# Neural Mechanisms of Change in Schizophrenia following Cognitive Training

> **NIH NIH F31** · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2020 · $37,288

## Abstract

Project Summary/Abstract
The objectives of this F31 award are to 1) facilitate the applicant's pursuit of advanced training in the clinical
science of schizophrenia (SZ), cognitive neuroscience, and advanced neuroimaging and quantitative methods,
and 2) identify neural mechanisms of cognitive impairment and cognitive recovery among first-episode SZ
patients receiving a cognitive training intervention. SZ is a severe neuropsychiatric disorder that involves
profound impairment in the cognitive domains of attention, learning, and memory. Cognitive function is strongly
linked to social and occupational outcomes among individuals with SZ, and the period following a first episode
of SZ is considered a critical window for cognitive intervention. Cognitive impairment in SZ is associated with
disturbances in functional neural network dynamics, but consistent associations between specific network
factors and individual domains of cognitive dysfunction have not been identified. Although cognitive training
(CT) interventions have shown moderate efficacy in remediating cognitive dysfunction in SZ, improved
understanding of neural mechanisms associated with CT may provide insight into ways of refining CT in order
to improve its efficacy. Specifically, it remains to be seen whether beneficial effects of CT in SZ are attributable
primarily to normalization of neural networks (i.e., reduction of pre-existing disturbances) or to an increase in
patients' capacity for compensatory network engagement. In the proposed project, clinical and cognitive
measures and resting-state fMRI data from first-episode SZ patients (N=42) and demographically-matched
healthy comparison subjects (N=42) will be analyzed in order to 1) identify associations between pre-
intervention disturbances in neural network organization and specific domains of cognitive impairment in first-
episode SZ and 2) identify changes in neural network organization associated with cognitive improvement
following CT so as to determine whether these changes represent normalization or compensation. Whereas
most studies of functional neural networks in SZ have characterized networks broadly as over-connected or
under-connected, the proposed project will quantify neural network connections and multiple distinct network
properties by applying principles from graph theory, a system of techniques designed for analyzing the
functional organization of complex networks. A graph-theoretic approach, combined with a focus on
differentiating normalization from compensation, is expected to yield novel insights into neural mechanisms of
cognitive impairment and recovery in SZ, paving the way for CT interventions that target neural mechanisms
most conducive to cognitive recovery. In tandem with these research objectives, the applicant will pursue
extensive coursework, mentorship, and clinical science training activities in order to develop as an independent
researcher with expertise in applying clinical and cognitive neurosci...

## Key facts

- **NIH application ID:** 9996327
- **Project number:** 5F31MH119786-02
- **Recipient organization:** UNIVERSITY OF CALIFORNIA LOS ANGELES
- **Principal Investigator:** Caroline Kemper Diehl
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $37,288
- **Award type:** 5
- **Project period:** 2019-09-14 → 2022-09-13

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9996327

## Citation

> US National Institutes of Health, RePORTER application 9996327, Neural Mechanisms of Change in Schizophrenia following Cognitive Training (5F31MH119786-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9996327. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
