Social skills training with schizophrenics: A meta-analytic evaluation.

Benton, Mary K.; Schrøeder, Harold E.

doi:10.1037/0022-006x.58.6.741

Cited by 209 publications

(153 citation statements)

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“…Fifteen of the studies reviewed included functioning measures and the average effect size for improvement in functioning ( d =0.38) and negative symptoms ( d =0.44) was comparable to that for positive symptoms ( d =0.37). Numerous studies of consumers with schizophrenia have also shown that SST improves functioning (10, 11). A meta-analysis of 22 SST trials (11) found a large effect size for proximal content-mastery outcomes ( d =1.20), moderate effect sizes for intermediate outcomes, including performance-based measures of social and daily living skills ( d =0.52), community functioning ( d =0.52), and negative symptoms ( d =0.40), and small effect sizes for more distal outcomes, like other symptoms ( d =0.15) and relapse ( d =0.23).…”

mentioning

confidence: 99%

Randomized Controlled Trial of Cognitive Behavioral Social Skills Training for Older Consumers With Schizophrenia: Defeatist Performance Attitudes and Functional Outcome

Granholm

Holden

Link

et al. 2013

The American Journal of Geriatric Psychiatry

109

108

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Objectives To determine whether cognitive behavioral social skills training (CBSST) is an effective psychosocial intervention to improve functioning in older consumers with schizophrenia, and whether defeatist performance attitudes are associated with change in functioning in CBSST. Design An 18-month, single-blind, randomized controlled trial. Setting Outpatient clinic at a university-affiliated Veterans Affairs hospital. Participants Veteran and non-veteran consumers with schizophrenia or schizoaffective disorder (N=79) age 45–78. Interventions CBSST was a 36-session, weekly group therapy that combined cognitive behavior therapy with social skills training and problem solving training to improve functioning. The comparison intervention, goal-focused supportive contact (GFSC), was supportive group therapy focused on achieving functioning goals. Measurements Blind raters assessed functioning (primary outcome: Independent Living Skills Survey) CBSST skill mastery, positive and negative symptoms, depression, anxiety, defeatist attitudes, self-esteem, and life satisfaction. Results Functioning trajectories over time were significantly more positive in CBSST than in GFSC, especially for participants with more severe defeatist performance attitudes. Greater improvement in defeatist attitudes was also associated with better functioning in CBSST, but not GFSC. Both treatments showed comparable significant improvements in amotivation, depression, anxiety, positive self-esteem and life satisfaction. Conclusions CBSST is an effective treatment to improve functioning in older consumers with schizophrenia, and both CBSST and other supportive goal-focused interventions can reduce symptom distress, increase motivation and self esteem, and improve life satisfaction. Participants with more severe defeatist performance attitudes may benefit most from cognitive behavioral interventions that target functioning.

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mentioning

confidence: 99%

Randomized Controlled Trial of Cognitive Behavioral Social Skills Training for Older Consumers With Schizophrenia: Defeatist Performance Attitudes and Functional Outcome

Granholm

Holden

Link

et al. 2013

The American Journal of Geriatric Psychiatry

109

108

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“…Lors d'une méta-analyse réalisée sur les 27 études considérées les plus valides, Benton et Schroeder (1990) concluent que l'entraînement aux habiletés permet l'apprentissage de comportements sociaux adaptatifs, en-traîne des apprentissages sociaux durables pouvant se généraliser et permet une sortie plus rapide de l'hôpital ainsi qu'une diminution des rechutes.…”

Section: Mmêêmêêêimêmmmmmmmêêmammêêmêiêêêiêêmmmrunclassified

Évaluation des habiletés de vie autonome chez les personnes psychotiques

Cyr¹,

Toupin²,

Lesage³

2007

smq

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Ce texte détaille les caractéristiques métrologiques de l'Échelle des habiletés de Vie Autonome (EHVA) mesurant les habiletés requises chez des personnes psychotiques, pour fonctionner de façon autonome au sein de la communauté. Ce questionnaire, qui comprend 65 items répartis en dix échelles d'habiletés, a été administré à 276 personnes psychotiques. Les résultats indiquent que, dans l'ensemble, la fidélité de cet instrument est bonne, mesurée par l'accord interjuges et les coefficients alpha. Trois des 10 échelles, soit les échelles Déplacement, Recherche d'emploi et Maintien de l'emploi, n'ont pu être conservées dans la version finale. Les quatre aspects de la validité examinés dans cette étude se révèlent très satisfaisants; il s'agit du degré de convergence entre l'évaluation faite par les participants eux-mêmes et par un membre du personnel soignant, des analyses discriminantes, des corrélations convergentes-divergentes avec d'autres instruments de mesure du fonctionnement psychosocial et de l'analyse factorielle exploratoire. Après ces analyses, la version finale de l'EHVA comprend 48 items répartis sous sept échelles. La discussion fait ressortir les qualités psychométriques d'un tel instrument en langue française et suggère des pistes de recherche pour poursuivre le développement de l'EHVA.This article studies in detail the metrological characteristics of the "Autonomous Life Skills Test" ("Echelle des Habiletés de Vie Autonome" or "EHVA") which measures the skills required of psychotic patients to function on their own in the community. The questionnaire, distributed to 276 psychotic patients, made use of 10 parameters of skills broken down into 65 items. Results show that, overall, this instrument is quite reliable, as measured by the inter-rater reliability and alpha coefficients. Three of the ten parameters, namely Mobility, Employment Search and Employment Holding, were not retained in the final version. The four validity aspects were found to be very satisfactory, namely the degree of convergence between the participant's self-evaluation and the evaluation provided by healthcare personnel, (discriminating analysis), convergent-divergent correlations with other instruments measuring psychosocial functioning and the exploratory factorial analysis. Following these analysis, the final version of the "EHVA" includes 48 items covering seven parameters. A discussion of results underscores the psychometric qualities of such a French-language instrument and suggests avenues to pursue the development of the "EHVA"

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“…Three meta-analyses of SST studies (Benton & Schroeder, 1990;Corrigan, 1991;Dilk & Bond, 1996) found strong evidence for effectiveness in improving social competence, suppressing symptoms and postponing relapse. A fourth (Pilling, Bebbington et al, 2002) found no evidence for any kind of effectiveness.…”

Section: Outcome Research Methodology and Evidence Basementioning

confidence: 99%

Psychological Treatment of Psychosis

Haddock¹,

Spaulding²

2010

Schizophrenia

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Psychological treatments for the treatment of psychosis have been widely studied over many years. Early studies were mainly in the form of individual case studies or case series. However, more recently, treatments have been evaluated in larger, controlled trials leading to a larger evidence base on which to judge their effectiveness for psychosis. This evidence bases suggests that certain approaches can be effective in reducing the severity and distress associated with psychosis and some of these have become more widely employed in the treatment of severe mental health problems over the last decade in the United Kingdom, Europe and the United States. Generally, the treatments with the greatest evidence base are in following treatment domains: 1) individual cognitive and behavioural therapies for psychosis, 2) family interventions for psychosis, 3) neuropsychological and cognitive remediation approaches, 4) social skills training and other skills training approaches and 5) contingency management approaches. Characteristics of the approaches are described, (using clinical examples) and evidence in support of their effectiveness is presented. The implications for applying the approaches with complex cases, such as those with dual diagnoses is described. Finally, the challenges facing services in implementing the approaches is discussed.

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Social skills training with schizophrenics: A meta-analytic evaluation.

Cited by 209 publications

References 13 publications

Randomized Controlled Trial of Cognitive Behavioral Social Skills Training for Older Consumers With Schizophrenia: Defeatist Performance Attitudes and Functional Outcome

Randomized Controlled Trial of Cognitive Behavioral Social Skills Training for Older Consumers With Schizophrenia: Defeatist Performance Attitudes and Functional Outcome

Évaluation des habiletés de vie autonome chez les personnes psychotiques

Psychological Treatment of Psychosis

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