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

Kayo, Monica; Scemes, Silvia; Savóia, Mariângela Gentil; Bichuette, Alice; Abreu, Ana Claudia da Silva; Silva, Emily Pereira da; Baria, Patricia; Piovaccari, Victoria; Petreche, Beatriz; Bressan, Rodrigo Affonseca; Gadelha, Ary; Elkis, Hélio

doi:10.1016/j.psychres.2020.112914

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…A small but high‐quality (Kmet 93) trial 105 compared a 20‐week, group‐based social skills training programme, including role play and homework exercises, with an active control intervention for people with treatment‐resistant schizophrenia receiving clozapine therapy. The study was designed to assess improvement in negative symptoms, with social skills as a secondary outcome.…”

Section: Resultsmentioning

confidence: 99%

“…We identified surprisingly few studies evaluating social skills training programmes that assessed social outcomes relevant to this review. Most evaluated cognitive interventions [103][104][105] which were also assessed for their ability to enhance supported employment 51,54,56,57,63,64 . The results were disappointing, with improvements in cognitive function rarely generalizing to social outcomes such as employment or social functioning.…”

Section: Discussionmentioning

confidence: 99%

“…Only four papers evaluating social skills training interventions for people with SMI that met our inclusion criteria were identi-fied [102][103][104][105] , all of which were quantitative. The studies were conducted in the US 104 , Brazil 105 , France 102 and Israel 103 .…”

Section: Social Skills Interventionsmentioning

confidence: 99%

“…Three of the papers reported on RCTs [103][104][105] , each investigating a different social skills training intervention. A three-arm trial 104 (Kmet 93) investigated whether the inclusion of some in vivo community-based sessions within a 24-session social cognitive skills training programme enhanced the generalization of improvements in social cognition to "real world" social functioning.…”

Section: Social Skills Interventionsmentioning

confidence: 99%

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Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

et al. 2022

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People living with severe mental illness (SMI) are one of the most marginalized groups in society. Interventions which aim to improve their social and economic participation are of crucial importance to clinicians, policy‐makers and people with SMI themselves. We conducted a systematic review of the literature on social interventions for people with SMI published since 2016 and collated our findings through narrative synthesis. We found an encouragingly large amount of research in this field, and 72 papers met our inclusion criteria. Over half reported on the effectiveness of interventions delivered at the service level (supported accommodation, education or employment), while the remainder targeted individuals directly (community participation, family interventions, peer‐led/supported interventions, social skills training). We identified good evidence for the Housing First model of supported accommodation, for the Individual Placement and Support model of supported employment, and for family psychoeducation, with the caveat that a range of models are nonetheless required to meet the varied housing, employment and family‐related needs of individuals. Our findings also highlighted the importance of contextual factors and the need to make local adaptations when “importing” interventions from elsewhere. We found that augmentation strategies to enhance the effectiveness of social interventions (particularly supported employment and social skills training) by addressing cognitive impairments did not lead to transferable “real life” skills despite improvements in cognitive function. We also identified an emerging evidence base for peer‐led/supported interventions, recovery colleges and other interventions to support community participation. We concluded that social interventions have considerable benefits but are arguably the most complex in the mental health field, and require multi‐level stakeholder commitment and investment for successful implementation.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Social Skills Interventionsmentioning

confidence: 99%

Section: Social Skills Interventionsmentioning

confidence: 99%

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Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

et al. 2022

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“…One of the most disabling features and consequences of SZ is a marked social disfunction (Kayo et al, 2020). Normal social interactions involve components of perception, assessment, and response to interpersonal cues (Wallace, 1982).…”

mentioning

confidence: 99%

Virtual reality in social skills training for people with schizophrenia.

Oliveira¹,

Faria²,

Almeida³

et al. 2021

Translational Issues in Psychological Science

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Schizophrenia is characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions. The social skill deficits often predate the onset of schizophrenia, are present at the first episode, are stable over time in the absence of psychosocial treatment, and are predictors of relapse and rehospitalization. Social skills training is an efficacious intervention specially to reduce negative symptoms and to improve social functioning for people living with schizophrenia. The use of virtual reality (VR) has been proposed as a possible strategy to overcome these conventional social skills training programs' limitations. The purpose of this scoping review was to design a social skills training program for people with schizophrenia using VR. The inclusion criteria were English language, published between 2010 and 2020, adult participants diagnosed with schizophrenia, and using VR for training social skills. Studies in which the participants had another mental illness or psychopathological instability and studies with interventions without using VR and in which social skills are not measured were excluded. VR seems to be effective for training social skills in people with schizophrenia. VR can add many advantages to the treatment of schizophrenia, appearing to be effective for training social skills. In future studies it would be important to confirm that VR can effectively complement traditional treatments.What is the significance of this article for the general public?The present study suggests that virtual reality offers a very promising alternative to traditional interventions for social skills training for people with schizophrenia. It is important to identify which characteristics could make this approach more engaging and with more durable and generalizable results.

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Effects of social skills training on some adaptive-compensatory parameters in patients with paranoid schizophrenia

Kudryashova¹,

Лутова²,

Vuks³

2022

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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This paper examines the psychological aspects of adaptive-compensatory psychological mechanisms in patients with paranoid schizophrenia before and after social skills training. The features of self-regulation of behavior, the level of subjective control, life orientations and subjective perception of psychological characteristics of time are studied. The effects of social skills training were compared with a control group of patients who received only isolated drug therapy with psychotropic drugs. Positive dynamics was noted in both studied samples.The patients who took part in the study improved their ability to control impulses, increased behavioral flexibility, awareness of their contribution to the current situation and rational acceptance of responsibility for what is happening. Life goals also took shape better, the sense of manageability of life and satisfaction with it increased. The present has become perceived by patients with paranoid schizophrenia as more structured, saturated and predictable, and the past as realistic and tangible, which has a positive effect, including on the emotional background of patients. The effects of the training were clearly manifested when compared with a group of patients receiving only drug therapy. With combined treatment (social skills training and psychopharmacotherapy), patients begin to perceive the past more realistically, assess their actions and activity level more soberly, integration, awareness and structuring of past experience increases. This will allow patients with paranoid schizophrenia to facilitate the planning of their behavior in the future, as well as to increase the adequacy of the formation of cause-and-effect relationships and perception of what is happening, which has a beneficial effect on the ability to adapt to life in society and compensate for existing violations.

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

Cited by 5 publications

References 13 publications

Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

Community‐based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence

Virtual reality in social skills training for people with schizophrenia.

Effects of social skills training on some adaptive-compensatory parameters in patients with paranoid schizophrenia

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