{"title":"青少年心理健康障碍的认知修复：系统回顾和荟萃分析","authors":"Caroline East-Richard, Audrey Cayouette, Kelly Allott, Élizabeth Anderson, Frédéric Haesebaert, Matteo Cella, Caroline Cellard","doi":"10.1111/eip.70016","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>The effects of cognitive remediation therapy (CRT) in adults with mental health disorders have been widely documented, but its effects in adolescents with mental health disorders remain poorly understood. This review aims to (1) determine the effects of CRT on cognition, symptoms and functioning for adolescents with mental health disorders and (2) evaluate the methodological quality of studies on CRT.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A systematic review and meta-analysis were conducted of randomised controlled trials of CRT involving adolescents with mental health disorders. Searches were conducted in databases for studies pertaining to CRT effects on cognition, social functioning and clinical symptoms. Methodological quality was assessed using the Clinical Trials Assessment Measure.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Fourteen studies (<i>N</i> = 14) were included, with 11 independent samples (<i>k</i> = 11, 592 participants). Participants had various mental health disorders. CRT showed a small significant effect on cognition (<i>g</i> = 0.14, <i>p</i> = 0.02), particularly on processing speed, working memory and episodic memory. No significant effects were found for clinical symptoms (<i>g</i> = 0.04, <i>p</i> = 0.58) and social functioning (g = 0.06, <i>p</i> = 0.39). Methodological quality of included studies was variable, ranging from poor to good quality.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Included studies showed a small significant effect of CRT on cognition, and non-significant effects on clinical symptoms and social functioning in adolescents with mental health disorders. The lack of effects may be partly explained by limitations in the methodology of included studies. A critical analysis of current studies is presented and recommendations of core techniques to consider for future CRT studies are discussed.</p>\n </section>\n </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70016","citationCount":"0","resultStr":"{\"title\":\"Cognitive Remediation for Adolescents With Mental Health Disorders: A Systematic Review and Meta-Analysis\",\"authors\":\"Caroline East-Richard, Audrey Cayouette, Kelly Allott, Élizabeth Anderson, Frédéric Haesebaert, Matteo Cella, Caroline Cellard\",\"doi\":\"10.1111/eip.70016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>The effects of cognitive remediation therapy (CRT) in adults with mental health disorders have been widely documented, but its effects in adolescents with mental health disorders remain poorly understood. This review aims to (1) determine the effects of CRT on cognition, symptoms and functioning for adolescents with mental health disorders and (2) evaluate the methodological quality of studies on CRT.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A systematic review and meta-analysis were conducted of randomised controlled trials of CRT involving adolescents with mental health disorders. Searches were conducted in databases for studies pertaining to CRT effects on cognition, social functioning and clinical symptoms. Methodological quality was assessed using the Clinical Trials Assessment Measure.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Fourteen studies (<i>N</i> = 14) were included, with 11 independent samples (<i>k</i> = 11, 592 participants). Participants had various mental health disorders. CRT showed a small significant effect on cognition (<i>g</i> = 0.14, <i>p</i> = 0.02), particularly on processing speed, working memory and episodic memory. No significant effects were found for clinical symptoms (<i>g</i> = 0.04, <i>p</i> = 0.58) and social functioning (g = 0.06, <i>p</i> = 0.39). Methodological quality of included studies was variable, ranging from poor to good quality.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Included studies showed a small significant effect of CRT on cognition, and non-significant effects on clinical symptoms and social functioning in adolescents with mental health disorders. The lack of effects may be partly explained by limitations in the methodology of included studies. 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引用次数: 0
摘要
认知修复疗法（CRT）对成人心理健康障碍的影响已被广泛记载，但其对青少年心理健康障碍的影响仍知之甚少。本综述旨在(1)确定CRT对青少年心理健康障碍患者的认知、症状和功能的影响；(2)评价CRT研究的方法学质量。方法对涉及青少年心理健康障碍的CRT随机对照试验进行系统评价和meta分析。在数据库中搜索有关CRT对认知、社会功能和临床症状影响的研究。采用临床试验评估量表评估方法学质量。结果纳入14项研究（N = 14）， 11个独立样本（k = 11,592名受试者）。参与者有各种心理健康障碍。CRT对认知的影响不显著（g = 0.14, p = 0.02），尤其是对加工速度、工作记忆和情景记忆的影响。临床症状（g = 0.04, p = 0.58）和社会功能（g = 0.06, p = 0.39）无显著影响。纳入研究的方法学质量是可变的，从质量差到质量好。结论纳入的研究显示CRT对青少年心理健康障碍患者的认知有小的显著影响，对临床症状和社会功能无显著影响。缺乏效果的部分原因可能是纳入研究方法的局限性。对当前研究进行了批判性分析，并对未来CRT研究的核心技术进行了讨论。
Cognitive Remediation for Adolescents With Mental Health Disorders: A Systematic Review and Meta-Analysis
Introduction
The effects of cognitive remediation therapy (CRT) in adults with mental health disorders have been widely documented, but its effects in adolescents with mental health disorders remain poorly understood. This review aims to (1) determine the effects of CRT on cognition, symptoms and functioning for adolescents with mental health disorders and (2) evaluate the methodological quality of studies on CRT.
Methods
A systematic review and meta-analysis were conducted of randomised controlled trials of CRT involving adolescents with mental health disorders. Searches were conducted in databases for studies pertaining to CRT effects on cognition, social functioning and clinical symptoms. Methodological quality was assessed using the Clinical Trials Assessment Measure.
Results
Fourteen studies (N = 14) were included, with 11 independent samples (k = 11, 592 participants). Participants had various mental health disorders. CRT showed a small significant effect on cognition (g = 0.14, p = 0.02), particularly on processing speed, working memory and episodic memory. No significant effects were found for clinical symptoms (g = 0.04, p = 0.58) and social functioning (g = 0.06, p = 0.39). Methodological quality of included studies was variable, ranging from poor to good quality.
Conclusion
Included studies showed a small significant effect of CRT on cognition, and non-significant effects on clinical symptoms and social functioning in adolescents with mental health disorders. The lack of effects may be partly explained by limitations in the methodology of included studies. A critical analysis of current studies is presented and recommendations of core techniques to consider for future CRT studies are discussed.
期刊介绍：
Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.
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