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首页> 外文期刊>The journal of clinical psychiatry >Randomized controlled trial of cognitive behavioral social skills training for older people with schizophrenia: 12-month follow-up.
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Randomized controlled trial of cognitive behavioral social skills training for older people with schizophrenia: 12-month follow-up.

机译：老年精神分裂症患者认知行为社交技能培训的随机对照试验：12个月的随访。

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OBJECTIVE: There is an increasing need for empirically validated psychotherapy interventions that improve functioning in older people with schizophrenia. We developed a 24-session weekly group therapy intervention labeled Cognitive Behavioral Social Skills Training (CBSST), which combined cognitive-behavioral therapy with social skills and problem-solving training to improve functioning. METHOD: We previously reported end-of-treatment findings from a randomized controlled trial that compared treatment as usual (TAU) with TAU plus group CBSST in 76 outpatients, 42 to 74 years of age, with schizophrenia or schizoaffective disorder (DSM-IV criteria). Twelve-month follow-up results of that trial (conducted from October 1999 to September 2004) are reported here. Blind raters obtained assessments of CBSST skill mastery, functioning, psychotic and depressive symptoms, and cognitive insight (belief flexibility). RESULTS: The significantly greater skill acquisition and self-reported performance of living skillsin the community seen in CBSST versus TAU patients at the end of treatment were maintained at 12-month follow-up (p < or = .05). Participants in CBSST also showed significantly greater cognitive insight at the end of treatment relative to TAU, but this improvement was not maintained at follow-up. The treatment-group effect was not significant for symptoms at any assessment point; however, symptoms were not the primary treatment target in this stable outpatient sample. CONCLUSION: Older people with very chronic schizophrenia were able to learn and maintain new skills with CBSST and showed improved self-reported functioning 1 year after the treatment ended. Longer treatment and/or booster sessions may be required to maintain gains in cognitive insight.
机译：目的：越来越需要经过经验验证的心理治疗干预措施，以改善精神分裂症老年人的功能。我们开发了名为“认知行为社会技能培训（CBSST）”的每周24节的小组疗法干预措施，该措施将认知行为疗法与社交技能和解决问题的培训相结合，以改善功能。方法：我们先前报道了一项随机对照试验的治疗终期结果，该试验比较了76名42至74岁，患有精神分裂症或精神分裂性情感障碍（DSM-IV标准）的门诊患者的常规治疗（TAU）与TAU加CBSST组的比较）。此处报告了该试验的12个月的随访结果（从1999年10月至2004年9月进行）。盲目评估者获得了对CBSST技能掌握，功能，精神病和抑郁症状以及认知洞察力（信念灵活性）的评估。结果：在治疗结束时，在CBSST与TAU患者相比，社区中CBSST患者的技能获得和生活技能的自我报告的功能显着提高，维持了12个月的随访（p <或= 0.05）。与TAU相比，CBSST的参与者在治疗结束时也显示出明显的认知洞察力，但随访中并未保持这种改善。在任何评估点，治疗组对症状的影响均不显着。但是，在这种稳定的门诊样本中，症状并不是主要的治疗目标。结论：患有慢性精神分裂症的老年人能够通过CBSST学习和维持新技能，并且在治疗结束1年后自我报告的功能得到改善。可能需要更长的治疗时间和/或加强疗程，以保持认知能力的获得。

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