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Engagement With the Auditory Processing System During Targeted Auditory Cognitive Training Mediates Changes in Cognitive Outcomes in Individuals With Schizophrenia

Overview of attention for article published in Neuropsychology, November 2016
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Title
Engagement With the Auditory Processing System During Targeted Auditory Cognitive Training Mediates Changes in Cognitive Outcomes in Individuals With Schizophrenia
Published in
Neuropsychology, November 2016
DOI 10.1037/neu0000311
Pubmed ID
Authors

Bruno Biagianti, Melissa Fisher, Torsten B. Neilands, Rachel Loewy, Sophia Vinogradov

Abstract

Individuals with schizophrenia who engage in targeted cognitive training (TCT) of the auditory system show generalized cognitive improvements. The high degree of variability in cognitive gains maybe due to individual differences in the level of engagement of the underlying neural system target. 131 individuals with schizophrenia underwent 40 hours of TCT. We identified target engagement of auditory system processing efficiency by modeling subject-specific trajectories of auditory processing speed (APS) over time. Lowess analysis, mixed models repeated measures analysis, and latent growth curve modeling were used to examine whether APS trajectories were moderated by age and illness duration, and mediated improvements in cognitive outcome measures. We observed significant improvements in APS from baseline to 20 hours of training (initial change), followed by a flat APS trajectory (plateau) at subsequent time-points. Participants showed interindividual variability in the steepness of the initial APS change and in the APS plateau achieved and sustained between 20 and 40 hours. We found that participants who achieved the fastest APS plateau, showed the greatest transfer effects to untrained cognitive domains. There is a significant association between an individual's ability to generate and sustain auditory processing efficiency and their degree of cognitive improvement after TCT, independent of baseline neurocognition. APS plateau may therefore represent a behavioral measure of target engagement mediating treatment response. Future studies should examine the optimal plateau of auditory processing efficiency required to induce significant cognitive improvements, in the context of interindividual differences in neural plasticity and sensory system efficiency that characterize schizophrenia. (PsycINFO Database Record

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The data shown below were compiled from readership statistics for 86 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Unknown 85 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 16 19%
Researcher 12 14%
Student > Ph. D. Student 11 13%
Student > Doctoral Student 7 8%
Student > Bachelor 6 7%
Other 14 16%
Unknown 20 23%
Readers by discipline Count As %
Psychology 32 37%
Neuroscience 8 9%
Medicine and Dentistry 6 7%
Agricultural and Biological Sciences 4 5%
Nursing and Health Professions 3 3%
Other 6 7%
Unknown 27 31%