scholarly journals Short-term Social Skills Training in Schizophrenia; Spectrum Disorders: A Clinical Trial in an Outpatient Setting

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sara Takaloo ◽  
Zahra Mirsepassi ◽  
Vandad Sharifi ◽  
Aida Farsham ◽  
Parvaneh Farhadbeigi ◽  
...  

Background: Loss of social skills in patients with schizophrenia spectrum disorders affects their quality of life. Social skill training is an effective intervention to improve the patient’s function and quality of life. Objectives: This study was conducted to evaluate the effect of short-term social skills training on symptoms, quality of life, and global functioning in these patients in an outpatient setting in Iran. Methods: Twenty-nine patients with schizophrenia spectrum disorders, none in the acute phase and on antipsychotics, were recruited by convenience sampling. We used the global assessment of functioning scale, positive and negative syndrome scale, and the world health organization quality of life assessment (WHOQOL-BREF) instrument. The patients participated in 12 group sessions of social skill training. Immediately at the end of the intervention and 3 months later, reassessments were done. Results: The mean score of positive and negative symptoms and psychological domain of quality of life improved at the end of the intervention and three months later. Repeated measures ANOVA showed a statistically significant difference in one group in three times of assessments. The mean score of GAF improved in all three assessments. Pairwise comparison between baseline and the end of the intervention, and also between the baseline and after three months of follow-up suggested a statistically significant difference. Conclusions: Social skills training may reduce symptoms and promote global functioning in patients with schizophrenia spectrum disorders, which was achieved after three months of follow-up. This intervention should be incorporated in a comprehensive rehabilitation program in aftercare services.

2019 ◽  
Vol 11 (1) ◽  
pp. 22-25
Author(s):  
Pasquale Caponnetto ◽  
Roberta Auditore ◽  
Marilena Maglia ◽  
Stefano Pipitone ◽  
Lucio Inguscio

Schizophrenia is a serious psychiatric disorder characterized by positive symptoms, negative symptoms and neurocognitive deficits. The aim of this study was to estimate relationships between wellness, yoga and quality of life in patients affected by schizophrenia spectrum disorders. Participants were 30 patients with a diagnosis of schizophrenia in care at the Rehabilitative Psychiatry and Research Villa Chiara Clinic in Mascalucia (Catania, Italy), after that randomly assigned to two groups. The first group followed the experimental treatment with sets of yoga exercises conducted by a yoga trainer and a psychiatrist or a clinical psychologist expert in yoga, while a second control group was treated with usual care. The results revealed a significant difference, before and after treatment, between the experimental group and the control group in quality of life.


2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Pasquale Caponnetto ◽  
Roberta Auditore ◽  
Marilena Maglia ◽  
Stefano Pipitone ◽  
Lucio Inguscio

Schizophrenia is a serious psychiatric disorder characterized by positive symptoms, negative symptoms and neurocognitive deficits. The aim of this study was to estimate relationships between wellness, yoga and quality of life in patients affected by schizophrenia spectrum disorders. Participants were 30 patients with a diagnosis of schizophrenia in care at the Rehabilitative Psychiatry and Research Villa Chiara Clinic in Mascalucia (Catania, Italy), after that randomly assigned to two groups. The first group followed the experimental treatment with sets of yoga exercises conducted by a yoga trainer and a psychiatrist or a clinical psychologist expert in yoga, while a second control group was treated with usual care. The results revealed a significant difference, before and after treatment, between the experimental group and the control group in quality of life.


2016 ◽  
Vol 33 (S1) ◽  
pp. s253-s254
Author(s):  
M. Holubova ◽  
J. Prasko ◽  
K. Latalova ◽  
M. Ociskova ◽  
A. Grambal ◽  
...  

IntroductionSelf-stigma is a maladaptive psychosocial phenomenon that can disturb self-image and quality of life in psychiatric outpatients and may lead to dysphoria, social isolation and reduced adherence to treatment.ObjectivesSelf-stigma and QoL could be reflected as important factors for patients, who suffer from schizophrenia spectrum disorders, their caregivers and mental health specialists. Focus on reducing the self-stigma in supportive and educational therapy could be an important factor in promoting a higher QoL.AimsCurrent research moved attention to the relationship between demographic data, the severity of symptoms, self-stigma and quality of life in schizophrenic outpatients compared to the QoL in healthy controls.MethodsPatients who met ICD-10 criteria for schizophrenia spectrum disorder were recruited in the study. The Quality of Life Satisfaction and Enjoyment questionnaire (Q-LES-Q), Internalized Stigma of Mental Illness (ISMI) and severity of the disorder measured by objective and subjective Clinical Global Impression severity scales (CGI) were assessed.ResultsOne hundred and nine psychotic patients and 91 healthy controls participated in the study. Compared to the control group, there was a lower QoL and a higher score of self-stigma in psychotic patients. We found the correlation between the self-stigma, duration of disorder and QoL. The level of self-stigma correlated positively with total symptom severity score and negatively with the QoL. Stepwise regression analysis revealed that the objective severity and self-stigma score were significantly associated with the quality of life (Figure 2 and 3, Fig. 1).ConclusionsOur study suggests a negative impact of self-stigma level on the quality of life in patients suffering from schizophrenia spectrum disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2015 ◽  
Vol 225 (3) ◽  
pp. 695-701 ◽  
Author(s):  
Maria Margariti ◽  
Dimitris Ploumpidis ◽  
Marina Economou ◽  
George N. Christodoulou ◽  
George N. Papadimitriou

2019 ◽  
Vol 8 (8) ◽  
pp. 1196 ◽  
Author(s):  
Mickaël Ehrminger ◽  
Mathieu Urbach ◽  
Christine Passerieux ◽  
Bruno Aouizerate ◽  
Fabrice Berna ◽  
...  

Background: Up to half of the patients with schizophrenia attempt suicide during their lifetime. Better insight is associated with better functioning but also with increased suicidality. The direction of the relationship between insight and suicidality is not clear, hence we aimed to provide new elements using structural equation modeling. Methods: Insight, quality of life (QoL), depression, and suicidality were measured at baseline and at 12 months in individuals with schizophrenia spectrum disorders. The relationships between these variables were investigated by latent difference score models, controlling for chlorpromazine doses, positive and negative symptoms, and general psychopathology. Results: 738 patients were included, and 370 completed the study. Baseline levels of insight predicted changes in suicidality, whereas baseline levels of suicidality did not predict changes in insight, suggesting that better insight underlies suicidality and predicts its worsening. Our results suggest this temporal sequence: better insight → worse QoL → increased depression → increased suicidality, while insight also affects the three variables in parallel. Conclusion: Better insight predicts a worsening of QoL, depression and suicidality. These findings contribute to our global understanding of the longitudinal influence of insight on suicidality. We advocate that insight-targeted interventions should not be proposed without the monitoring of depression and suicide prevention.


2019 ◽  
Vol 275 ◽  
pp. 196-203 ◽  
Author(s):  
Brandee Feola ◽  
Kristan Armstrong ◽  
Neil D. Woodward ◽  
Stephan Heckers ◽  
Jennifer Urbano Blackford

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