Psychosocial Rehabilitation and Psychotherapy Approaches

Kern, Robert S.; Horan, William P.; Glynn, Shirley M.; Reddy, L. Felice; Holden, Jason; Granholm, Eric; Turner, Luana R.; Sullivan, Mary; Spaulding, William D.

doi:10.1007/978-1-4939-0656-7_14

Cited by 2 publications

(2 citation statements)

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“…Attributional biases are thought to interact with ToM impairments, particularly when situations are ambiguous, thus, exacerbating other-blaming [12]. However, the evidence to date indicates that social cognitive remediation programs show greatest efficacy for improving lower order abilities (i.e., emotion recognition) [4, 11, 13]. Moreover, emotion recognition and ToM, are differentially impaired in schizophrenia and are likely sustained by separate neural networks [14], so may require somewhat different training methods [15].…”

Section: Introductionmentioning

confidence: 99%

“…Kern et al [13] concluded that ascertaining which training methods will be most effective for improving complex higher-order abilities remains an important unanswered question. An equally important clinical question is whether ERT is a necessary building block to improve mental-state reasoning abilities; that is, can MSRT be effective when used without any ERT?…”

Section: Introductionmentioning

confidence: 99%

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A quasi-randomized feasibility pilot study of specific treatments to improve emotion recognition and mental-state reasoning impairments in schizophrenia

et al. 2016

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BackgroundImpaired ability to make inferences about what another person might think or feel (i.e., social cognition impairment) is recognised as a core feature of schizophrenia and a key determinant of the poor social functioning that characterizes this illness. The development of treatments to target social cognitive impairments as a causal factor of impaired functioning in schizophrenia is of high priority. In this study, we investigated the acceptability, feasibility, and limited efficacy of 2 programs targeted at specific domains of social cognition in schizophrenia: “SoCog” Mental-State Reasoning Training (SoCog-MSRT) and “SoCog” Emotion Recognition Training (SoCog-ERT).MethodThirty-one participants with schizophrenia or schizoaffective disorder were allocated to either SoCog-MSRT (n = 19) or SoCog-ERT (n = 12). Treatment comprised 12 twice-weekly sessions for 6 weeks. Participants underwent assessments of social cognition, neurocognition and symptoms at baseline, post-training and 3-months after completing training.ResultsAttendance at training sessions was high with an average of 89.29 % attendance in the SoCog-MSRT groups and 85.42 % in the SoCog-ERT groups. Participants also reported the 2 programs as enjoyable and beneficial. Both SoCog-MSRT and SoCog-ERT groups showed increased scores on a false belief reasoning task and the Reading the Mind in the Eyes test. The SoCog-MSRT group also showed reduced personalising attributional biases in a small number of participants, while the SoCog-ERT group showed improved emotion recognition.ConclusionsThe results are promising and support the feasibility and acceptability of the 2 SoCog programs as well as limited efficacy to improve social cognitive abilities in schizophrenia. There is also some evidence that skills for the recognition of basic facial expressions need specific training.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12613000978763. Retrospectively registered 3/09/2013.

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