Promoting Activity and Cognitive Enrichment in Schizophrenia (PACES)

Eligibility Criteria

• 1. are between 18-60 years of age;
• 2. have a diagnosis of schizophrenia or schizoaffective disorder confirmed by the SCID;
• 3. have a clinical history of persistent negative symptoms lasting at least 3 months as identified from the medical record;
• 4. have observed persistent negative symptoms at the beginning and end of the 4-week evaluation period;
• 5. have been stabilized on antipsychotic medication at the beginning and end of the 4-week evaluation period;
• 6. have stabilized depressive symptoms at the beginning and end of the 4-week evaluation period;
• 7. have mild or absent extrapyramidal symptoms at the beginning and end of the 4-week evaluation period;
• 8. have had changes to their primary antipsychotic medication within the previous 3 months;
• 9. have current IQ \> 80; and
• 10. are able to read (sixth grade level or higher) and speak fluent English. -
• 1. the presence of organic brain syndrome;
• 2. comorbid medical disorders producing cognitive impairment (e.g., mild brain injury, previous concussions with loss of consciousness);
• 3. persistent suicidal or homicidal behavior;
• 4. significant clinician-estimated medication non-adherence; and
• 5. SCID-verified substance use disorder.