Abstract:
OBJECTIVE:Identifying treatments to improve functioning and reduce negative symptoms in consumers with schizophrenia is of high public health significance. METHOD:In this randomized clinical trial, participants with schizophrenia or schizoaffective disorder (N = 149) were randomly assigned to cognitive behavioral social skills training (CBSST) or an active goal-focused supportive contact (GFSC) control condition. CBSST combined cognitive behavior therapy with social skills training and problem-solving training to improve functioning and negative symptoms. GFSC was weekly supportive group therapy focused on setting and achieving functioning goals. Blind raters assessed functioning (primary outcome: Independent Living Skills Survey [ILSS]), CBSST skill knowledge, positive and negative symptoms, depression, and defeatist performance attitudes. RESULTS:In mixed-effects regression models in intent-to-treat analyses, CBSST skill knowledge, functioning, amotivation/asociality negative symptoms, and defeatist performance attitudes improved significantly more in CBSST relative to GFSC. In both treatment groups, comparable improvements were also found for positive symptoms and a performance-based measure of social competence. CONCLUSIONS:The results suggest CBSST is an effective treatment to improve functioning and experiential negative symptoms in consumers with schizophrenia, and both CBSST and supportive group therapy actively focused on setting and achieving functioning goals can improve social competence and reduce positive symptoms.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Granholm E,Holden J,Link PC,McQuaid JRdoi
10.1037/a0037098subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1173-85issue
6eissn
0022-006Xissn
1939-2117pii
2014-23621-001journal_volume
82pub_type
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journal_title:Journal of consulting and clinical psychology
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