A training procedure for remediating WCST deficits in chronic psychotic patients: An adaptation of errorless learning principles

Robert S. Kern, Charles J. Wallace, Susan G. Hellman, Leanne M. Womack, Michael F. Green

Research output: Contribution to journalArticlepeer-review

62 Scopus citations

Abstract

Although a number of studies have demonstrated that psychiatric patients' performance deficits on the Wisconsin Card Sorting Test (WCST) can be modified through intervention, relatively little evidence exists to support the long-term durability of training effects. The present study tested the effectiveness and durability of a training procedure based on errorless learning principles, and in addition sought to determine the effect of previously committed errors on training and post-training performance. Twenty-three chronic psychotic inpatients were randomly assigned to an Initial Error (n = 11) or No Initial Error (n = 12) group. The Initial Error group received two standard administrations of the WCST prior to training (where they were expected to commit many errors); the No Initial Error group had no prior exposure to the WCST. All subjects received training on the WCST which was followed by immediate, 1-, 2-, and 4-week post-tests. Results supported the effectiveness of training and the durability of effects, but previous error history showed no clear relationship to post-training performance.

Original languageEnglish
Pages (from-to)283-294
Number of pages12
JournalJournal of Psychiatric Research
Volume30
Issue number4
DOIs
StatePublished - 1996
Externally publishedYes

Bibliographical note

Funding Information:
Acknowledyements The authors would like to thank Marcey Schoenkerman and Blythe Corbette for their assistance in the data collection, Kimmy Kee, MA, Jeffery E. Hayden, BA, and Mary Jane Robertson. MS in the preparation of the manuscript, and Paul E. Touchette, Ph.D. for his consultative assistance during the formulative stages of this project. This investigation was partially supported by the UCLA Clinical Research Center for the Study of Schizophrenia and Psychiatric Rehabilitation (Robert P. kiberman, PI). Finally, we would like to express our sincere thanks to the patients and staff of Camarillo State Hospital for their respective participation and assistance in this project.

Funding

Acknowledyements The authors would like to thank Marcey Schoenkerman and Blythe Corbette for their assistance in the data collection, Kimmy Kee, MA, Jeffery E. Hayden, BA, and Mary Jane Robertson. MS in the preparation of the manuscript, and Paul E. Touchette, Ph.D. for his consultative assistance during the formulative stages of this project. This investigation was partially supported by the UCLA Clinical Research Center for the Study of Schizophrenia and Psychiatric Rehabilitation (Robert P. kiberman, PI). Finally, we would like to express our sincere thanks to the patients and staff of Camarillo State Hospital for their respective participation and assistance in this project.

FundersFunder number
UCLA Clinical Research Center for the Study of Schizophrenia and Psychiatric Rehabilitation

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