Social skills training for chronic psychotic patients: A French study

1996 ◽  
Vol 11 (S2) ◽  
pp. 77s-84s ◽  
Author(s):  
O Chambon ◽  
M Marie-Cardine ◽  
A Dazord

SummaryThe aim of this article is to describe the cognitive-behavioral methods for social rehabilitation and psychotherapy of chronic psychotic patients which are nowadays available in French-speaking countries, then to propose a theoretical framework to help integrate these various methods for use in our duly pratice and, finally, to expose our research in this field, especially concerning the topic of quality of life and social skills training programs. We present a study we designed in order to assess the impact of a comprehensive social skills training program upon quality of life of chronic schizophrenic patients. Starting from the point of view that a good psychosocial rehabilitation program is one that improves social skills and social functioning without negative effects on quality of life, we tried to show such qualities in a quite comprehensive rehabilitation program using social skills training methods corresponding to the social readaptative “modules” from Liberman and Wallace's Social and Independant Living Skills Program — “medication management module” — followed by “basic conversational skills module”, and finally, a brief adapted version of “interpersonal problem solving skills module”. We were able to observe the evolution of social skills and functioning of eight schizophrenic patients having benefited from this program, over a one year period, and we compared results regarding quality of life with two control groups made of schizophrenic patients, one of them having benefited from a supportive group therapy in order to study the impact of non-specific factors. The results indicate a clear dissociation between direct benefits of social skills training (knowledge, social skills, social functioning and symptomatology) which all showed a significant improvement in the experimental group, and subjective benefits (self-esteem, sense of self-efficacy, quality of life) which showed no change, as well when consider no intra-group as well as between group comparisons.

2016 ◽  
Vol 9 (2) ◽  
pp. 150-159 ◽  
Author(s):  
Stelvio Sestini ◽  
Rosanna Perone ◽  
Sandro Domenichetti ◽  
Christian Mazzeo ◽  
Veronica Massai ◽  
...  

1996 ◽  
Vol 168 (2) ◽  
pp. 199-204 ◽  
Author(s):  
Jacqueline M. Atkinson ◽  
Denise A. Coia ◽  
W. Harper Gilmour ◽  
Janice P. Harper

BackgroundEducation groups for people with schizophrenia have tended to concentrate on compliance with medication. This study examines impact on social behaviour and quality of life.MethodA catchment-wide service was set up for community-based patients. Patients who indicated an interest in education groups were randomly allocated to either an education group or a waiting list control group. Those who attended groups were compared with the control group.ResultsAbout one-quarter of community-based patients showed interest in attending education groups. Those who attended showed no change in mental state or compliance with medication (already high) but significant gains in quality of life, social functioning and social networks.ConclusionsFor patients who choose to attend education groups significant gains in social functioning and quality of life are possible without specific skills training.


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sara Takaloo ◽  
Zahra Mirsepassi ◽  
Vandad Sharifi ◽  
Aida Farsham ◽  
Parvaneh Farhadbeigi ◽  
...  

Background: Loss of social skills in patients with schizophrenia spectrum disorders affects their quality of life. Social skill training is an effective intervention to improve the patient’s function and quality of life. Objectives: This study was conducted to evaluate the effect of short-term social skills training on symptoms, quality of life, and global functioning in these patients in an outpatient setting in Iran. Methods: Twenty-nine patients with schizophrenia spectrum disorders, none in the acute phase and on antipsychotics, were recruited by convenience sampling. We used the global assessment of functioning scale, positive and negative syndrome scale, and the world health organization quality of life assessment (WHOQOL-BREF) instrument. The patients participated in 12 group sessions of social skill training. Immediately at the end of the intervention and 3 months later, reassessments were done. Results: The mean score of positive and negative symptoms and psychological domain of quality of life improved at the end of the intervention and three months later. Repeated measures ANOVA showed a statistically significant difference in one group in three times of assessments. The mean score of GAF improved in all three assessments. Pairwise comparison between baseline and the end of the intervention, and also between the baseline and after three months of follow-up suggested a statistically significant difference. Conclusions: Social skills training may reduce symptoms and promote global functioning in patients with schizophrenia spectrum disorders, which was achieved after three months of follow-up. This intervention should be incorporated in a comprehensive rehabilitation program in aftercare services.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Raquel Bravo-Escobar ◽  
Alicia González-Represas ◽  
Adela María Gómez-González ◽  
Ángela Heredia-Torres

AbstractExploring new models of medical care requires evaluating the impact of new care strategies not only on physiological parameters but also on the quality of life of the patient. On the other hand the presence of anxiety together with depression requires further consideration when planning appropriate management strategies. The aim of this study was to examine the effectiveness of a home-based cardiac rehabilitation program incorporating an e-Health technology on health-related quality of life associated with symptoms of anxiety and depression in moderate-risk patients. A multicenter, randomized controlled clinical trial was designed to compare a traditional hospital based cardiac rehabilitation program (n = 38, 35 male) with a mixed home surveillance program where patients exercised at home with a remote electrocardiographic monitoring device (n = 33, 31 male). The Short Form-36 (SF-36) Health Survey and the Goldberg questionnaire were used to evaluate quality of life and the presence of symptoms of anxiety and depression respectively. The results of this study show that the type of cardiac rehabilitation program did not influence the improvement in quality of life (p = 0.854), but the presence of symptoms of anxiety and depression did (p = 0.001). Although both programs achieved a decrease in anxiety and depression symptoms and improved functional capacity (p ≤ 0.001), a significant interaction effect was found between the group with or without anxiety and depression symptoms and the type of program in the bodily pain dimension (p = 0.021). Trial registration: Retrospectively registered NCT02796404 (10/06/2016) in clinialtrials.gov.


Author(s):  
SITI KOTIJAH ◽  
ASEF WILDAN MUNFADLILA

Background: Schizophrenia is part of a psychotic disorder characterized by a loss of understanding of reality and a loss of insight that can be found in symptoms of severe mental disorders such as hallucinations, delusions, chaotic behavior, and chaotic speech, as well as negative symptoms that cause social damage. Psychosocial interventions such as Social Skills Training (SST) is one of the efforts that can be given to schizophrenic patients with the aim of increasing patient socialization and communication skills so that patients are able to adapt to their environment. Research Objectives: To determine the effectiveness of computer-based and manual-based Social Skills Training (SST) on improving the socialization and social function of schizophrenic patients. Data Sources: Sources of data obtained from Pubmed, Sciencedirect, and Ebsco Inclusion Criteria: 1) research studies using the RCT approach, 2) studies in schizophrenic patients in the adolescent-adult age range (17 years-80 years), 3) studies with social therapy interventions, skills training combined social cognitive therapy therapy treatments, both as independent interventions or in combination with other interventions Appraisal studies and synthesis methods: Appraisal studies use the critical appraisal skills program (CASP), and the synthesis method uses PICO modifications. Results: Social skill training (SST) has a significant influence in overcoming the improvement of socialization and social functions Conclusions and Implications of Results: Social skill training (SST) provides a significant influence in improving socialization and social functions so that it can be applied as an effort to overcome social damage.   Keyword: Social Skills Training (SST), Social skill training (SST), Computer and Manual.


2015 ◽  
Vol 32 (4) ◽  
pp. 256-268 ◽  
Author(s):  
Keith C. Radley ◽  
Melissa B. McHugh ◽  
Traci Taber ◽  
Allison A. Battaglia ◽  
W. Blake Ford

The present study evaluated the effects of the Superheroes Social Skills program, a social skills curriculum for children with autism spectrum disorders (ASD). Previous research has found the curriculum to improve social engagements of children with ASD during unstructured recess periods but has been limited in research design and lack of maintenance data. Five elementary-age participants with current placements in inclusive public school settings were included in the study. A multiple baseline design across participants was used to determine the effects of the intervention on social engagement during unstructured recess periods, as well as teacher ratings of social functioning and sociometric status. Visual and statistical analyses of data indicate increased social engagement of participants during recess periods following introduction of social skills training. Improvements were also observed in teacher ratings of social functioning and sociometric status. Limitations of the current study are also discussed.


Author(s):  
Vaishali S. Chaudhari

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common behavioral disorders of childhood. Children with ADHD exhibit developmentally inappropriate levels of inattention, impulsivity, and/or motor activity. Attention-deficit/hyperactivity disorder (ADHD) is one of the most frequent mental disorders affecting children. ADHD also affects many adults. Symptoms of ADHD include inattention, hyperactivity, and impulsivity. ADHD may also negatively affect the learning environment in children's homes. This chapter talks about social functioning, social deficits, interpersonal difficulties, and social skills training in ADHD. Individuals with ADHD have problems in the areas of peer interaction, emotional regulation, and pro-social behaviours. These social problems are associated with a greater risk for developing problems later in life.


2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S150-S150
Author(s):  
Amelia Austen ◽  
Carina Hou ◽  
Khushbu Patel ◽  
Keri Brady ◽  
Gabrielle G Grant ◽  
...  

Abstract Introduction Burn injuries can have major long-term effects on the health and quality of life for children and adolescents. This study narratively reviewed the health outcomes literature focusing on the impact of burn injury for children aged 5–18. Methods Literature targeting pediatric outcomes was reviewed to identify the effects of burns on children aged 5–18 (n=16). Inclusion criteria included studies that focused on the impact of burns on health and quality of life and were age-appropriate for this population. Articles were identified via PubMed, Web of Science, and manual reference checks. Data collected included the outcomes and health domains assessed in each article and the findings of the effects of the burn injury on those specific outcomes. The Preschool LIBRE Conceptual Model served as a ‘domains framework’ to guide the identification of outcomes and health domains. Results Long-term burn-specific outcomes and broad health domains identified were physical functioning (n=9), psychological functioning (n=12), social functioning (n=4), symptoms (n=8), and family (n=7). Some studies exclusively focused on one domain whereas others assessed two domains or more. Subdomains such as upper extremity functioning and functional independence were addressed in the physical functioning domain. Psychological functioning outcomes included subdomains such as emotional health and behavioral problems. Social functioning outcomes evaluated subdomains such as problems with peers and social participation. The symptoms domain addressed post-burn pain and itch. Family outcomes subdomains such as parental satisfaction with appearance and general family functioning were identified. Conclusions Burn-specific outcomes and health domains assessing the effects of burns on children aged 5–18 were identified among 16 studies. There is a need for a comprehensive assessment tool that more precisely measures the impact of burn injury across these domains. This work will inform the development of the School-Aged Life Impact Burn Recovery Evaluation (LIBRE) Computer Adaptive Test (CAT) Profile – a new outcome metric for children and adolescents with burns. Applicability of Research to Practice This review is relevant to researchers and clinicians assessing health outcomes and measuring burn recovery in children aged 5–18.


Author(s):  
Francisco Javier Amarilla-Donoso ◽  
Raúl Roncero-Martín ◽  
Jesus Lavado-García ◽  
María de la Luz Canal-Macías ◽  
María Pedrera-Canal ◽  
...  

The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of Cáceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups (p = 0.447; p = 0.827) and social functioning in the intervention group (p = 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (p = 0.043), vitality (p = 0.010), and social functioning (p < 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group.


2019 ◽  
Vol 47 (3) ◽  
pp. 1131-1145 ◽  
Author(s):  
Sherif Eltonsy ◽  
Monique Dufour Doiron ◽  
Patrice Simard ◽  
Caroline Jose ◽  
Martin Sénéchal ◽  
...  

Objective To evaluate the impact of the combination of metformin and exercise on changes in glycated hemoglobin (HbA1c), functional capacity, the lipid profile, quality of life, and weight. Methods Data from a 12-week cardiovascular rehabilitation program (2014–2016) were retrospectively evaluated. Metformin exposure was determined through recorded prescriptions, and average minutes of exercise per week were computed from exercise logs. The primary outcomes were changes in HbA1c and functional capacity (6-minute walk test [6MWT]) over 12 weeks. The secondary outcomes were changes in the lipid profile, quality of life, and weight. Directed acyclic graphs were used to identify potential confounders, accounted for with multiple linear regression. Results The cohort comprised 403 patients (85 metformin users, 318 non-users). The average amount of exercise was 102.7±48.7 minutes/week among metformin users and 107.7±58.1 minutes/week among non-users. Although changes in HbA1c were similar for both groups, the coefficient for the metformin–exercise interaction indicated significantly greater improvements in the 6MWT among metformin users. There were no between-group differences in any secondary outcomes. Conclusions The combination of metformin and exercise led to greater gains in functional capacity than exercise alone. This combination did not appear to influence the effects of either treatment on other outcomes.


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