Supplementing clinic-based skills training with manual-based community support sessions: effects on social adjustment of patients with schizophrenia.

نویسندگان

  • Shirley M Glynn
  • Stephen R Marder
  • Robert P Liberman
  • Karen Blair
  • William C Wirshing
  • Donna A Wirshing
  • Doreen Ross
  • Jim Mintz
چکیده

OBJECTIVE Although skills training is a validated psychosocial treatment for schizophrenia, generalization of the skills to everyday life has not been optimal. This study evaluated a behaviorally oriented method of augmenting clinic-based skills training in the community with the aim of improving opportunities, encouragement, and reinforcement for outpatients to use their skills in their natural environment. METHOD Sixty-three individuals with schizophrenia were randomly assigned to 60 weeks of clinic-based skills training alone or of clinic-based skills training supplemented with manual-based generalization sessions in the community. Patients were also randomly assigned to receive either haloperidol or risperidone. Therapists' fidelity to the manuals was measured. Patients' acquisition of the skills from pre- to posttraining was evaluated. The primary outcome measures were the Social Adjustment Scale-II and the Quality of Life Scale. RESULTS Seventy-one percent of the patients completed the trial. Only six participants experienced psychotic exacerbations during the trial. There was no evidence of a differential medication effect on social functioning. Social functioning improved modestly in both psychosocial conditions over time; participants who received augmented skills training in the community showed significantly greater and/or quicker improvements. CONCLUSIONS Given judicious and effective antipsychotic medication that limited exacerbations to less than 10% during the trial, a wide range of outpatients with schizophrenia demonstrated substantial learning of illness management and social skills in the clinic. When clinic-based skills training was augmented by in vivo training and consultation, transfer of the skills to everyday life was enhanced. These benefits were established regardless of the medications prescribed.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison of the Effectiveness of matrix therapy and modern group reality therapy based on choice theory on resilience and social adjustment in methamphetamine-dependent men who are treated with buprenorphine

Purpose:The purpose of this study was to compare the effectiveness of matrix treatment and modern group reality therapy based on choice theory on resilience and social adjustment in methamphetamine-dependent men who are treated with buprenorphine. Methods: The research was a experimental study with a pretest-posttest with control group. The statistical population of the study consisted of All m...

متن کامل

Effects of Communication Skills Training on Aggression and Quality of Life of Male Patients with Chronic Mental Illnesses

Background: Chronic mental illnesses affect cognitive status and behavior, which lead to social and communication impairment and behavioral problems. This research investigated the influence of communication skills training on aggression and quality of life of the patients with chronic mental illnesses. Methods: This study is a quasi-experimental study with pretest and posttest....

متن کامل

The Effect of Community Re-entry Program on Therapeutic Compliance, Relapse and Rehospitalization of Patients with Schizophrenia Spectrum Disorders

Introduction: Conventional psychiatric treatments have weaknesses in the treatment of schizophrenia spectrum disorders and have little effect on skill-training and community-based areas. Therefore, the present study aimed to investigate the role of the Community Re-entry Program as a community-based complementary therapy in increasing therapeutic compliance and reduction of relapse and rehospit...

متن کامل

Effectivenessof emotional regulation training based on developmental, individual differences, relationship based model (DIR) on social skills of preschool,s children

Introduction: Considering the importance of social skills in the early years of life, the aim of the present study was to investigate the effectiveness of DIR on social skills of preschool children. Methods: Present study was a semi-experimental with a pre-test, post-test and follow-up design with control. The statistical population included 200 preschool children in Meybod, including 20 girls ...

متن کامل

Effectiveness of life skills training on social adjustment and confidence in burn patients

Background: Burns are one of the costliest injuries that affect the quality of life of patients worldwide, especially in developing countries. Physical, psychological and social problems of burn victims and its associated costs have made Iran one of the major challenges in the health system. Since burns in our country are increasing and due to the psychological needs of burn patients as a vulne...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The American journal of psychiatry

دوره 159 5  شماره 

صفحات  -

تاریخ انتشار 2002