Research Article

An Individualized and Everyday Life Approach to Cognitive Rehabilitation in Schizophrenia: A Case Illustration

Table 1

Pre-rehabilitation, post-rehabilitation, and follow-up cognitive assessment.

Cognitive tests Pre-rehabilitation Post-rehabilitationFollow-up

Working memory
Storage
(i) Digit span (forward) (MEM-III)−0.70.49−0.7
Processing load
(i) Digit span (backward) (MEM-III)−10.760.17
(ii) Number of trials for digit span (MEM-III)−2.330.33−0.33
(iii) Letter-number sequencing (MEM-III)−1.33−0.66−0.66
Updating
(i) Working memory (TAP): median RT/SD RT/omission(s) P84/P50/P4 P79/P50/P18 P76/P50/P18
Executive functions
Inhibition
(i) Go/no-go (TAP): median RT/SD RT/error(s)P14/P27/P<46P1/P38/P42P34/P46/<P42
Flexibility
(i) Flexibility (TAP): median RT/SD RT/error(s)–P10/P7/P27P7/P2/P82P12/P16/P8
(ii) Verbal fluency: phonological/semantic−0.33/−1.420.18/−2.370.16/−0.71
Planning
(i) Six Elements Test: total score/error(s) −1.48/−1.5−2.62/−0.080.01/0.32
Episodic Memory
 Explicit verbal episodic memory*
(i) Logical memory (MEM-III): (I) First recall/total recall/−1.33/−1.67//
 learning curve/theme−1/−1//
 (II) Total recall/retention%/theme −1.67/−1/−1//
(ii) California Verbal Learning Test:
  First recall A/fifth recall A/total recall A/−1.93/P5-25/−20.2/P50/−0.91/
  Short-term recall A/cued recall A −1.6/−1.67−0.44/−1.2/
  Delayed recall A/delayed cued recall A−2/−2.42−1.62/−1.49/
  Recognition/false recognition P5-25/P5-25P50/P5-25/
(iii) RL/RI-16: immediate recall/free recall I/cued recall I//P99/−1.5/P99
 Free recall II/cued recall II //−1.84/P25
 Free recall III/cued recall III //−1.57/P99
 Delayed free recall/delayed cued recall/recognition (/16)//−3.6/P5-25/16
Explicit visual episodic memory
(i) Face recognition (MEM-III): part I/part II/retention0.33/−0.33/−0.67//
Attentional functions
Divided attention
(i) Divided attention (TAP): median RT/SD RT/omission(s)P62/P42/P4P38/P14/P12P76/P16/<P18
Sustained attention
(i) Digit continuous ordination: mean efficiency: 0–10 min/
−2.62−2.76−2.83
 10–20 min/0–20 min−2.72/2.82−2.72/−2.79−3.22/−3.1
Processing speed
(i) Digit symbol—coding (WAIS-III)−1−0.67−0.33

Different episodic memory tests were used at different moments of evaluation (pre-rehabilitation, post-rehabilitation, follow-up) in order to avoid learning effects; numbers in bold indicate a deficit score (< −1.65 for the z-scores, <10 for the percentiles); RT: reaction time; SD: standard deviation; digit span, letter-number sequencing, logical memory (MEM-III; [16]); working memory, go/no-go, flexibility, divided attention (TAP; [17]); digit symbol (WAIS-III; [18]); verbal fluency [19]; Six Elements Test ([20]; French adaptation, [21]); California Verbal Learning Test ([22]; French adaptation, [23]); RL/RI-16 [24]; digit continuous ordination [25].