Emami Maryam, Kheirabadi Gholamreza, Fallahi Mona
Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2023 Jun 28;12:146. doi: 10.4103/abr.abr_21_21. eCollection 2023.
The aim of this study was to investigate the effect of Lieberman community return program on reducing positive and negative symptoms and improving social skills in people with schizophrenia.
In this clinical trial study, 58 patients with schizophrenia were randomly allocated into two groups of 29. The first group received 16 sessions of Lieberman community return training and the second group received routine care as a control group. All patients were evaluated before intervention and 1 and 3 months after intervention using the Matson Social Skills Questionnaire and Negative and Positive Symptoms Assessment Scale and compared between the two groups.
Evaluation of negative symptoms showed that the dimensions of affective flattening, avolition, anhedonia-asociality, attention, and alogia in the intervention group decreased significantly over time ( < 0.05), but no significant difference was seen in the control group. The mean score of positive symptoms such as hallucinations, delusion, inappropriate affect, and formal thinking disorder in the intervention group were decreased significantly ( < 0.05), but no significant difference was seen in the control group. Appropriate social skills and overall skill score were increased significantly in the intervention group over time ( < 0.05).
Lieberman community return program is likely to reduce the symptoms of schizophrenia and increase patients' social skills.
本研究旨在探讨利伯曼社区回归项目对减少精神分裂症患者的阳性和阴性症状以及提高社交技能的效果。
在这项临床试验研究中，58例精神分裂症患者被随机分为两组，每组29例。第一组接受16节利伯曼社区回归训练，第二组作为对照组接受常规护理。所有患者在干预前以及干预后1个月和3个月使用马特森社交技能问卷和阴性与阳性症状评定量表进行评估，并在两组之间进行比较。
阴性症状评估显示，干预组的情感平淡、意志缺乏、快感缺失 - 社交退缩、注意力和言语贫乏等维度随时间显著降低（<0.05），但对照组未见显著差异。干预组的幻觉、妄想、不适当情感和形式思维障碍等阳性症状的平均得分显著降低（<0.05），但对照组未见显著差异。干预组的适当社交技能和总体技能得分随时间显著提高（<0.05）。
利伯曼社区回归项目可能会减轻精神分裂症症状并提高患者的社交技能。
