Mohammadi Fatemeh, Momtaz Yadollah Abolfathi, Motalebi Seyedeh Ameneh, Boosepasi Shahnaz
School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Rev Recent Clin Trials. 2017;12(3):182-186. doi: 10.2174/1574887112666170522142315.
There are limited scientific investigations on cognitive remediation in elderly patients with schizophrenia. The present study was aimed to examine the efficacy of cognitive remediation therapy on social skills in institutionalized elderly patients with schizophrenia.
The study employed a randomized clinical trial. A total of 60 institutionalized elderly patients with schizophrenia from Razi Psychiatric Hospital, Tehran were selected and randomly allocated into two equal groups (control and intervention). The intervention group attended to cognitive remediation therapy for 8 weeks. The Evaluation of Living Skills Scale for psychiatric patients was used for data collection. The Chi Square, independent and paired t-tests using SPSS, version 22, were employed to analyze the data.
The mean age of 60 elderly patients participated in the study was 65.25 ± 4.19 years. No significant differences were found between two groups at baseline. However, independent t-tests showed significant differences between the intervention and the control group in social skills after implementation of intervention. Additionally, the results of paired t-tests revealed significant improvements in intervention group on communication skills (t=5.50, p<0.001), behavioral problems with others (t=5.44, p<0.001), and self-care (t=4.70, p<0.001). No significant differences were observed from pretest to post test in control group.
The results of the present study may support the efficacy of cognitive remediation therapy on social skills of elderly patients with schizophrenia.
针对老年精神分裂症患者认知康复的科学研究有限。本研究旨在探讨认知康复疗法对住院老年精神分裂症患者社交技能的疗效。
本研究采用随机临床试验。从德黑兰拉齐精神病院选取60名住院老年精神分裂症患者，随机分为两组（对照组和干预组），每组人数相等。干预组接受为期8周的认知康复治疗。采用精神科患者生活技能评估量表收集数据。使用SPSS 22版软件进行卡方检验、独立样本t检验和配对t检验来分析数据。
参与研究的60名老年患者的平均年龄为65.25±4.19岁。两组在基线时无显著差异。然而，独立样本t检验显示，干预实施后，干预组和对照组在社交技能方面存在显著差异。此外，配对t检验结果显示，干预组在沟通技能（t=5.50，p<0.001）、与他人的行为问题（t=5.44，p<0.001）和自我护理（t=4.70，p<0.001）方面有显著改善。对照组在预测试和后测试之间未观察到显著差异。
本研究结果可能支持认知康复疗法对老年精神分裂症患者社交技能的疗效。
