Department of Clinical Psychology.
Faculty of Psychology.
Psychiatr Rehabil J. 2021 Mar;44(1):1-10. doi: 10.1037/prj0000410. Epub 2020 Apr 6.
In recent years, various interventions have been developed to train social cognition in schizophrenia, which have been shown to be effective in improving emotional processing, theory of mind and social perception, as well as community functioning. One of these interventions is the Social Cognition Training Program (SCTP), a program consisting of 24 sessions. For the present study we developed a brief version of 12 sessions with the aim to improve its applicability. To evaluate the effectiveness of this version, a randomized controlled trial was conducted comparing the SCTP to a neurocognitive training.
The trial was conducted with a sample of 299 patients with schizophrenia, with assessments conducted at baseline, posttreatment, and 6- and 12-month follow up. The assessment protocol included tests of emotion recognition, theory of mind, attributional style, symptomatology, community functioning, and neurocognitive functioning.
The results obtained showed that the patients of the experimental group improved in the recognition of the emotions of sadness, anger, and fear, and in the first- and second-order theory of mind. However, no significant improvement was observed in the measures of community functioning. Improvements in first- and second-order theory of mind but not emotion recognition persisted at follow ups.
Results obtained showed that deficits in social cognition can be ameliorated, although it could be necessary to have booster sessions to maintain the benefits of the training and to complement the SCPT with another type of interventions aimed specifically at transferring the benefits of social cognition training to "real" life. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
近年来，已经开发出各种干预措施来训练精神分裂症患者的社会认知能力，这些干预措施已被证明可以有效改善情绪处理、心理理论和社会感知能力，以及社区功能。其中一种干预措施是社会认知训练计划（SCTP），这是一个由 24 个疗程组成的项目。在本研究中，我们开发了一个 12 个疗程的简短版本，旨在提高其适用性。为了评估该版本的有效性，我们进行了一项随机对照试验，将 SCTP 与神经认知训练进行了比较。
该试验是在 299 名精神分裂症患者中进行的，在基线、治疗后以及 6 个月和 12 个月的随访中进行评估。评估方案包括情绪识别、心理理论、归因风格、症状、社区功能和神经认知功能测试。
研究结果表明，实验组的患者在识别悲伤、愤怒和恐惧情绪，以及一阶和二阶心理理论方面有所改善。然而，在社区功能测量方面没有观察到显著的改善。在随访中，一阶和二阶心理理论的改善持续存在，但情绪识别没有改善。
研究结果表明，社会认知能力的缺陷可以得到改善，尽管可能需要进行强化疗程，以维持培训的益处，并将 SCPT 与另一类专门旨在将社会认知培训的益处转移到“真实”生活中的干预措施相结合。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
