A Holistic Program for Chronic Schizophrenic Patients

Lukoff, David; Wallace, Charles J.; Liberman, Robert Paul; Burke, Karen C.

doi:10.1093/schbul/12.2.274

Cited by 58 publications

(50 citation statements)

References 18 publications

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“…A significant reduction in depression has been found after an aerobic exercise intervention in a combined group of patients suffering from schizophrenia and bipolar disorder, which could possibly interfere with the result (14). Another study found a significant reduction in overall psychopathology using the Psychiatric Assessment Scale (PAS), Nurses Global Impressions Scale (NGI) and Symptom Checklist-90 (SCL-90) (16). The intervention included a combination of different types of sport activities, meditation and stress education.…”

Section: Discussionmentioning

confidence: 99%

Effects of high aerobic intensity training in patients with schizophrenia—A controlled trial

Heggelund

Nilsberg

Hoff

et al. 2011

Nordic Journal of Psychiatry

118

125

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Background: Patients with schizophrenia have a high risk of cardiovascular disease (CVD). High aerobic intensity training (HIT) improve peak oxygen uptake (VO2peak), net mechanical efficiency of walking and risk factors for CVD but has not been investigated in patients with schizophrenia. Aims: To investigate effects from HIT on VO2peak, net mechanical efficiency of walking and risk factors for CVD in patients with schizophrenia. Methods: 25 inpatients (F20-29, ICD-10) were allocated to either HIT or playing computer games (CG), 3 days per week for 8 weeks. HIT consisted of 4 × 4-min intervals with 3-min break periods, at 85-95% and 70% of peak heart rate, respectively. Results: 12 and seven patients completed HIT and CG, respectively. The baseline VO2peak in both groups combined (n = 19) was 36.8 ± 8.2 ml/kg/min and 3.12 ± 0.55 1/min. The HIT group improved VO2peak by 12% from 3.17 ± 0.59 to 3.56 ± 0.68 1/min (P < 0.001), more than the CG group (P = 0.014). Net mechanical efficiency of walking improved by 12% in the HIT group from 19.8 ± 3.0% to 22.2 ± 4.5% (P = 0.005), more than the CG group (P = 0.031). The psychiatric symptoms, expressed as the Positive and Negative Syndrome Scale (PANSS) and the Calgary Depression Scale for Schizophrenia (CDSS), did not improve in either group. Conclusions: VO2peak and net mechanical efficiency of walking improved significantly by 8 weeks of HIT. HIT should be included in rehabilitation in order to improve physical capacity and contribute risk reduction of CVD.

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Section: Discussionmentioning

confidence: 99%

Effects of high aerobic intensity training in patients with schizophrenia—A controlled trial

Heggelund

Nilsberg

Hoff

et al. 2011

Nordic Journal of Psychiatry

118

125

View full text Add to dashboard Cite

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“…included in the meta-analysis (e.g., Lukoff, Wallace, Liberman, & Burke, 1986;Wallace & Liberman, 1985).…”

Section: Inclusion Criteriamentioning

confidence: 99%

A meta-analysis of controlled research on social skills training for schizophrenia.

Kurtz¹,

Mueser²

2008

Journal of Consulting and Clinical Psychology

368

239

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A meta-analysis of randomized, controlled trials of social skills training for schizophrenia was conducted. Outcome measures from 22 studies including 1,521 clients were categorized according to a proximaldistal continuum in relation to the presumed site of action of skills training interventions, with content mastery tests and performance-based measures of skills assumed to be most proximal, community functioning and negative symptoms intermediate, and general symptoms and relapse most distal. Results reveal a large weighted mean effect size for content-mastery exams (d ϭ 1.20), a moderate mean effect size for performance-based measures of social and daily living skills (d ϭ 0.52), moderate mean effect sizes for community functioning (d ϭ 0.52) and negative symptoms (d ϭ 0.40), and small mean effect sizes for other symptoms (d ϭ 0.15) and relapse (d ϭ 0.23). These results support the efficacy of social skills training for improving psychosocial functioning in schizophrenia.Keywords: schizophrenia, social skills, meta-analysis Poor psychosocial functioning is one of the defining characteristics of schizophrenia (American Psychiatric Association, 1994). A wealth of evidence shows that impaired social skills in occupational, social, and recreational situations are strongly related to worse psychosocial adjustment in clients with schizophrenia Mueser & Bellack, 1998). Furthermore, impairments in social skill often predate the onset of schizophrenia (Hans, Auerbach, Asarnow, Styr, & Marcus, 2000), are present at the first episode (Addington, Saeddi, & Addington, 2006), are stable over time in the absence of psychosocial treatment (Mueser, Bellack, Douglas, & Morrison, 1991), and persist into senescence (Patterson, Goldman, McKibben, Davidson, & Jeste, 2001).Over the past 35 years, a variety of social skills training (SST) approaches have been developed to address impairments in social skills. Although skills training programs vary widely in content, duration, and the setting where they are implemented, they share a common set of strategies for teaching new skills based on social learning theory (Bandura, 1969), including goal setting, role modeling, behavioral rehearsal, positive reinforcement, corrective feedback, and homework assignments to help promote generalization to the community. Several narrative reviews of research on SST for schizophrenia have been recently published (e.g., Bellack, 2004;Kopelowicz, Liberman, & Zarate, 2006) but they have not included quantitative meta-analyses of the literature permitting direct comparisons of results across studies.Two comprehensive meta-analyses of the SST literature in schizophrenia (Benton & Schroeder, 1990) and severe mental illness (Dilk & Bond, 1996) were published over 10 years ago. Results of Benton and Schroeder's (1990) meta-analysis were relatively optimistic, with the authors concluding that effects of SST were large for specific behavioral measures of social skill and for self-reported social anxiety and assertiveness but smaller for measures of community f...

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“…The latter two categories are not covered here as they are beyond the scope of this article. [Lukoff et al 1986;Pelham et al 1993;Fogarty and Happell, 2005;Eldridge et al 2011]. An RCT comparing wellbeing training with standard care showed improved rates of selfreported heath status following a 12-month wellness training intervention [Chafetz et al 2008].…”

Section: Study Selectionmentioning

confidence: 99%

Interventions for the metabolic syndrome in schizophrenia: a review

Papanastasiou¹

2012

Therapeutic Advances in Endocrinology

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Abstract:The metabolic syndrome (MetS) is an increasingly prevalent condition in people with schizophrenia. It remains highly prevalent in the general population in developed countries, but recently health promotion campaigns and greater awareness of the high associated mortality rates have resulted in improvements in the rates of cardiovascular risk factors. This is not the case for people with schizophrenia who continue to have more than twice the rates of MetS and significantly higher mortality rates than the general population. Various behavioural and pharmacological interventions have been used to improve conditions that are linked to MetS, mainly smoking and obesity. This review aims to provide an update of the latest knowledge about the behavioural, pharmacological and other interventions that might help to combat this life-threatening problem in people with schizophrenia.

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A Holistic Program for Chronic Schizophrenic Patients

Cited by 58 publications

References 18 publications

Effects of high aerobic intensity training in patients with schizophrenia—A controlled trial

Effects of high aerobic intensity training in patients with schizophrenia—A controlled trial

A meta-analysis of controlled research on social skills training for schizophrenia.

Interventions for the metabolic syndrome in schizophrenia: a review

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