Randomized Controlled Trial of Cognitive Behavioral Social Skills Training for Older People With Schizophrenia Flashcards

1
Q

What is the purpose of the study?

A

The study aimed to develop and test a Cognitive Behavioral Social Skills Training (CBSST) intervention to improve functioning in older individuals with schizophrenia.

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2
Q

What is CBSST?

A

CBSST stands for Cognitive Behavioral Social Skills Training, a therapy combining cognitive-behavioral therapy with social skills and problem-solving training.

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3
Q

What were the primary results of the study?

A

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).

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4
Q

Did CBSST improve psychotic symptoms?

A

No, the study found no significant difference in symptom improvement between CBSST and the control group (TAU).

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5
Q

What was the primary target of CBSST?

A

The primary target was functioning, including skill acquisition and self-reported community living skills.

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6
Q

What was the sample size and demographic information?

A

70 participants aged 42-74 with schizophrenia or schizoaffective disorder; majority were white (79%), male (76%), single (93%), and living in assisted care (63%).

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7
Q

What were the exclusion criteria for participants?

A

Participants with disabling medical problems, absence of medical records, or substance dependence (except caffeine/nicotine) in the past 6 months were excluded.

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8
Q

How was CBSST delivered?

A

CBSST was delivered in 24 weekly 2-hour group therapy sessions led by therapists with prior CBT experience.

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9
Q

What measures were used to assess outcomes?

A

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.

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10
Q

Did CBSST participants show improved cognitive insight?

A

CBSST participants showed improved cognitive insight at the end of treatment, but the improvement was not maintained at the 12-month follow-up.

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