Case Report

Top-Down Computerized Cognitive Remediation in Schizophrenia: A Case Study of an Individual with Impairment in Verbal Fluency

Table 1

Neuropsychological and clinical assessments.

Cognitive processesTestsVariables

Neuropsychological assessment
IntelligenceWechsler Adult Intelligence Scale third edition (WAIS-III) [43]Global intelligence
Verbal episodic memoryThe California verbal learning test-II (CVLT-II) [44]Immediate recall, delayed recall, and recognition
Visual episodic memoryRey complex figure test (RCFT) [45]Immediate recall, delayed recall, and recognition
Sustained attention Continuous performance test-II (CPT-II) [46]Hit reaction time block change (change in performance over time)
Hit standard error block change (accuracy)
Selective attention
Inhibitory processes
CPT-II
Inhibition score of the Stroop test from the Delis-Kaplan Executive Function System (D-KEFS) [47]
Omissions, commissions, and detectability
Working memorySpan [48]Total spatial span forward and backward and total digit span forward and backward
Problem solvingWisconsin card sorting test-128 cards (WCST: CV4) [49]Trials to complete the first category and failure to maintain set
Initiation/strategic searchVerbal fluency test (French-Canadian version)Semantic (i.e., animals) and phonemic (i.e., words starting with the letter f) categories
PlanningTower of London (TOLDX) [50]Number of problems solved in minimum moves, rule violation, and time violation

Clinical assessment
Psychiatric symptomsPositive and Negative Syndrome Scale (PANSS) [51]This instrument includes 30 items rated on a scale from 1 (absent) to 7 (extreme)
Social and occupational functioningGlobal assessment of functioning (GAF) [52]This instrument measures on a scale from 1 to 100, higher scores reflecting better functioning. It is divided into ranges of 10 points (i.e., 1–10, 11–20, etc., up to 91–100)