Social skills vs. Neurocognitive training in psychotic patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1475-1475 ◽  
Author(s):  
G. Piegari ◽  
S. Galderisi ◽  
P. Bucci ◽  
A. Mucci ◽  
F. De Riso ◽  
...  

IntroductionIt has been hypothesized that cognitive remediation with adjunctive psychiatric rehabilitation would be associated with greater improvements in functional outcome than standalone treatment approaches (1).Moving from these observations our group designed an individualized rehabilitation program including a computerized cognitive training (CCT) and social skills training (SST), which showed promising results (2).A critical evaluation of recent studies examining standalone and combined treatment approaches included the understanding of the differential impact of the two approaches among crucial areas for future research (3).ObjectivesThe present study compared the effects of CCT and SST on several indices of outcome in psychotic patients. Fifty-eight patients with schizophrenia or schizoaffective disorder were randomly assigned to one of two treatment groups: CCT or SST. Changes in cognitive, psychopathological and psychosocial indices after 6 and 12 months were compared between the two groups.ResultsAfter both 6 and 12 months, an improvement of psychosocial indices was observed in both groups, while cognitive functions improved only after CCT; the improvement of psychopathological indices, observed in both groups, was greater in the CCT group.ConclusionsOur findings suggest that CCT is associated with a greater impact than SST on different indices of outcome in psychotic patients. Future research should focus on possible synergistic effects of cognitive remediation and social skills training on functional outcome.

1984 ◽  
Vol 12 (4) ◽  
pp. 331-341 ◽  
Author(s):  
Clive R. Hollin ◽  
Monika Henderson

Alongside the view that “nothing works” in correctional rehabilitation, the behavioural technique of social skills training (S.S.T.) has been singled out for use with offenders. The present paper critically reviews empirical evidence regarding the long-term effects of S.S.T. on young offenders with a view to examining the conceptual and methodological issues linking S.S.T. with criminal behaviour. It is concluded that S.S.T. has been shown to have only very limited effects on the future criminal behaviour of young offenders. Several explanations for this finding are considered, and it is concluded that re-offending is an inadequate measure of the efficacy of S.S.T. programmes as reported in the extant literature. Following criticism of research designs which produce false expectations by including unrealistic measures, several proposals for future research are made.


2019 ◽  
Vol 293 ◽  
pp. 110988
Author(s):  
Margaret M. McClure ◽  
Fiona S. Graff ◽  
Joseph Triebwasser ◽  
M. Mercedes Perez-Rodriguez ◽  
Daniel R. Rosell ◽  
...  

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S132-S132
Author(s):  
Rafael Penadés ◽  
Barbara Segura ◽  
Anna Inguanzo ◽  
Clemente Garcia-Rizo ◽  
Rosa Catalán ◽  
...  

Abstract Background Some studies have showed how Cognitive Remediation is able to improve activation patterns in the frontal lobe. However, only few data on neuroconnectivity has been reported yet. Resting-state fMRI approach seems to be a promising methodology with potentiality for testing neuroconnectivity. Methods A randomized and controlled trial was carried out with three groups: patients receiving Cognitive Remediation Therapy (CRT), patients receiving Social Skills Training (SST) as an active control, and a healthy control (HC) group. A resting-state fMRI data was acquired in part of the sample (n = 26 patients, n = 10 healthy controls) of a partner study (NCT 02341131). A data-driven approach using independent component analysis (ICA) was used to identify functional brain networks, which were compared between groups and group per time using a dual-regression approach. Results ICA results revealed reduced functional connectivity between patients and controls in sensorimotor, basal ganglia, default mode and visual networks at baseline (p<0.05 FEW-corrected). After treatment, time per group analyses evidenced increased connectivity in sensorimotor network. Furthermore, group comparison at follow-up showed similar connectivity patterns between patients and healthy controls in sensorimotor network, but also in default mode and basal ganglia networks. Discussion Cognitive remediation could be able to strengthen some aspects of brain connectivity networks. Our data could be in line of the hypothesis of disconnectivity in schizophrenia. However, cognitive remediation but also social skills training seemed to be able to induce detectable changes in brain functioning in terms of restoring some aspects on the connectivity pattern.


2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Mahmoud Al-Masaeed

Aim and Significance: The systematic literature review is developed as an investigation of existing and recommended evidence based social skills and strategies to adopt in improving adolescents with ASD social skills. The systematic review was developed based on the understanding that a majority of the studies have focused on children below 11 years social skills. The need to analsye and establish the age specific social skills and strategies required informed the review development. This ystematic review evaluates the available published studies on group-based social skills interventions in the United States and the realm of Canada to improve the social skills among adolescents with ASD Methods: The systematic review developed an online search for peer reviewed articles published on the Medline, PsycINFO, Psychoarticle, Psychology and behaviour and Web of Science, through a PubMed-NCBI, an EBSCO and the Ovid databases. Key words and phrases were used to search for relevant literature. Once results were obtained, an inclusion and exclusion criteria was applied to narrow down the studies to applicable and most relevant studies. Results and Discussion: Three categories of social skills interventions have been identified to be effective in improving social and communication skills. They are (i) the use of the PEERS, (ii) social skills training group and (iii) group skills training. The recommendation for future research should focus on comparing protocols of various social skills training in clinical settings of the real-world.


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