Article

In-Home Psychosocial Skills Training for Patients With Schizophrenia

Department of Psychology, University of Cordoba (Spain), Cordoue, Andalusia, Spain
Psychiatric Services (Impact Factor: 2.41). 03/2006; 57(2):260-2. DOI: 10.1176/appi.ps.57.2.260
Source: PubMed

ABSTRACT

The purpose of this study was to test an intervention that adapted the University of California, Los Angeles (UCLA) social and independent living skills program for application in the patient's home and in an outpatient setting in Spain.
An intervention group of 32 patients with schizophrenia was selected for comparison with a matched control group of patients who were undergoing conventional outpatient treatment for schizophrenia during six-month treatment periods. The Positive and Negative Syndrome Scale (PANSS) scoring system was used to compare the two groups, with a pretest-posttest design.
Analysis of variance indicated a significant phase-by-treatment interaction effect of the intervention on PANSS scores.
The results of this study suggest that a combination of outpatient follow-up care and in-home care centered on psychosocial skills training is more effective than conventional treatment in improving general symptoms among individuals with schizophrenia.

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Available from: Juan Antonio Moriana, Apr 21, 2015
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    • "2006). Moriana ve arkadaşlarının (2006) araştırmasında ilaç tedavisine ek 6 ay PBE uygulanan 32 hastadan oluşan bir grup ile sadece ilaç tedavisi uygulanan bir grup karşılaştırılmış , kombinasyon tedavisi alan grubun Pozitif ve Negatif Belirtileri Değerlendirme Ölçeği puanlarının anlamlı olarak daha fazla düştüğü saptanmıştır. Bizim araştırmamızda PBE'nin pozitif ve negatif belirtilerin azaltılmasında ne kadar önemli bir tedavi yöntemi olduğunu göstermesi açısından önemlidir. "
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    ABSTRACT: The aim of this study was to determine the effect of psychosocial skills training (PST) on symptomatology, insight, quality of life, and suicide probability in patients with schizophrenia. The sample consisted of 22 schizophrenic outpatients diagnosed according to DSM-IV diagnostic criteria. Three PST groups were formed and each group's training lasted approximately 6 months. Nineteen (86%) patients completed the study. The Scale for the Assessment of Positive Symptoms, Scale for the Assessment of Negative Symptoms, Calgary Depression Rating Scale for Schizophrenia, Schedule for Assessing the Three Components of Insight, Quality of Life Scale for Patients with Schizophrenia, and Suicide Probability Scale were administered to the patients before and after PST. At the end of the study mean score for the Scale for the Assessment of Positive Symptoms score (baseline 8.5+/- +/- 9.9, post-PST 3.4 +/- +/-6.0, P = 0.004), Scale for the Assessment of Negative Symptoms (baseline 33.7 +/- +/-19.3, post-PST 22.1 +/- +/-15.7, P = 0.001), Calgary Depression Rating Scale for Schizophrenia (baseline 4.2 +/- +/-4.1, post-PST 0.7 +/- +/-1.0, P = 0.001), Schedule for Assessing the Three Components of Insight (baseline 11.1 +/- +/-3.4, post-PST 16.2 +/- +/-1.1, P < 0.0001), and Quality of Life Scale for Patients with Schizophrenia (baseline 53.5 +/- +/-20.0, post-PST 79.6 +/- +/-20.8, P < 0.0001) changed significantly, whereas the change in mean score for the Suicide Probability Scale (baseline 75.1+/- +/- 11.7, post-PST 71.3+/- +/- 8.0, P = 0.06) did not reach statistical significance. This study demonstrated the effects of PST on the symptoms and functioning of patients with schizophrenia. It can be concluded that using PST for the treatment of schizophrenia, as an adjuvant to pharmacotherapy, could produce significant positive results.
    Full-text · Article · Feb 2008 · Turk psikiyatri dergisi = Turkish journal of psychiatry
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    ABSTRACT: The comprehensive treatment of schizophrenia is not limited to pharmacotherapy; it also involves the provision of ongoing support and psychosocial interventions aimed at the social rehabilitation of the patient. Research about non-pharmacological treatments for people with schizophrenia is limited in China but studies from other countries have shown that psychosocial interventions can decrease the risk of relapse and re-hospitalization. Symptom reduction remains an important treatment goal in schizophrenia but patients and their family members are often more concerned about the functional impairments in work, education, independent living and socialization. Thus, patients with schizophrenia would benefit from interventions that target reduction in their level of disability. This article reviews the main psychosocial interventions that have been used effectively in patients with schizophrenia in China—cognitive-behavioral therapy, social skills training, family intervention therapy, cognitive remediation, psycho-education, vocational training, crisis intervention, and integrated psychotherapy—and discusses differences between the use of psychosocial interventions in China and abroad.
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