Social skills training with chronic schizophrenic patients: Effects on negative symptoms and community functioning

Six patients meeting DSM III criteria for schizophrenia, residual phase who lived in community hostels underwent social skills training. The training programme utilized was “Stacking the Deck” developed by Foxx et al. which involves a structured board game incorporating modelling, behaviour and feedback. A multiple baseline across subject design was used to assess acquisition of targeted social behaviours in the training settings. Generalization of skills to a community setting was assessed by a structured interaction in the patients' homes at pre-treatment, post-treatment and follow-up. All subjects improved their social skills in the training setting, the improvement showed partial but weak generalization to the community setting, with some gains maintained to a three-month follow-up. Pre-treatment, post-treatment and follow-up measures of general social skills and psychiatric status indicated improvements for some of the subjects. The results suggest this approach has promise for achieving clinically significant change with chronic schizophrenic patients, but that strategies to enhance generalization of training effects are needed.

Download Full-text

A Controlled Comparison of the Effects of Social Skills Training and Remedial Drama on the Conversational Skills of Chronic Schizophrenic Inpatients

The British Journal of Psychiatry ◽

10.1192/bjp.143.2.165 ◽

1983 ◽

Vol 143 (2) ◽

pp. 165-172 ◽

Cited By ~ 21

Author(s):

P. G. Spencer ◽

C. R. Gillespie ◽

E. G. Ekisa

Keyword(s):

Social Skills ◽

Social Skills Training ◽

Group Discussion ◽

Skills Training ◽

Chronic Schizophrenic ◽

Conversation Skills ◽

Conversational Skills ◽

The Social ◽

Schizophrenic Patients

SummaryThis study compared the effects of social-skills training, remedial drama and group discussion on the conversation skills of chronic schizophrenic patients. After 16 one-hour treatment sessions only the social-skills training resulted in significant improvement, which was maintained at two-month follow-up. Although there was little evidence to support generalisation, the results are seen as indicating the usefulness of social-skills training in improving the performance level of chronic schizophrenic inpatients and in maintaining their social functioning. The implications for future rehabilitation practice are discussed.

Download Full-text

EFFECTIVENESS OF SOCIAL SKILLS TRAINING (SST) BASED ON COMPUTER AND MANUAL FOR IMPROVING SOCIALIZATION AND SOCIAL FUNCTION OF SCIZOFRENIA PATIENTS: SYSTEMATIC REVIEW

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) ◽

10.29082/ijnms/2019/vol3/iss3/241 ◽

2019 ◽

Vol 3 (3) ◽

pp. 174-185

Author(s):

SITI KOTIJAH ◽

ASEF WILDAN MUNFADLILA

Keyword(s):

Social Skills ◽

Significant Influence ◽

Social Skill ◽

Social Skills Training ◽

Skill Training ◽

Skills Training ◽

Social Function ◽

Social Skill Training ◽

Social Functions ◽

Schizophrenic Patients

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.

Download Full-text

A Review and Critique of Social Skills Training With Schizophrenic Patients

Schizophrenia Bulletin ◽

10.1093/schbul/6.1.42 ◽

1980 ◽

Vol 6 (1) ◽

pp. 42-63 ◽

Cited By ~ 132

Author(s):

C. J. Wallace ◽

C. J. Nelson ◽

R. P. Liberman ◽

R. A. Aitchison ◽

D. Lukoff ◽

...

Keyword(s):

Social Skills ◽

Social Skills Training ◽

Skills Training ◽

Schizophrenic Patients

Download Full-text

A randomized controlled trial of social skills training for patients with treatment-resistant schizophrenia with predominantly negative symptoms

Psychiatry Research ◽

10.1016/j.psychres.2020.112914 ◽

2020 ◽

Vol 287 ◽

pp. 112914

Author(s):

Monica Kayo ◽

Silvia Scemes ◽

Mariangela Gentil Savoia ◽

Alice Bichuette ◽

Ana Claudia Abreu ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Social Skills ◽

Social Skills Training ◽

Negative Symptoms ◽

Controlled Trial ◽

Skills Training ◽

Treatment Resistant ◽

Randomized Controlled

Download Full-text

A Behavioural Training Programme for Chronic Schizophrenic Patients

The British Journal of Psychiatry ◽

10.1192/s0007125000292957 ◽

1994 ◽

Vol 165 (S24) ◽

pp. 32-37 ◽

Cited By ~ 14

Author(s):

Feifei Li ◽

Mingde Wang

Keyword(s):

Negative Symptoms ◽

Skills Training ◽

Training Programme ◽

Token Economy ◽

Psychiatric Nurses ◽

Control Group ◽

Behavioural Treatment ◽

Chronic Schizophrenic ◽

Schizophrenic Patients ◽

Experimental Group

This paper discusses the effectiveness of an in-patient rehabilitation programme administered by nurses that combines life skills training, active encouragement, and a token economy. Fifty-two chronic schizophrenic patients with prominent negative symptoms who had been continuously in hospital for at least a year were randomly assigned to the experimental or control group. The training and associated reinforcement schedule were administered daily to experimental subjects by two specially trained rehabilitation nurses. Control subjects did not receive training or reinforcement but were individually asked to perform the same daily tasks and participate in the same activities as the experimental-group subjects. Patients in both groups received their previous dosage of medication throughout the trial. After three months the severity of negative symptoms, as assessed by blind evaluators, decreased in both groups of subjects, but the improvement in the experimental group was much greater than that in the control group. These findings demonstrate the efficacy of behavioural interventions for chronic schizophrenic in-patients in China and highlight the importance of changing the role of Chinese psychiatric nurses from that of custodians who control patients' behaviour to that of therapists who provide psychological and behavioural treatment.

Download Full-text