Case Study of a Schizophrenic Patient during Social Skills Training in a Forensic Psychiatry Ward

Abstract

A schizophrenic patient's behaviour was monitored over 12 weeks using the Assessment Schedule and Adult Training Instrument, the patient's self-reports of his symptoms of anxiety, scores on the Social Behaviour Schedule, and the frequency of nocturnal enuresis. Contrary to expectations, the patient's functioning deteriorated generally, with the exception that the trend of deteriorating behaviour, as assessed by hospital staff, appeared to have slowed down during a period involving activities out of the ward.

The association of lower urinary tract symptoms with schizophrenia and its treatments: A narrative review

“…Thirteen papers detailed the current antipsychotics the patient was prescribed, 6,8,14–19,26–31,33–42,44–49 and of these, 26 papers stated the current antipsychotic doses 8,14,15,17,18,26–31,33–42,44–46,48,49 …”

“…Four papers interviewed the patient or carer about LUTS 7,8,15,32 . Six papers mentioned a review of the patients' medical and/or nursing notes 8,14,15,27,31,47 . Three papers included an evaluation of the patient by a urologist 36,40,42 .…”

“…Twenty‐seven papers out of 34 were longitudinal studies 8,14,16–19,26–30,34–49 . Of the 27 papers, 25 measured LUTS at baseline and follow‐up, 8,16–19,26–30,34–43,45–49 while nine evaluated the status of schizophrenia at baseline and follow‐up 14,17,18,28,29,37,40,42,44 .…”

“…Twenty‐seven papers out of 34 were longitudinal studies 8,14,16–19,26–30,34–49 . Of the 27 papers, 25 measured LUTS at baseline and follow‐up, 8,16–19,26–30,34–43,45–49 while nine evaluated the status of schizophrenia at baseline and follow‐up 14,17,18,28,29,37,40,42,44 . Five papers used consistent methods to capture the baseline and follow‐up disease states, 27,29,42,43,47 and 16 specified the time period between the initial and follow‐up measurements 18,19,27–30,36,37,39–41,43,44,47–49 .…”

“…This means that no baseline data are available. Despite this, 24 papers attributed the apparent association between LUTS and schizophrenia to antipsychotics, 8,14–19,27–30,34–41,44–46,48,49 while 10 papers attributed the association to the disease of schizophrenia itself 6,7,9,26,31–33,42,43,47 . Of these 10 papers, three demonstrated that the prevalence of LUTS in schizophrenia is higher than in other patient populations, 7,9,32 while four reported abnormal urodynamic findings in patients with schizophrenia 6,26,31,33 .…”