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Cognitive and Psychosocial Recovery in Schizophrenia: Evidence from a Case Study on Integrated Rehabilitation

Year: 2025

Type: article

Abstract: Background: Schizophrenia is a chronic disorder characterized by positive and negative symptoms, cognitive deficits, and brain alterations, primarily affecting the frontal and temporal lobes. Traumatic events, such as head injury, may worsen these deficits. Objective: The aim of this study is to describe the application of an integrated rehabilitation program, including cognitive and emotional–motivational interventions, in a patient with head trauma and a history of schizophrenia, highlighting the multidimensional nature of the rehabilitation process. Methods: We described the case of a 34-year-old patient. The program included a baseline cognitive and psychological assessment, a 12-month rehabilitation training with three weekly sessions (two cognitive and one emotional–motivational, each lasting 60 min), and a follow-up to assess long-term outcomes. Change significance between baseline and follow-up was assessed using the Reliable Change Index (RCI). Values of RCI ≥ 1.96 indicated a statistically reliable improvement or decline at p < 0.05. Results: The patient showed significant cognitive and emotional recovery, with improvements confirmed by RCI and p-values: attention (RCI = +2.45, p = 0.014), working memory (RCI = +2.85, p = 0.004), executive functions (RCI = +2.18, p = 0.029), depression (RCI = +2.10, p = 0.036), anxiety (RCI = +1.95, p = 0.052), and insight (RCI = +2.20, p = 0.028); mild long-term memory deficits persisted. Conclusions: Integrated rehabilitation promoted cognitive, psychosocial, and occupational recovery, improving daily functioning and reducing maladaptive thoughts, emphasizing the importance of a multidimensional approach in schizophrenia.

Source: Psychiatry International

DOI: 10.3390/psychiatryint7010006