Social skills programmes for schizophrenia

Abstract

Background Social skills programmes (SSP) are treatment strategies aimed at enhancing the social performance and reducing the distress and di iculty experienced by people with a diagnosis of schizophrenia and can be incorporated as part of the rehabilitation package for people with schizophrenia. Objectives The primary objective is to investigate the e ects of social skills training programmes, compared to standard care, for people with schizophrenia. Search methods We searched the Cochrane Schizophrenia Group's Trials Register (November 2006 and December 2011) which is based on regular searches of CINAHL, BIOSIS, AMED, EMBASE, PubMed, MEDLINE, PsycINFO, and registries of clinical trials. We inspected references of all identified studies for further trials. A further search for studies has been conducted by the Cochrane Schizophrenia Group in 2015, 37 citations have been found and are currently being assessed by review authors. Selection criteria We included all relevant randomised controlled trials for social skills programmes versus standard care involving people with serious mental illnesses. Data collection and analysis We extracted data independently. For dichotomous data we calculated risk ratios (RRs) and their 95% confidence intervals (CI) on an intention-to-treat basis. For continuous data, we calculated mean di erences (MD) and 95% CIs. Main results We included 13 randomised trials (975 participants). These evaluated social skills programmes versus standard care, or discussion group. We found evidence in favour of social skills programmes compared to standard care on all measures of social functioning. We also found that rates of relapse and rehospitalisation were lower for social skills compared to standard care (relapse: 2 RCTs, n = 263, RR 0.52 CI 0.34 to 0.79, very low quality evidence), (rehospitalisation: 1 RCT, n = 143, RR 0.53 CI 0.30 to 0.93, very low quality evidence) and participants' mental Social skills programmes for schizophrenia (Review)

The effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level

“…The Turkish validity and reliability study of the 30-item scale was performed by Voltan. 33 The 3, 6,7,8,10,18,20,21,22,25,27,28, and 29th items (13 items) are positive expressions; and the 1,2,4,5,9,11,12,13,14,15,16,17,19,23,24,26, and 30th items (17 items) are negative expressions. Expressions are scored from a range of 1 to 6 and the positive expressions are reversed.…”

“…The minimum score to be achieved is 19, and the maximum is 95. The scale consists of the subscales of social functionality (SF) (2,5,7,11,12,14, and 15th items), health and therapy (9, 16, 18, 19th items), DLS (1, 4, 6, 8, 10, 17th items), and vocational functionality (VF) (3rd and 13th items). High scores from each subscale show that the functionality of that field is high, and an increase in the total score of the scale indicates that the overall functionality is high.…”

“…[5][6][7][8][9] It has been reported that psychosocial skills training, which is frequently applied in the rehabilitation of schizophrenia patients, increases quality of life, social functioning levels, self-esteem, communication skills, compliance to treatment levels, and insights of the patients; reduces disability, relapse, and repeated hospitalization; and has positive effects on positive and negative symptoms. [10][11][12][13][14][15] It is also reported that social skills training programs increase interpersonal relationships and assertiveness skills in schizophrenia. 14,[16][17][18] Assertiveness is the individualʼs expression of his own feelings, thoughts, and beliefs, his personal rights in a clear and honest manner while paying attention to the feelings and thoughts of others, and respecting their rights.…”

Entrenamiento en habilidades sociales orientado a la Metacognición (MOSST): Marco teórico, metodología de trabajo y descripción del tratamiento para pacientes con Esquizofrenia

“…De forma similar, Kurtz y Mueser (2008) demostraron que este tipo de intervenciones tienen un efecto moderado sobre el funcionamiento psicosocial (d = 0,52) y pequeño en la reducción de recaídas (d = 0,23). En esta dirección, una reciente revisión de colaboración Cochrane (Almerie et al, 2015) ha concluido que aún no queda claro si los programas actuales de EHS producen resultados superiores a los cuidados convencionales. Debido al escaso impacto de estos programas, diversos autores han propuesto algunas mejoras para incrementar su eficacia.…”

“…Dentro de estas dificultades se incluyen, por ejemplo, los problemas para conversar, manejar conflictos o actuar de manera asertiva con familiares, amigos, miembros de la comunidad o compañeros de trabajo (Bellack et al, 2007). Como resultado, el entrenamiento en habilidades sociales (EHS) se considera una parte esencial del tratamiento de la esquizofrenia y su inclusión se recomienda en múltiples guías clínicas del trastorno (Almerie et al, 2015;Dixon et al, 2010). …”