Aruldass Priyadarshini, Sekar Thamarai Selvi, Saravanan Srikrithika, Samuel Reema, Jacob K S
Occupational Therapy Education and Services, Dept. of Psychiatry, Christian Medical College, Vellore, Tamil Nadu, India.
Dept. of Psychiatry, Christian Medical College, Vellore, Tamilnadu, India.
Indian J Psychol Med. 2022 Mar;44(2):114-119. doi: 10.1177/02537176211024146. Epub 2021 Jul 29.
The study aimed to evaluate the effectiveness of a social skills training program provided at the occupational therapy unit of a tertiary care center in India.
The study used a pre-post interventional design where 101 consecutive patients with a diagnosis of schizophrenia or bipolar affective disorder, between 18 and 60 years, who provided written informed consent, were assessed on the Vellore Assessment of Social Performance (VASP) during the first week of attendance (baseline). Subsequently, they were enrolled in a six-session social skills group training program for two weeks. They were assessed on the VASP after one week (midterm assessment) and at the end (posttest) of the intervention. A follow-up assessment was done two weeks after cessation of the intervention. The participants were also scored on the Brief Psychiatric Rating Scale (BPRS) at four time points.
Repeated measures ANOVA revealed significant differences in the VASP scores between time points, that is, (baseline, midterm) = -4.34 and P = 0.001; (baseline, postgroup) = -6.92 and P = 0.001; and (baseline, follow-up) = -8.71 and P = 0.001. The correlation between the BPRS and VASP scores was also significant at each time point.
The social skills group training protocol seems to be effective and feasible for the Indian population. Since conducting multicenter clinical trials might not always be possible in resource-constrained settings, this study might be considered preliminary evidence for context-specific, peer-/family-supported social skills training.
本研究旨在评估印度一家三级护理中心职业治疗科提供的社交技能培训项目的效果。
本研究采用干预前后设计，对101例年龄在18至60岁之间、诊断为精神分裂症或双相情感障碍且提供书面知情同意书的连续患者，在就诊第一周（基线）时进行韦洛尔社会表现评估（VASP）。随后，他们参加了为期两周、共六节的社交技能小组培训项目。在干预一周后（中期评估）和结束时（后测）对他们进行VASP评估。在干预停止两周后进行随访评估。还在四个时间点对参与者进行简明精神病评定量表（BPRS）评分。
重复测量方差分析显示，各时间点的VASP评分存在显著差异，即（基线，中期）=-4.34，P=0.001；（基线，小组后）=-6.92，P=0.001；（基线，随访）=-8.71，P=0.001。各时间点BPRS与VASP评分之间的相关性也很显著。
社交技能小组培训方案对印度人群似乎有效且可行。由于在资源有限的环境中可能无法总是进行多中心临床试验，本研究可被视为针对特定背景、同伴/家庭支持的社交技能培训的初步证据。
