofrenia en ultima instancia pretende identificar dominios cognitivos no deteriorados en estos pacientes, que puedan utilizarse como recursos cuando se diseñan programas de rehabilitacion cognitiva. Por eso, otro de nuestros objetivos es el de evaluar programas de rehabilitacion cognitiva y de la cognicion social en pacientes con trastorno mental, para aportar la evidencia empirica que permita valorar su eficacia.
 
Research lines:
  • Intellectual functioning in mental disorder.Development of abbreviated versions of the classic tests used in intellectual assessment, with the aim of facilitating the assessment of intellectual functioning and the screening of patients with severe mental disorders.
  • Cognitive assessment in mental disorder.To assess neurocognition and social cognition in schizophrenia, including attention, episodic memory, executive functions, emotional perception, theory of mind, attributional style and social perception.
  • Psychological intervention in cognition in mental disorders.To evaluate the effectiveness of different programmes (e. g. IPT, EMT, INT) in improving neurocognition, social cognition and social functioning in people with mental disorders.
  • Implicit memory functioning in schizophrenia.Study of the functioning of the semantic memory network to specifically identify both deficits and preserved functions in schizophrenia in order to develop personalised rehabilitation plans.
 
Group members:
Name Nature of participation Entity Description
JUAN C RUIZ RUIZDirectorUniversitat de València
Research team
CARMEN DASI VIVOMemberUniversitat de València
MARIA PILAR BLASCO GONZALEZMemberUniversitat de València
MARIA DOLORES SANCERNI BEITIACollaboratorUniversitat de València
INMACULADA FUENTES DURACollaboratorUniversitat de València
PATRICIA MARIA CORREA GHISAYSCollaboratorUniversitat de València
PATRICIA MARIA CORREA GHISAYSCollaboratorCentro de Investigación Biomédica en Red de Salud Mentalpostdoctoral researcher
 
CNAE:
  • -
 
Associated structure:
  • Behavioral Sciences Methodology
 
Keywords:
  • Funcionamiento intelectual; screening
  • Neurocognición; cognición social; esquizofrenia
  • Esquizofrenia; rehabilitación cognitiva; rehabilitación en cognición social; intervención psicosocial
  • Memoria semántica; memoria implícita