CPG for Psychosocial Interventions in Severe Mental ... - GuíaSalud

specific elements depending on the existing paradigm. On the one hand, there are interventions
based on the rehabilitating paradigm (repetition) and others based on the compensating paradigm.
Furthermore, it is not the same as focusing the measurements in molecular cognitive functions
(cognitive functions that can be atomised and analysed as a simple answer system), performance
in certain tests, or in psychosocial functioning, which requires generalisation.
The applicability to the Spanish health system of this type of intervention is limited by the
number of hours required for their application, which makes it difficult to include them in the
normal practice in the Mental Health Centres, compared with specific units. Furthermore, these
are techniques that require specific capacity-building of the staff and their effect is moderate: the
distal objective is the improvement in social functioning, an aspect that other interventions also
address such as, for example, social skills training. There is also a risk of taking resources from
other interventions.
Cognitive rehabilitation in people with SMI and a diagnosis of schizophrenia and related
disorders
SR (1+)
SR (1+)
SR (1-)
SR (1+)
Cognitive rehabilitation produces the following effects (ES data according
to the effect size by Cohenb) 125 .
With reference to global cognition in the meta-analysis performed by
Krabendam & Aleman, it is suggested that cognitive rehabilitation may
improve the development of tasks (ES = 0.45; 95% CI: between 0.26 and
0.64) but no significant difference has been detected in cognitive improvement
according to the number of sessions (if there are < 15 sessions compared
with > 15 sessions) (p=0.978) 120 , MacGurk et al. 121 also indicate that
cognitive rehabilitation improves global cognition (significant for 6 of the
7 cognitive domains assessed) (n=1.214; p