Best Practices: The Development of the Social Cognition and Interaction Training Program for Schizophrenia Spectrum Disorders

Penn, David L.; Roberts, David L.; Combs, Dennis R.; Sterne, Abram

doi:10.1176/ps.2007.58.4.449

Cited by 193 publications

(103 citation statements)

References 4 publications

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“…Results from multiple sources suggest that clinicians as well as clients perceived SCIT positively and rated it as "very helpful." Attendance rates of about 69% along with favorable feedback from clients regarding SCIT were findings consistent with those of previous studies [59]. In addition, the authors noted that consistently high ratings from clinicians were particularly meaningful in light of previous findings that clinical staff may respond negatively to manualized and structured interventions [64].…”

Section: Social Rehabilitation and Social Cognitionsupporting

confidence: 85%

“…Penn et al [59] developed this 20-week group intervention that targets emotion perception, attributional bias, and theory of mind. The three phases of the intervention are defining and identifying basic emotions through computerized exercises, modifying attributional styles related to interpersonal interactions, and attempting to generalize these skills through a series of interactive training exercises [16••].…”

Section: Social Rehabilitation and Social Cognitionmentioning

confidence: 99%

See 1 more Smart Citation

Vocational, Social, and Cognitive Rehabilitation for Individuals Diagnosed With Schizophrenia: A Review of Recent Research and Trends

Kurzban

Davis

Brekke

2010

Curr Psychiatry Rep

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A growing body of evidence suggests that social and vocational interventions effectively enhance social and vocational functioning for individuals with schizophrenia. In this review, we first consider recent advances in vocational and social rehabilitation, then examine current findings on neurocognition, social cognition, and motivation with regard to the impact these elements have on rehabilitation interventions and outcomes. A critical evaluation of recent studies examining standalone treatment approaches and hybrid approaches that integrate components such as cognitive remediation and skills training reveals several ongoing challenges within the field. Greater understanding of the differential impact of various approaches, methods that may increase the magnitude of treatment effects, and the generalization of treatment effects to community functioning are among crucial areas for future research. Overall, these treatments hold promise in improving psychosocial functioning and helping individuals with schizophrenia acquire important life skills.

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Section: Social Rehabilitation and Social Cognitionsupporting

confidence: 85%

Section: Social Rehabilitation and Social Cognitionmentioning

confidence: 99%

Vocational, Social, and Cognitive Rehabilitation for Individuals Diagnosed With Schizophrenia: A Review of Recent Research and Trends

Kurzban

Davis

Brekke

2010

Curr Psychiatry Rep

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“…Amongst the spectrum of social-cognitive deficits implicated in schizophrenia, ToM has received particular attention [3][4][5]. A substantial body of literature illustrates the importance of ToM for the current understanding of the disease [6], for its functional outcome [4,7] and targeted therapy [8,9]. Moreover, as ToM functioning has been hypothesized to play a crucial role in the pathogenesis of psychotic symptoms [10], the question was raised whether it represents a distinct trait-marker for schizophrenia [11].…”

Section: Introductionmentioning

confidence: 99%

Subtle deficits of cognitive theory of mind in unaffected first-degree relatives of schizophrenia patients

Montag

Neuhaus

Lehmann

et al. 2011

Eur Arch Psychiatry Clin Neurosci

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Alterations of theory of mind (ToM) and empathy were implicated in the formation of psychotic experiences, and deficits in psychosocial functioning of schizophrenia patients. Inspired by concepts of neurocognitive endophenotypes, the existence of a distinct, potentially neurobiologically based social-cognitive vulnerability marker for schizophrenia is a matter of ongoing debate. The fact that previous research on social-cognitive deficits in individuals at risk yielded contradictory results may partly be due to an insufficient differentiation between qualitative aspects of ToM. Thirty-four unaffected first-degree relatives of schizophrenia patients (21 parents, 8 siblings, 5 children; f/m: 30/4; mean age: 48.1 ± 12.7 years) and 34 controls subjects (f/m: 25/9; mean age: 45.9 ± 10.9 years) completed the 'Movie for the Assessment of Social Cognition'-a video-based ToM test-and an empathy questionnaire (Interpersonal Reactivity Index, IRI). Outcome parameters comprised (1) 'cognitive' versus 'emotional' ToM, (2) error counts representing 'undermentalizing' versus 'overmentalizing', (3) empathic abilities and (4) non-social neurocognition. MANCOVA showed impairments in cognitive but not emotional ToM in the relatives' group, when age, gender and neurocognition were controlled for. Relatives showed elevated error counts for 'undermentalizing' but not for 'overmentalizing'. No alterations were detected in self-rated dimensions of empathy. Of all measures of ToM and empathy, only the IRI subscale 'fantasy' was associated with measures of psychotic risk, i.e. a history of subclinical delusional ideation. The present study confirmed subtle deficits in cognitive, but not emotional ToM in first-degree relatives of schizophrenia patients, which were not explained by global cognitive deficits. Findings corroborate the assumption of distinct social-cognitive abilities as an intermediate phenotype for schizophrenia.

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“…Penn et al [71] developed the Social Cognition and Interaction Training (SCIT) program, a manualized group intervention aimed at improving social cognition and social functioning. SCIT involves three phases: a) emotion training, addressing emotion perception impairments; b) figuring out situations, focusing on attributional biases and theory of mind; and c) integration, in which patients apply the learned skills to interpersonal problems in their daily lives.…”

Section: Psychosocial Interventionsmentioning

confidence: 99%

“…jumping to conclusions, self-serving bias, bias against disconfirmatory evidence, need for closure, and liberal acceptance). MSCT is based on social cognition programs [71][72][73] and metacognitive training for SZ [68]. The authors reported improvement in several social cognition measures (theory of mind, social perception, emotion recognition) after the application of the program, thus providing evidence for the efficacy of combining remediation and debiasing approaches.…”

Section: Psychosocial Interventionsmentioning

confidence: 99%

Facial emotion processing in schizophrenia: a review of behavioural and neural correlates

Grave¹,

Soares²,

Martins³

et al. 2017

IJCNMH

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Schizophrenia is one of the most severe psychiatric conditions, often associated with deficits in social cognition. Social cognition deficits are predictors of functionality in patients and involve theory of mind, attributional style, social perception, and emotional processing. In particular, facial emotion processing (an important domain of emotional processing) seems to be particularly related to cognitive and social functioning, and to positive and negative symptoms. Patients with schizophrenia have difficulties in processing emotional faces; however, those impairments are still far from fully understood. In this review, we addressed the behavioural and neural correlates of facial emotion processing in schizophrenia. Despite studies showing impairments in both positive and negative faces, the most consistent findings involved negative faces. Moreover, patients with schizophrenia showed abnormalities in the social brain neural circuit during facial emotion processing. While some studies described hypoactivation of brain areas related to emotional processing, such as the amygdala, others reported hyperactivation, leading to a high number of inconsistencies. The findings are limited by the experimental designs used, and the clinical and demographic characteristics of patients. Despite such variable findings, there has been growing interest in developing psychosocial interventions focused directly on social cognitive impairments in schizophrenia, with potential impact on patient's ability to perceive emotional faces. We provide a critical perspective on current evidence and suggest new pathways of research. The understanding of the mechanisms underlying facial emotion processing in schizophrenia could enhance functionality and quality of life by providing innovative approaches to the interpersonal difficulties patients frequently experience.

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Best Practices: The Development of the Social Cognition and Interaction Training Program for Schizophrenia Spectrum Disorders

Cited by 193 publications

References 4 publications

Vocational, Social, and Cognitive Rehabilitation for Individuals Diagnosed With Schizophrenia: A Review of Recent Research and Trends

Vocational, Social, and Cognitive Rehabilitation for Individuals Diagnosed With Schizophrenia: A Review of Recent Research and Trends

Subtle deficits of cognitive theory of mind in unaffected first-degree relatives of schizophrenia patients

Facial emotion processing in schizophrenia: a review of behavioural and neural correlates

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