Systematic Review of Computerised Cognitive Remediation interventions in Early Psychosis: Do we Still Need “Somebody with a Human Touch”?

Abstract

Purpose of the Review: Several computerized cognitive remediation (CCR) programs have been developed in recent years, although their efficacy in First Episode Psychosis (FEP) remains unclear, particularly regarding the benefits in terms of functional improvement. This review article provides a systematic evaluation of the efficacy, mechanisms, and implementation characteristics of CCR in FEP and critically reflects on the role of human supervision. Recent Findings: Studies indicates that CCR is effective in improving neurocognition. Evidence for the effects of CCR in social cognition remain less strong and delivery characteristics do not seem to influence this outcome. CCR showed some effects on both clinical symptoms and functional outcomes, with neurocognition being a strong mediator of improvement in social functioning. Summary: Computer-assisted CR programs can offer standardized, scalable interventions and are effective in improving neurocognition, even with limited supervision from trainers. Human supervision seems, however, crucial to ensuring proper development and transferring of skills to everyday functioning.