{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:18:39Z","timestamp":1789402719802,"version":"build-2803163510"},"reference-count":100,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001003","name":"Boehringer Ingelheim","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001003","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Schizophrenia spectrum disorders (SSDs) are a group of psychiatric disorders characterized by positive and negative symptoms as well as cognitive impairment that can significantly affect daily functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We reviewed evidence-based strategies for improving cognitive function in patients with SSDs, focusing on the Canadian landscape.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although antipsychotic medications can address the positive symptoms of SSDs, cognitive symptoms often persist, causing functional impairment and reduced quality of life. Moreover, cognitive function in patients with SSDs is infrequently assessed in clinical practice, and evidence-based recommendations for addressing cognitive impairment in people living with schizophrenia are limited. While cognitive remediation (CR) can improve several domains of cognitive function, most individuals with SSDs are currently not offered such an intervention. While the development of implementation strategies for CR is underway, available and emerging pharmacological treatments may help overcome the limited capacity for psychosocial approaches. Furthermore, combining pharmacological with non-pharmacological interventions may improve outcomes compared to pharmacotherapy or CR alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review highlights the challenges and discusses the potential solutions related to the assessment and management of cognitive impairment to help mental health-care practitioners better manage cognitive impairment and improve daily functioning in individuals with SSDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Plain Language Summary Title<\/jats:title>\n                    <jats:p>Improving Thinking Skills in People With Schizophrenia: A Focus on Canada<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07067437241261928","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T07:11:31Z","timestamp":1721891491000},"page":"85-97","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Strategies for Achieving Better Cognitive Health in Individuals with Schizophrenia Spectrum: A Focus on the Canadian Landscape: Strat\u00e9gies pour atteindre une meilleure sant\u00e9 cognitive chez les personnes souffrant du spectre de la schizophr\u00e9nie : un regard sur le paysage canadien"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4345-6502","authenticated-orcid":false,"given":"Martin","family":"Lepage","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Douglas Research Centre, McGill University, Verdun, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Synthia","family":"Guimond","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The Royal's Institute of Mental Health Research, University of Ottawa, Ottawa, Ontario, Canada"},{"name":"Department of Psychoeducation and Psychology, University of Quebec in Outaouais, Gatineau, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Raedler","sequence":"additional","affiliation":[{"name":"Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather E.","family":"McNeely","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioural Neurosciences & St. Joseph Healthcare Hamilton, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Ungar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, North York General Hospital, Toronto, Ontario, Canada"},{"name":"Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard C.","family":"Margolese","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, McGill University Health Centre, Allan Memorial Institute, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Best","sequence":"additional","affiliation":[{"name":"Department of Psychological Clinical Science, University of Toronto Scarborough, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"bibr1-07067437241261928","doi-asserted-by":"publisher","DOI":"10.1177\/0706743717719899"},{"key":"bibr2-07067437241261928","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2019.18091088"},{"key":"bibr3-07067437241261928","unstructured":"Public Health Agency of Canada. 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