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Front. Psychiatry | doi: 10.3389/fpsyt.2018.00040

Randomized Clinical Trial with e-MotionalTraining® 1.0 for Social Cognition Rehabilitation in Schizophrenia

  • 1Departament of Psycholobiology and Clinical Psychology School, Universidade de Santiago de Compostela, Spain
  • 2Complexo Hospitalario de Ourense. Fundación Biomédica Galicia Sur, Centro de Investigación Biomédica en Red de Salud Mental, Spain
  • 3Complejo Hospitalario Universitario de Santiago, Spain
  • 4Department of Psychiatry, School of Medicine, Universidade de Santiago de Compostela, Spain

Background Schizophrenia patients present deficits in social cognition (SC), emotion and social perception, theory of mind (ToM) and attributive style (AS).
This study tested the efficacy, in real clinical conditions, of a online self- training program in social cognition, e-Motional Training®, in comparison with treatment as usual (TAU).
Method: A randomized single blinded multicenter clinical trial was conducted with 60 schizophrenia stable outpatients. All patients (control and intervention) were treated with drug therapy, case management and individual and group psychotherapy (not focused on social cognition). Intervention group was treated with e-Motional Training®, an online program devised for SC rehabilitation.
Statistical analysis: A descriptive analysis and parametric/ non-parametric tests were used to compare both groups at baseline. Analysis of covariance (ANCOVA) was used to compared post–pre changes in SC between the two interventions. If the group effect was significant, follow-up univariate test (t-test for dependent samples) was carried out in each group to verify whether the effect was due to improvement in the intervention group or deterioration in the control group. We considered statistically significant differences with P < 0.05.
Results: Significant improvements were obtained in the intervention group in Emotion recognition (ER) and most ToM variables in comparison with the control group.
Discussion: e-Motional Training® seems to be a promising online training tool for social cognition deficits in schizophrenia, covering the lack of similar intervention instruments in our community.

Keywords: Cognition, emotional adjustment, Theory of Mind, schizophrenia., emocional perception

Received: 29 Aug 2017; Accepted: 30 Jan 2018.

Edited by:

Felice Iasevoli, University of Naples Federico II, Italy

Reviewed by:

William Horan, University of California, Los Angeles, United States
Philip D. Harvey, Leonard M. Miller School of Medicine, United States  

Copyright: © 2018 Maroño Souto, Vázquez Campo, Diaz LLenderrozas, Rodríguez Álvarez, Mateos and García Caballero. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: PhD. Alejandro A. García Caballero, Centro de Investigación Biomédica en Red de Salud Mental, Complexo Hospitalario de Ourense. Fundación Biomédica Galicia Sur, Madrid, Spain, alejandro.alberto.garcia.caballero@sergas.es