Effectiveness of cognitive rehabilitation intervention (focusing on artificial intelligence) on parietal lobe functions in schizophrenic patients

Subject Areas : Clinical

Elham Tabatabaei Kashani ¹ , Elham Foroozandeh ² , Ayoub Bagheri ³

1 - Department of Educational Sciences and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2 - Faculty of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
3 - Assistant Professor in Department of Methodology and Statistics, Utrecht University Utrecht, Dutch

Received: 2020-12-21 Accepted : 2021-02-03 Published : 2023-09-21

Keywords: Artificial Intelligence, cognitive rehabilitation, schizophrenia, Parietal lobe,

Abstract :

The aim of this study was to evaluate the effectiveness of cognitive rehabilitation on parietal lobe functions in patients with schizophrenia: focusing on artificial intelligence. The research method was quasi-experimental pre-test-post-test. The statistical population of the study included all schizophrenia patients admitted to Isfahan hospitals. Thus, after designing software focusing on artificial intelligence At least 30 patients with schizophrenia were selected by purposive sampling method by referring to Farabi and Modares psychiatric hospitals. Were selected and tested with tests related to the evaluation of parietal lobe functions, which were introduced in the next section. Then, according to the cognitive status of each of them, the number of sessions and the time required for the cognitive rehabilitation intervention were determined and performed. The results of multivariate analysis of covariance showed a significant increase in function in the parietal lobe of schizophrenia patients in the experimental group compared to the control group (p≤0.05). According to the research findings, cognitive rehabilitation with a focus on artificial intelligence can be used to increase the parietal lobe functions of patients with schizophrenia.

References:

Ali Beigi, N; Mohammadkhani, P.; Mazinani, R., Dolatshahi, B. (2011).The efficacy of Group Cognitive-Remediation Therapy for Patients with Schizophrenia with Longitudinal Course, Iranian Journal of Psychiatry and Clinical Psychology, 17(1), 44 -52. [Persian]

Arnett, P. A., Rao, S. M., Bernardin L., Grafman J., Yetkin, F. Z. &Lobeck, L. (1994).Relationship between frontal lobe lesions andWisconsin Card Sorting Test performance in patients with multiplesclerosis.Neurology; 44(3): 420-425.

Blanchard, J. J. & Neale, J. M. (1994). The neuropsychologicalsignature of schizophrenia: Generalized or differential deficits, American Journal of Psychiatry, 151(1): 40-48.

Cardoso, L., Marins, F., Magalhães, R., Marins, N., Oliveira, T., Vicente, H., &Neves, J. (2015).Abstract computation in schizophrenia detection through artificial neural network based systems. The Scientific World Journal.

Drood, N.; Fahimi, M. A.; Ashyeri, H. &Khalafbeygi, M. (2011).Comparative study of instrumental activities of daily living (IADLs) in patients with schizophrenia and normal matched individuals, Modern Rehabilitation, 5(3), 51-57.[Persian]

Fenton, W.S., Schooler, N.R. (2000). Evidence-based psychosocial treatment for schizophrenia. Schizophrenic Bull, 26:1-3.

Goel, V. &Grafman, J. (1995). Are the frontal lobes implicated in „Planning“ functions? Interpreting data from the Tower of Hanoi.Neuropsychological, 33(5): 623-642.

Green, M.F., Kern, R.S., Braff, D.L., Mintz, J. (2000). NeurocognitiveDeficits and Functional Outcome in Schizophrenia: Are We Measuring the “Right Stuff”? Schizophrenia Bulletin, 26, 119-136.

Helmstaedter, C., Kemper, B. & Elgar, C. (1996). Neuropsychologicalaspects of frontal lobe epilepsy.Neuropsychological, 34(5): 399-406.

Herz, M. I., &Marder, S. R. (2002). Schizophrenia: comprehensive treatment and management. Lippincott Williams & Wilkins.‏Institute of Medicine, Board on the Health of Select Populations. Committee on genitive   Rehabilitation therapy for traumatic Brain Injury2012- preview- More editions.

Ienca, M., &Ignatiadis, K. (2020). Artificial Intelligence in Clinical Neuroscience: Methodological and Ethical Challenges. AJOB neuroscience, 11(2), 77-87.

Javanmard, GH. H. (2011).Comparison of posterior brain activity in patients with schizophrenia and healthy individuals, Medical Journal of Urmia University of Medical Sciences, 22(3), 176-184. [Persian]

Kaplan, H. I., &Sadock, B. J. 2015.Synopsis ofpsychiatry: Behavioral sciences, clinical psychiatry 11th edition, page 340, 504-507.

Kaplan HI, Sadock BJ. (2007) Psychiatry Synopsis. Rezaee, F., Translator. Tehran: Arjmand. [Persian]

Kingdon, D., Hansen, L. (2009). Cognitive Behavior Therapy for People with Schizophrenia.Psychiatry, 6(12): 32-39.

Kurzban, S., Davis, L., Brekke, J.S. (2010). Vocational, social, and cognitive rehabilitation for individuals diagnosed withschizophrenia: a review of recent research and trends. Current Psychiatry Rep, 12:345-55.

Lee J, Park S. (2005). Working memory impairments in schizophrenia: a meta-analysis.Journal of Abnormal Psychology, 114(4): 599-611

Lees, J., Michalopoulou, P. G., Lewis, S. W., Preston, S., Bamford, C., Collier, T., ...& Kapur, S. (2017). Modafinil and cognitive enhancement in schizophrenia and healthy volunteers: the effects of test battery in a randomised controlled trial. Psychological Medicine, 1-11.‏

Lehman, A.F., Steinwachs, D.M. (2003). Evidence-based psychosocial treatment practices in schizophrenia: lessons from the patient outcomes research team (PORT) project. J Am Academic Psychoanalyses Dynamic Psychiatry, 31:141-54.

Lysaker, P. H., Davis, L.W., Bryson, G.J., Bell, M. D. (2009). Effects of cognitive behavioral therapy on work outcomes in vocational rehabilitation for participants with schizophrenia spectrum disorders. Schizophrenic Res, 107:186-91.

Nicholi, A.M. (Editor). (1999). The Harvard Guide to Psychiatry, USA:  Harvard University Press.

Nokani M, Jamilian H, Zohrevand M, Mohsen Pourian K. (2019). The effectiveness of cognitive rehabilitation on short - term memory deficits of chronic schizophrenic patients.Yafte; 21 (2): 93-102. [Persian]

Orrico-Sánchez, A., López-Lacort, M., Muñoz-Quiles, C., Sanfélix-Gimeno, G., &Díez-Domingo, J. (2020).Epidemiology of schizophrenia and its management over 8-years period using real-world data in Spain. BMC psychiatry, 20, 1-9.

Penades, R., Catalan, R., Rubia, K., Andres, S., Salamero, M., &Gasto, C. (2007).Impaired response inhibition in obsessive compulsive disorder. European Psychiatry, 22(6), 404-410.

Sato, M., Yasuhara, Y., Osaka, K., Ito, H., Dino, M. J. S., Ong, I. L., ...& Tanioka, T. (2020). Rehabilitation care with Pepper humanoid robot: A qualitative case study of older patients with schizophrenia and/or dementia in Japan. EnfermeríaClínica, 30, 32-36.

Sim, K., Chua, T. H., Chan, Y. H., Mahendran, R., Chong,  S. A. (2006). Psychiatric comorbidity in firstepisode schizophrenia: a 2 year, longitudinaloutcome study. Journal of Psychiatry Research, 40(7):656-663.

TabatabaeiKashani, E., Foroozandeh, E. &Bagheri, A. (2020).Line Bisection Test Software to Evaluate the Visual-spatial Functions inSchizophrenic Patients, Journal of Health and Biomedical Informatics Medical Informatics Research Center, 7(3):263-272.[Persian]

Torrey, E. F. (2007). Schizophrenia and the inferior parietal lobule.Schizophrenia research, 97(1), 215-225.‏

Turkington, D., Kingdon, D., &Weiden, P. J. (2006). Cognitive behavior therapy for schizophrenia. American Journal of Psychiatry, 163, 365-373.

Vance A, Hall N, Bellgrove MA, Casey M, Karsz F, Maruff P. (2006). Visuospatial working memory deficits in adolescent onset schizophrenia. Schizophrenic Research, 87(1-3):233-7.

Wykes, T., & van der Gaag, M. (2001). Is it time to develop anew cognitive therapy for psychosis—cognitive remediation therapy (CRT)? Clinical psychology review, 21(8), 1227-1256.