Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study

Introduction. The present study was intended to evaluate the effects of a rehabilitative training, the Cognitive Pragmatic Treatment (CPT), aimed at improving communicative-pragmatic abilities and the related cognitive components, on the cerebral modifications of a single case patient diagnosed with...

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Main Authors: Ilaria Gabbatore, Francesca M. Bosco, Elisabetta Geda, Luigi Gastaldo, Sergio Duca, Tommaso Costa, Bruno G. Bara, Katiuscia Sacco
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2017/1612078
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author Ilaria Gabbatore
Francesca M. Bosco
Elisabetta Geda
Luigi Gastaldo
Sergio Duca
Tommaso Costa
Bruno G. Bara
Katiuscia Sacco
author_facet Ilaria Gabbatore
Francesca M. Bosco
Elisabetta Geda
Luigi Gastaldo
Sergio Duca
Tommaso Costa
Bruno G. Bara
Katiuscia Sacco
author_sort Ilaria Gabbatore
collection DOAJ
description Introduction. The present study was intended to evaluate the effects of a rehabilitative training, the Cognitive Pragmatic Treatment (CPT), aimed at improving communicative-pragmatic abilities and the related cognitive components, on the cerebral modifications of a single case patient diagnosed with schizophrenia. Methods. The patient underwent two functional magnetic resonance imaging (fMRI) sessions, before and after the treatment. In order to assess brain changes, we calculated the Amplitude of Low Frequency Fluctuation (ALFF) index of the resting-state fMRI signal, which is interpreted as reflecting the intensity of the spontaneous regional activity of the brain. Behavioural measures of the patient’s communicative performance were also gathered before and after training and at follow-up. Results. The patient improved his communicative performance in almost all tests. Posttraining stronger ALFF signal emerged in the superior, inferior, and medial frontal gyri, as well as the superior temporal gyri. Conclusions. Even if based on a single case study, these preliminary results show functional changes at the cerebral level that seem to support the patient’s behavioural improvements.
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series Neural Plasticity
spelling doaj-art-ebb01cced85844ff9e5b0505e7bec48e2025-02-03T01:33:03ZengWileyNeural Plasticity2090-59041687-54432017-01-01201710.1155/2017/16120781612078Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI StudyIlaria Gabbatore0Francesca M. Bosco1Elisabetta Geda2Luigi Gastaldo3Sergio Duca4Tommaso Costa5Bruno G. Bara6Katiuscia Sacco7Faculty of Humanities, Research Unit of Logopedics, Child Language Research Center, University of Oulu, Oulu, FinlandCenter for Cognitive Science (CSC), University and Polytechnic of Turin, Turin, ItalyBrain Imaging Group (BIG), Koelliker Hospital, Turin, ItalyPsychiatric Service, Mental Health Department, ASL-TO3, Turin, ItalyCCS fMRI, Koelliker Hospital, Turin, ItalyDepartment of Psychology, University of Turin, Turin, ItalyCenter for Cognitive Science (CSC), University and Polytechnic of Turin, Turin, ItalyDepartment of Psychology, University of Turin, Turin, ItalyIntroduction. The present study was intended to evaluate the effects of a rehabilitative training, the Cognitive Pragmatic Treatment (CPT), aimed at improving communicative-pragmatic abilities and the related cognitive components, on the cerebral modifications of a single case patient diagnosed with schizophrenia. Methods. The patient underwent two functional magnetic resonance imaging (fMRI) sessions, before and after the treatment. In order to assess brain changes, we calculated the Amplitude of Low Frequency Fluctuation (ALFF) index of the resting-state fMRI signal, which is interpreted as reflecting the intensity of the spontaneous regional activity of the brain. Behavioural measures of the patient’s communicative performance were also gathered before and after training and at follow-up. Results. The patient improved his communicative performance in almost all tests. Posttraining stronger ALFF signal emerged in the superior, inferior, and medial frontal gyri, as well as the superior temporal gyri. Conclusions. Even if based on a single case study, these preliminary results show functional changes at the cerebral level that seem to support the patient’s behavioural improvements.http://dx.doi.org/10.1155/2017/1612078
spellingShingle Ilaria Gabbatore
Francesca M. Bosco
Elisabetta Geda
Luigi Gastaldo
Sergio Duca
Tommaso Costa
Bruno G. Bara
Katiuscia Sacco
Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study
Neural Plasticity
title Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study
title_full Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study
title_fullStr Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study
title_full_unstemmed Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study
title_short Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study
title_sort cognitive pragmatic rehabilitation program in schizophrenia a single case fmri study
url http://dx.doi.org/10.1155/2017/1612078
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