Promoting Activity and Cognitive Enrichment in Schizophrenia (PACES)

Inclusion Criteria:

Inclusion criteria will be evaluated longitudinally in a 4-week evaluation period. Patients will be included if they are outpatients and:

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 asidentified from the medical record;

4. have observed persistent negative symptoms at the beginning and end of the 4-weekevaluation 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-weekevaluation period;

7. have mild or absent extrapyramidal symptoms at the beginning and end of the 4-weekevaluation period;

8. have had changes to their primary antipsychotic medication within the previous 3months;

9. have current IQ > 80; and

10. are able to read (sixth grade level or higher) and speak fluent English. -

Exclusion Criteria:

Exclusion criteria are intended to avoid likely treatment confounders and contraindications and include:

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.