Effectiveness of cognitive remediation therapy versus functional adaptation skills training in improving cognitive ability and adl in schizophrenia patients

Background: Patients with schizophrenia have a drastically increased morbidity and mortality. The most debilitating problem in these conditions is impairments in everyday functioning. Cognitive deficits interfere with ADLs. In non-mental health settings, physiotherapists play an integral role in the management of many of the co morbidities like cognitive ability and ADL in schizophrenia patients which are associated with poor long term functioning.
Purpose: The study is aimed to determine the Effectiveness of Cognitive Remediation Therapy versus Functional Adaptation Skills Training and to find out which treatment protocol is better in to improve cognitive Ability and ADL in Schizophrenia Patients so that better and specific treatment guidelines can be formulated.
Methodology: Samples of thirty indoor (n=30) schizophrenic patients between the ages of 45-55 years with cognitive and functional difficulties in ADL were included in the study. Subjects were divided into 15 in each group by using chit method. Group A CRT n=15 and Group B FAST n=15. The study is carried out for the duration of 6 months the protocol for both the group is for 6 weeks.
Study design: Experimental study
Outcomes: Outcomes would be calculated at the start of the treatment and at the end of the last day of treatment by using General Activities Of Daily Living Scale (GADL) and Mini Mental State Examination (MMSE).
Results: Group A consists of 15 patients, there pre-treatment mean in MMSE scale was 13.733 and post treatment was 18.8 and In GADL scale, the pre-treatment mean was 12.666 and post treatment was 18.7333. This shows that there is significant difference in means of Pre-intervention and Post-intervention MMSE and GADL within Group A with P<0.005.While in group B, which consists of 15 patients, there pre-treatment mean in MMSE was 13.6 and post treatment was 17.6 and in GADL scale, the pre-treatment mean was 10.533 and post treatment was 14.2. This shows that there is significant difference in means of Pre-intervention and Post-intervention MMSE and GADL within Group B with P<0.005. The mean difference in Group A was 5.066 and Group B was 4.000 according to MMSE scale. And the mean difference in Group A was 6.066 and Group B was 3.666 according to GADL scale
Conclusion: Therefore we concluded that Cognitive Remediation Therapy is an effective and beneficial therapy protocol in treating the cognitive Ability and ADL in schizophrenia patients and can be used in combination with other therapy protocol.