Falloon I R, Lindley P, McDonald R, Marks I M
Br J Psychiatry. 1977 Dec;131:599-609. doi: 10.1192/bjp.131.6.599.
Fifty-one out-patients with social skills deficits (two-thirds men) completed ten weekly sessions of 75-minute group treatment; 44 were followed up for a mean of 16 months. Random assignment was to one of three conditions: (I) Cohesive group discussion; (2) Modelling and role-rehearsal; or (3) Modelling and role-rehearsal + daily social homework. All three treatment conditions produced significant but incomplete improvement at the end of treatment and follow-up. The two role-rehearsal conditions were significantly superior to group discussion on several measures. Patients who completed daily social homework assignments did significantly better than patients who completed control homework. Alcohol and drug abuse patients usually dropped out. Schizophrenic patients in remission had lost their improvement at follow-up. Patients with other diagnoses retained their gains to 16-month follow-up.
51名存在社交技能缺陷的门诊患者（三分之二为男性）完成了为期十周、每周一次、每次75分钟的团体治疗；44名患者接受了平均16个月的随访。随机分配至以下三种治疗条件之一：（1）凝聚力团体讨论；（2）示范与角色扮演练习；或（3）示范与角色扮演练习+每日社交作业。在治疗结束时和随访期间，所有三种治疗条件均产生了显著但不完全的改善。在多项指标上，两种角色扮演练习条件显著优于团体讨论。完成每日社交作业任务的患者比完成对照作业的患者表现明显更好。酒精和药物滥用患者通常会退出。病情缓解的精神分裂症患者在随访时失去了改善效果。其他诊断的患者在16个月随访时仍保持着治疗效果。
