International Journal of Medical Toxicology & Legal Medicine
  • Year: 2023
  • Volume: 26
  • Issue: 3and4

Current Trends in Cognitive Rehabilitation Therapy in Mental Illness Patients with Criminal Background: A Review

1Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, 201310, India

2Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, 201310, India

3Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, 201310, India

4Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, 201310, India

*Corresponding Author, Dr. Meenakshi Verma, Department of Physiotherapy, Sharda School of Allied Health Sciences, Sharda University, Greater Noida, Uttar Pradesh, 201310, India, Email : verma.meenakshi222@gmail.com

Online Published on 12 January, 2024.

Abstract

A learning-based behavioral skills training approach called cognitive rehabilitation (CR) for schizophrenia aims to improve social and/or neurocognitive abilities with the ultimate objective of generalizing these abilities to better psychosocial outcomes. Forensic patients with schizophrenia have been found to have greater impairments in cognitive functioning relative to non-violent patients. The purpose of this study is to review randomized controlled trials (RCTs) evaluating the effectiveness of CRT for people with schizophrenia with forensic/criminal background.

PubMed, ISI Web of Science, Scopus and Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), and the Cochrane Library were searched for relevant RCTs. Participants received approximately five hours of the computer-assisted cognitive remediation administered over seven weekly sessions.

There is a strong link between schizophrenia (SCZ) and violence. Recent researches suggested that computers provide structured yet flexible training tasks with clear, accurate and immediate feedback. Computers can provide explicit reinforcement and patients find the programs rewarding, therefore providing intrinsic rewards.

Physical therapy offers added value in the multidisciplinary care of people with schizophrenia. The overall findings indicate that internet-based working memory training can be an effective cognitive remediation therapy in forensic and psychiatric patients with a history of violent behaviour.

Keywords

Cognition, Cognitive rehabilitation therapy, Violence, Forensic background, Criminal background