Randomized Controlled Trial of Cognitive Behavioral Social Skills Training for Older People With Schizophrenia Flashcards
What is the purpose of the study?
The study aimed to develop and test a Cognitive Behavioral Social Skills Training (CBSST) intervention to improve functioning in older individuals with schizophrenia.
What is CBSST?
CBSST stands for Cognitive Behavioral Social Skills Training, a therapy combining cognitive-behavioral therapy with social skills and problem-solving training.
What were the primary results of the study?
CBSST participants showed significantly greater skill acquisition and improved self-reported living skills at the 12-month follow-up compared to the control group (TAU).
Did CBSST improve psychotic symptoms?
No, the study found no significant difference in symptom improvement between CBSST and the control group (TAU).
What was the primary target of CBSST?
The primary target was functioning, including skill acquisition and self-reported community living skills.
What was the sample size and demographic information?
70 participants aged 42-74 with schizophrenia or schizoaffective disorder; majority were white (79%), male (76%), single (93%), and living in assisted care (63%).
What were the exclusion criteria for participants?
Participants with disabling medical problems, absence of medical records, or substance dependence (except caffeine/nicotine) in the past 6 months were excluded.
How was CBSST delivered?
CBSST was delivered in 24 weekly 2-hour group therapy sessions led by therapists with prior CBT experience.
What measures were used to assess outcomes?
Outcome measures included the Comprehensive Module Test (CMT) for skills, the Independent Living Skills Survey (ILSS) for functioning, and the Beck Cognitive Insight Scale (BCIS) for cognitive insight.
Did CBSST participants show improved cognitive insight?
CBSST participants showed improved cognitive insight at the end of treatment, but the improvement was not maintained at the 12-month follow-up.