Problem solving training for schizophrenia: Rationale and review

Falloon, Ian R. H.; Barbieri, Laura; Boggian, Ileana; Lamonaca, Dario

doi:10.1080/09638230701494910

Cited by 14 publications

(10 citation statements)

References 86 publications

(78 reference statements)

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“…Falloon and colleagues (Falloon, Barbieri, Boggian, & Lamonaca, 2007) laid out a theoretical framework of pathways by which PS might benefit people with psychosis, which includes stress management, increasing interpersonal competence, containing emotional hypersensitivity, remediating neurocognitive deficits and even functionally restructuring neural circuitry. The same article presents a summary of promising findings from four pilot studies, which showed improvements in positive symptoms, negative symptoms, cognitive and occupational functioning of people with psychosis who completed problem solving interventions.…”

Section: Problem Solving Trainingmentioning

confidence: 99%

Cognitive factors maintaining persecutory delusions in psychosis: The contribution of depression.

Vorontsova¹,

Garety²,

Freeman³

2013

Journal of Abnormal Psychology

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Depression is common in people with schizophrenia, but how it might directly contribute to the persistence of psychotic symptoms has rarely been tested. The key aim of the present study was to test whether depression and associated cognitive processes predict the maintenance of persecutory delusions. Three groups of participants were tested at baseline: 60 patients with persecutory delusions in the context of a schizophrenia spectrum diagnosis, 30 patients with depression, and 30 nonclinical controls. They completed interviewer and self-report assessments of depression and paranoia, and measures of six cognitive factors (schematic beliefs, experiential avoidance, autobiographical memory, problem solving, rumination, worry style). The patients with persecutory delusions were then assessed again, six months later. It was found that 50% of the patients with persecutory delusions met diagnostic criteria for major depression. Cognitive processes found to be associated with depression across the groups were negative schematic beliefs about the self, experiential avoidance and rumination, but not autobiographical memory or problem solving. The severity of initial depression in patients with persecutory delusions predicted the persistence of paranoia over six months. A number of cognitive factors also predicted the persistence of persecutory delusions, including negative schematic beliefs about the self, worry, and problem-solving difficulties. In conclusion, depression is common in patients with current persecutory delusions, and it shows similar cognitive features to major depressive disorder. The results of this study indicate that depression and related processes may contribute to the maintenance of paranoia. Trials are warranted of depression-related therapeutic techniques for people with persecutory delusions.

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Section: Problem Solving Trainingmentioning

confidence: 99%

Cognitive factors maintaining persecutory delusions in psychosis: The contribution of depression.

Vorontsova¹,

Garety²,

Freeman³

2013

Journal of Abnormal Psychology

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“…Putting social problem solving into broader context helps with conceptualizing how domains of social skills and social cognition all relate to each other (Falloon et al, 2007). Knowledge or demonstrated ability in basic social skills would seem to be associated with enhanced social problem solving ability.…”

Section: Discussionmentioning

confidence: 99%

Memory functioning and negative symptoms as differential predictors of social problem solving skills in schizophrenia

Ventura¹,

Tom²,

Jetton³

et al. 2013

Schizophrenia Research

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Background Neurocognition in general, and memory functioning in particular, as well as symptoms have all been shown to be related to social problem solving (SPS) in schizophrenia. However, few studies have directly compared the relative contribution of neurocognition vs. psychiatric symptoms to the components of SPS. Method Sixty outpatients (aged 21 – 65) who met DSM-IV criteria for schizophrenia or schizoaffective disorder were administered a broad battery of memory tests and assessed for severity of positive and negative symptoms as part of a baseline assessment of a study of psychiatric rehabilitation. Multiple regression analyses were used to examine the contribution of memory functioning vs. symptoms on receiving, processing, and sending skill areas of social problem solving ability. Results An index of verbal learning was the strongest predictor of processing skills whereas negative symptoms were the strongest predictor of sending skills. Positive symptoms were not related to any of the three skill areas of social problem solving. Conclusions Memory functioning and psychiatric symptoms differentially predict selected areas of social problem solving ability in persons with schizophrenia. Consistent with other reports, positive symptoms were not related to social problem solving. Consideration of both neurocognition and negative symptoms may be important to the development of rehabilitation interventions in this area of functioning.

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“…Behavioural Interventions Treatment complexity has long been identified as a source of patient nonadherence (Haynes, 1976). It is well known that patients with problems in 'executive function', principally due to deficits in the frontal structures, particularly the pre-frontal cortex, experience difficulties with attention, memory, abstraction and planning (Falloon, Barbieri, Boggian & Lamonaca, 2007). Executive function deficits may be apparent in patients who are elderly, intellectually disabled, or who have chronic and severe mental health problems (such as depression and psychotic disorders).…”

Section: Relationship Factorsmentioning

confidence: 99%

“…One of the core strategies in behavioural self-management is the use of problem solving techniques (Chang & D'Zurilla, 1996). Problem solving training has proven useful and effective for both the treatment and prevention of a wide variety of clinical problems (Falloon et al, 2007). Problem solving interventions aim to change both the individual's 'problem orientation' as well as the individual's skills at solving problems.…”

Section: Relationship Factorsmentioning

confidence: 99%

Treatment Adherence

2017

The SAGE Encyclopedia of Abnormal and Clinical Psychology

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Angela has been spending a fair bit of time with Sam in recent months. She is a 29-year-old single mother with one child. She studies part-time at the local university and has managed to maintain acceptable grades. She has bipolar disorder that has been well managed with medication, in different combinations at different pOints in her illness. However, over the last month she has intermittently missed doses and is consequently becoming unwell. It is puzzling that she is missing doses because she is very attached to her child and last time she stopped medication her daughter was placed in care. The following information was obtained from her in order to undertake a functional analysis. Financially, Angela was managing well on her supporting parent benefit and the maintenance paid by the father of her child. However, her former partner was sent to jail 3 months ago and the maintenance money he was sending her dried up. As a consequence, she started falling behind in some bills about 8 weeks ago. She has told you that this worries her. On top of this, her daughter started experiencing stomach aches last week and is cranky most of the time. Angela has said that she thinks that her daughter may be lactose intolerant and believes that her local GP did not take her concerns about her daughter's distress seriously enough when she took her to see him 10 days ago. Since becoming involved with Sam, Angela has struggled to keep a routine for her and her daughter and she says she forgets her medication from time to time. Sometimes Angela loses interest in sex and she thinks that her medication might reduce her libido. Angela has never received much help from her family because they don't agree with her diagnosis. He father says that she is just an attention getter and that she puts it on. He says that is why she cut herself when she was a teenager. Her father states that if she just stopped 'boozing' she wouldn't be so down and need the medication. Angela disagrees, stating that she has been drinking to help her sleep for years and is drinking no more or less now. Nonetheless, Angela has tried to cut down on her alcohol use over the last month and this has interfered with her sleep.

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Problem solving training for schizophrenia: Rationale and review

Cited by 14 publications

References 86 publications

Cognitive factors maintaining persecutory delusions in psychosis: The contribution of depression.

Cognitive factors maintaining persecutory delusions in psychosis: The contribution of depression.

Memory functioning and negative symptoms as differential predictors of social problem solving skills in schizophrenia

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