0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Letter to the Editor   |    
Memory Training in Schizophrenia
MARKO JELICIC, PH.D.
Am J Psychiatry 2001;158:1529-1529. doi:10.1176/appi.ajp.158.9.1529

To the Editor: I read the article by Bruce E. Wexler, M.D., and colleagues (1) with much interest. The authors studied the effect of cognitive exercises on verbal and nonverbal memory performance in eight patients with schizophrenia. Three patients exhibited improved performance after training on a verbal memory task (but not on a nonverbal memory test). In these patients, verbal memory gains were associated with an increase in activation of the left frontal cortex on functional magnetic resonance imaging. The authors concluded that verbal memory deficits can be ameliorated by memory exercises in some patients with schizophrenia.

In my opinion, the authors’ conclusion should be treated with some caution. It is possible that the patients showed improved verbal memory performance merely because of repeated testing. My colleagues and I recently conducted a study of the effect of repeated testing on cognitive functioning in psychiatric patients (2) and found substantial gains in the patients’ cognitive performance as a result of repeated testing. Had Dr. Wexler and colleagues used a control group consisting of schizophrenic patients who were not undergoing a training program and reported that none of the control patients showed improved performance in verbal memory tasks, it would have been convincing evidence for an effect of memory exercises on memory function in patients with schizophrenia.

Wexler BE, Anderson M, Fulbright RK, Gore JC: Preliminary evidence of improved verbal working memory performance and normalization of task-related frontal lobe activation in schizophrenia following cognitive exercises. Am J Psychiatry 2000; 157:1694-  1697
 
Jelicic M, Derix MMA, Henquet C, Jolles J: Test-retest stability of the Behavioral Assessment of the Dysexecutive Syndrome (BADS) in psychiatric patients (abstract). J Int Neuropsychol Soc  2000; 6:414
 
+

References

Wexler BE, Anderson M, Fulbright RK, Gore JC: Preliminary evidence of improved verbal working memory performance and normalization of task-related frontal lobe activation in schizophrenia following cognitive exercises. Am J Psychiatry 2000; 157:1694-  1697
 
Jelicic M, Derix MMA, Henquet C, Jolles J: Test-retest stability of the Behavioral Assessment of the Dysexecutive Syndrome (BADS) in psychiatric patients (abstract). J Int Neuropsychol Soc  2000; 6:414
 
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 20.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 8.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 20.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 20.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 20.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles