Taken together, our data indicate that intensive training of component cognitive processes generalized to increase the efficiency of a complex reality monitoring source memory operation in clinically stable but persistently ill patients with schizophrenia. These results do not appear to be due to nonspecific effects of attention, motivation, or engagement, since the patients in the computer games

control condition were fully engaged in the intervention and also rated their experiences as highly enjoyable and beneficial (Fisher et al., 2009). Our results have several far-reaching implications for the treatment of neurocognitive disorders in general and serious psychiatric illness more specifically. First, significant improvements in cognitive and neural function LY294002 solubility dmso in schizophrenia can be induced by a neural systems-based behavioral intervention. Second, the training of component cognitive processes in schizophrenia generalizes to improvement on an untrained complex and higher-order reality monitoring operation. While this is a promising finding, additional research must www.selleckchem.com/products/z-vad-fmk.html determine the necessary and sufficient elements of training; whether this training reveals generalization effects beyond the trained tasks in healthy populations; and finally, whether it can induce the desired

behavioral outcomes of improved quality

of life and community functioning (Fisher et al., 2010 and Green et al., 2000). Vasopressin Receptor Finally, intensive cognitive training can begin to “normalize” abnormal brain-behavior associations in schizophrenia (see also Haut et al., 2010), and such improvements predict better social functioning 6 months later. This research, therefore, raises the exciting likelihood that the neural impairments in schizophrenia—and undoubtedly other neuropsychiatric illnesses—are not immutably fixed, but instead may be amenable to well-designed interventions that target restoration of neural system functioning. The subjects in this study included 31 clinically stable, persistently ill, volunteer schizophrenia patients (SZ: mean age = 40; education = 13 years; IQ = 103; illness duration = 19.4 years) drawn from our randomized clinical trial of cognitive-training (ClinicalTrials.gov NCT00312962) and 16 healthy comparison subjects matched to the SZ subjects at a group level in age, gender, and education (HC: mean age = 45; education = 14 years; IQ = 115) (Table 1). SZ subjects were recruited from community mental health centers and outpatient clinics, and HC subjects were recruited via advertisement. Inclusion criteria were Axis I diagnosis of schizophrenia (determined by the Structured Clinical Interview for DSM-IV [SCID]) (First et al.