4. discussion
The current study investigated the efficacy of cognitive adaptation training (CAT) as a nursing intervention for patients with schizophrenia in the netherland. CAT was added to the usual treatment and was compared to treatment as usual, a therapeutic milieu in which all patients participate in a customized selection of available treatments that best matches their needs, goals and wishes. The studied population included both outpatients and inpatients. CAT interventions were set up by a psychiatric nurse, additional to the patients’ usual care. After eight months, TAU + CAT patients exhibited a trend towards greater improvement in their general functioning compared to the TAU group. In addition, TAU + CAT inpatients spent significantly more time in work-related activities; after four months a trend was visible, and a significant effect at ten months.