Effects of Board Game Therapy on Executive Function in Hospitalized Patients with Chronic Schizophrenia

보드게임요법이 만성 정신분열병 환자의 실행능력에 미치는 효과

  • Received : 2011.05.07
  • Accepted : 2011.05.26
  • Published : 2011.06.30

Abstract

Purpose: This study investigated changes in neurocognitive function over a 2-month period of board game therapy in patients with schizophrenia. Method: Twenty-one schizophrenic patients treated with board game therapy and nineteen control schizophrenic patients were evaluated with neuropsychological and clinical tests, such as the Wisconsin Card Shorting Test (WCST). The same tests were re-administered after 2 months of board game therapy. Results: At the first series of neuropsychological tests, no difference was seen in performance, demographical aspects, or clinical severity among both patient groups. After 2 months, the group receiving board game therapy showed significant improvement of WCST performances compared to the controls. However, no difference was observed in clinical symptoms between the groups. Conclusion: The results of cognitive enhancement in patients playing board games indicates that board game play, easily used in an inpatient setting, is a promising tool for executive function improvement in chronic schizophrenic patients.

Keywords

References

  1. Bellack, A. S., Gold, J. M., & Buchanan, R. W. (1999). Cognitive rehabilitation for schizophrenia: problems, prospects, and strategies. Schizophr Bull, 25(2), 257-274. https://doi.org/10.1093/oxfordjournals.schbul.a033377
  2. Bersani, G., Clemente, R., Gherardelli, S., & Pancheri, P. (2004). Deficit of executive functions in schizophrenia: Relationship to neurological soft signs and psychopathology. Psychopathology 37(3), 118-123. https://doi.org/10.1159/000078610
  3. Bryson, G., Whelahan, H. A., & Bell, M. (2001). Memory and executive function impairments in deficit syndrome schizophrenia. Psychiatry Res, 102, 29-37. https://doi.org/10.1016/S0165-1781(01)00245-1
  4. Demakis, G. J. (2003). A meta-analytic review of the sensitivity of the WCST to frontal and lateralized frontal brain damage. Neuropsychology, 17, 255-264. https://doi.org/10.1037/0894-4105.17.2.255
  5. Eom, Y. K., Kim, C. K., Cho, J. S., & Byun, W. T. (1996). The relation between Wisconsin Card Sorting Test and psychotic symptoms in schizophrenia. J Korean Neuropsychiatr Asso, 35(5), 1022-1030.
  6. Everett, J., Lavoie, K., Gagnon, J. F., & Gosselin, N. (2001). Performance of patients with schizophrenia on the Wisconsin Card Sorting Test. J Psychiatry Neurosc, 26, 123-130.
  7. Gelder, M., Gath, D., Mayou, R., & Cowen, P. (1996). Oxford textbook of psychiatry 3rd ed. Oxford : Oxford University Press.
  8. Goldstein, G. (1986). The neuropsychology of schizophrenia. In: Neuropsychology assessment of neuropsychiatric disorders. Ed. by Grant I, Adams KM. Oxford: Oxford University Press.
  9. Gooding, D. C., Kwapil, T. R. & Tallent, K. A. (1999). Wisconsin Card Sorting Test deficits in schizophrenic individuals. Schizophr Res, 21, 201-209.
  10. Hales, R. E., Yndofsky, S. C., & Tallbot, J. A. (1999). Textbook of psychiatry 3rd ed. NY: American Psychiatric Press.
  11. Heaton, R. K., Chelume, G. J., Talley, J. L., Kay, G. G., & Curtiss, G. (1993). The Wisconsin Card Sorting Test manual. FL, Odessa : Psychological Assessment Resources Inc.
  12. Chang, H. K., Kim, E. K., Yi, H. T., Paek, J. H., Lee, S. Y., & Park, B. K. (1999). The pattern of neurocognitive deficits in patients with schizophrenia. J Korean Neuropsychiatr Assoc, 38(2), 360-374.
  13. Kay, S. R., Fiszbein, A., & Opler, L. A. (1983). The positive and negative syndrome scale for schizophrenia. Schizophr Bull, 13, 261-276.
  14. Kim, M. S., & Lim, Y. R. (2000). A study on the outcome of cognitive-behavioral rehabilitation program for chronic schizophrenia. Korean J Clin Psychol, 19(2), 219-229.
  15. Kim, S. M., Kim, H. C., & Park, Y. N. (1996). Effects of concept formation training on the performance of the Wisconsin Card Sorting Test in schizophrenic patients. J Korean Soc Biol Ther Psychiatr, 2, 125-133.
  16. Kim, S. W., Park, Y. N., & Jung, C. H., (1998). Follow-up study of Wisconsin Card Sorting Test in schizophrenic patients. Korean J Psychopathol, 7(1), 61-71.
  17. Kim, S. W., Park, Y. N., Kim, S. M., & Kim, H. C. (1998). Lon-term effect of concept formation training on the performance of the Wisconsin Card Sorting Test in schizophrenia patient. J Korean Neuropychiatr Assoc, 37(6), 1055-1064.
  18. Koren, D., Seidman, L. J., Harrison, R. H., Lyons, M. J., Kremen, W. S., Caplan, B., Goldstein, J. M., Faraone, S. V., & Tsuang, M. T. (1998). Factor structure of the Wisconsin Card Sorting Test: dimensions of deficit in schizophrenia. Neuropsychology,12, 289-302. https://doi.org/10.1037/0894-4105.12.2.289
  19. Lee, M. H., Lee, H. S., Cho, H. S., An, S. K., Hyun, M. H., Kim, T. Y., Kim, J. W., Choi, C. S., Lee, Y. H., Song, S. M., & Yoo, K. J. (1999). Developmental of a cognitive rehabilitation program for patients with schizophrenia-Korean-cognitive differentiation program-. J Korean Neuropychiatr Assoc, 38(2), 375-388.
  20. Lezak, M. D. (1995). Neuropychological assessment 3rd ed. New York: Oxford University Press.
  21. Morice, R. (1990). Cognitive inflexibility and prefrontal dysfunction in schizophrenia and mania. Br J Psychiatry, 157, 50-54. https://doi.org/10.1192/bjp.157.1.50
  22. Reed, R. A., Harrow, M., Harbener, E. S., & Martin, E. M. (2002). Executive function in schizophrenia : is it linked to psychosis and poor life functioning? J Nerv Ment Dis, 190, 725-732. https://doi.org/10.1097/00005053-200211000-00001
  23. Rossell, S. L., Coakes, J., Shapleske, J., Woodruff, P.W., & David, A. S. (2003). Insight: its relationship with cognitive function, brain volume and symptoms in schizophrenia. Psychol Med, 33, 111-119.
  24. Royall, D. R., Luterback, E. C., Cummings, J. L., Reeve, A., Rummans, T. A., Kaufer, D. I., LaFrance, Jr W.C., & Coffey, C.E. (2002). Executive control function: a review of its promise and challenges for clinical research. A report from the committee on research of the American Neuropsychiatric Association. J Neuropsychiatry Clin Neurosc, 14, 377-405. https://doi.org/10.1176/jnp.14.4.377
  25. Semkovska, M., Bedard, M. A., Godbout, L., Limoge, F., & Stip, E. (2004). Assessment of executive dysfunction during activities of daily living in schizophrenia. Schizophr Res, 69, 289-300. https://doi.org/10.1016/j.schres.2003.07.005
  26. Son, H. R., Lim, Y. R, Hwang, T. Y. (2000). Relationship between occupational functioning and Wisconsin Card Sorting Test symptoms in chronic schizophrenia. Korean J Clin Psychology, 19(2), 281-292.
  27. Stratta, P., Rossi, A. (2004). Executive function remediation in schizophrenia: Possible strategies and methods. Epidemiol Psychiatr Soc, 13(1), 55-65. https://doi.org/10.1017/S1121189X00003237
  28. Yum, T. H., Park, Y. S., Oh, K. J., Kim, J. K., Lee, Y. H. (1992). K-WAIS manual. Seoul: The Korea Guidance.
  29. www.zemizemi.com