Department of Psychiatry, Kocaeli University School of Medicine, Kocaeli, Turkey.
Int J Psychiatry Clin Pract. 2004;8(4):219-25. doi: 10.1080/13651500410005595.
OBJECTIVE This study assessed the impact of a psychosocial skills training program, consisting of psychoeducation, interpersonal group therapy and family education incorporated into social skills training, as an integrative approach on social functioning and quality of life of patients with schizophrenia, in comparison to standard care for an 8-month period. METHOD Thirty patients with DSM-IV schizophrenia were included in the study. Patients were assessed using the Positive and Negative Syndrome Scale (PANSS), Quality of Life Scale (QLS), Social Functioning Scale (SFS), and Global Assessment of Function (GAF) at baseline. Fifteen patients underwent an 8-month psychosocial skills training group program and another fifteen patients (waiting list) continued in standard care. Both groups were reassessed and analyzed at the end of the study. RESULTS Two groups were not statistically different in terms of total PANSS, QLS, SFS, GAF scores, and demographic characteristics at baseline. However, there was a significant improvement in the mean total QLS, SFS, GAF, and even in total PANSS scores (respectively from 64.46±19.58 to 89.67±24.10, P<0.001, from 93.20±22.85 to 132.60±33.85, P<0.002, from 57.40±8.78 to 63.86±7.57, P<0.012, and from 63.53±14.48 to 53.33±15.71, P<0.029) for those who underwent the PSST program, but there was no statistically significant change for those on standard care at the end of the study. CONCLUSION This study highlights the 'social functioning' and 'quality of life' benefits of the psychosocial skills training program for patients with schizophrenia. It can be concluded that this comprehensive psychosocial skills training program might be an important contribution to the functioning of the patients.
目的 本研究评估了一种心理社会技能培训方案的影响，该方案包括心理教育、人际团体治疗和家庭教育，纳入社会技能培训中，作为一种综合方法，在 8 个月的时间内对精神分裂症患者的社会功能和生活质量产生影响，与标准护理进行比较。 方法 30 名符合 DSM-IV 精神分裂症的患者纳入本研究。患者在基线时使用阳性和阴性综合征量表（PANSS）、生活质量量表（QLS）、社会功能量表（SFS）和总体功能评估（GAF）进行评估。15 名患者接受了 8 个月的心理社会技能培训组方案，而另外 15 名患者（等待名单）继续接受标准护理。两组在研究结束时均进行了重新评估和分析。 结果 两组在总 PANSS、QLS、SFS、GAF 评分和人口统计学特征方面在基线时没有统计学差异。然而，在总 QLS、SFS、GAF 甚至总 PANSS 评分方面都有显著改善（分别从 64.46±19.58 增加到 89.67±24.10，P<0.001，从 93.20±22.85 增加到 132.60±33.85，P<0.002，从 57.40±8.78 增加到 63.86±7.57，P<0.012，从 63.53±14.48 增加到 53.33±15.71，P<0.029），但在研究结束时，接受标准护理的患者没有统计学上的显著变化。 结论 本研究强调了心理社会技能培训方案对精神分裂症患者的“社会功能”和“生活质量”的益处。可以得出结论，这种全面的心理社会技能培训方案可能对患者的功能有重要贡献。
