Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-27T18:21:39.229Z Has data issue: false hasContentIssue false
  • English
  • Français

Social skills training for chronic psychotic patients: A French study

Published online by Cambridge University Press:  16 April 2020

O Chambon ,
M Marie-Cardine  and
A Dazord
O Chambon
Affiliation:
SHU de Psychiatrie, CHS “Le Vinatier”, 95 bd Pinel, 69677Bron cedex, France
M Marie-Cardine
Affiliation:
SHU de Psychiatrie, CHS “Le Vinatier”, 95 bd Pinel, 69677Bron cedex, France
A Dazord
Affiliation:
Inserm, projet SCRIPT, Hôpital Saint-Jean-de-Dieu, 270 route de Vienne, Lyon, France
Get access

Summary

The aim of this article is to describe the cognitive-behavioral methods for social rehabilitation and psychotherapy of chronic psychotic patients which are nowadays available in French-speaking countries, then to propose a theoretical framework to help integrate these various methods for use in our duly pratice and, finally, to expose our research in this field, especially concerning the topic of quality of life and social skills training programs. We present a study we designed in order to assess the impact of a comprehensive social skills training program upon quality of life of chronic schizophrenic patients. Starting from the point of view that a good psychosocial rehabilitation program is one that improves social skills and social functioning without negative effects on quality of life, we tried to show such qualities in a quite comprehensive rehabilitation program using social skills training methods corresponding to the social readaptative “modules” from Liberman and Wallace's Social and Independant Living Skills Program — “medication management module” — followed by “basic conversational skills module”, and finally, a brief adapted version of “interpersonal problem solving skills module”. We were able to observe the evolution of social skills and functioning of eight schizophrenic patients having benefited from this program, over a one year period, and we compared results regarding quality of life with two control groups made of schizophrenic patients, one of them having benefited from a supportive group therapy in order to study the impact of non-specific factors. The results indicate a clear dissociation between direct benefits of social skills training (knowledge, social skills, social functioning and symptomatology) which all showed a significant improvement in the experimental group, and subjective benefits (self-esteem, sense of self-efficacy, quality of life) which showed no change, as well when consider no intra-group as well as between group comparisons.

Keywords

schizophreniarehabilitationsocial skills trainingquality of lifepsychotherapy
Type
Research Article
Information
European Psychiatry , Volume 11 , Issue S2: The rehabilitation of patients with long-term psychiatric disorders , 1996 , pp. 77s - 84s
Copyright
Copyright © Elsevier, Paris 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, ATRush, AShaw, BEmery, GCognitive therapy of depression. Guilford: New York Guild, 1979Google Scholar
Beck, ATFreeman, A, et al. Cognitive therapy of personality disorders. New York: The Guilford Press, 1990Google Scholar
Biais, MVallerand, RPelletier, LBrière, NL’échelle de satisfaction de vie: validation canadienne-française du “Satisfaction with Life Scale”. Can J Behav Sci 1989 21(2):210–23Google Scholar
Brekke, JSLevin, SWolkon, GHSobel, ESlade, EPsychosocial functioning and subjective experience in schizophrenia. Schizophren Bull 1993;19(3):599–608CrossRefGoogle Scholar
Cham bon, OEckman, TTrinh, ALiberman, RPMarie-Cardine, MSocial skills training as a way of improving quality of life among chronic mentally ill patients: presentation of a theoretical model. Eur Psychiatry 1992; 7: 213–20CrossRefGoogle Scholar
Chambon, OMarie-Cardine, MLa réadaptation sociale des psychotiques chroniques: approche cognitivo-comportementale. Paris: Presses Universitaires de France, Col “Nodules”, 1992aGoogle Scholar
Chambon, OMarie-Cardine, MPsychose. In: Ladouceur, RFontaine, OCottraux, J eds. Thérapie comportementale et cognitive. Paris: Masson, Collection “Abrégés”, 1992bGoogle Scholar
Chambon, OMarie-Cardine, MRéhabilitation des troubles psychotiques. In: Ladouceur, RFontaine, OCottraux, J eds. Thérapie comportementale et cognitive. Paris: Masson, Collection “Abrégés”, 1992cGoogle Scholar
Chambon, OMarie-Cardine, MPsychothérapie cognitive des idées délirantes: une approche guid'eeSynapse, Septembre, no special “Rio de Janeiro” “Psychoses: actualités et perspectives” 1993a 64–71Google Scholar
Chambon, OMarie-Cardine, MLa psychothérapie cognitive des psychoses chroniques. Paris: Masson, Collection “Médecine et Psychothérapie”, 1993bGoogle Scholar
Chambon, ORouvière, SFavrod, JMarie-Cardine, MLa psychothérapie cognitive des délires chroniques: théorie et application. J Thérap Comportement Cognitive 1993;3(1):4–15Google Scholar
Cormier, HResults of a clinical trial in Quebec of the symptom and medication modules (French version) Communication to the WAPR IVth Congress Dublin September 26th–29th, 1993Google Scholar
Favrod, JBarrelet, LEfficacité de l’entraînement aux habiletés sociales avec les personnes atteintes de schizophrénie. J Thér Comport Cogn 1993;3(3):84–95Google Scholar
Garety, PHemsley, DWessely, SReasoning in deluded schizophrenic and paranoid subjects: biases in performance on a probabilistic inference task. J Nerv Ment Dis 1991; 179: 194–201CrossRefGoogle ScholarPubMed
Gerin, PDazord, ACialdella, PLeizorovicz, ABoissel, JPLe questionnaire “Profil de la Qualité de la Vie Subjective” (PQVS). Premiers éléments de validation. Thérapie 1991; 46: 131–8Google Scholar
Hardy-Baylé, MCTraitement de l’information et schizophrénie In: Psychiatrie Paris: Éditions Techniques-Encycl Med Chir Fr, 199337-282-A-10:6Google Scholar
Kelly, GAThe psychology of personal constructs. New York: Norton, 1955Google Scholar
Konen, ANeis, LHodel, BBrenner, HDA propos des thérapies cognitivo-comportementales de la schizophrénie. Le programme intégratif des thérapies psychologiques (IPT). Encéphale 1993; XIX: 47–55Google Scholar
Maher, BAAnomalous experience and delusional thinking: the logic of explanations. In: Oltmanns, TFMaher, BA eds. Delusional beliefs. New York: Wiley and Sons, 1988Google Scholar
Markus, HSelf-schemata and processing information about the self. Pers Soc Psychol 1977; 35: 63–78CrossRefGoogle Scholar
Perris, CCognitive therapy with schizophrenic patients. New York: The Guilford Press, 1989Google Scholar
Piaget, JInhelder, BThe Psychology of the Child London: Routledge and Kegan Paul, 1969Google Scholar
Shepherd, GAssessment of cognitions in social skills training.Trower, P eds. Radical approaches to social skills training London, Sidney: Croom-Helm, 1984; 261–83Google Scholar
Sherer, M, et al. The self-efficacy scale: construction and validation. Psychol Rep 1982; 51: 663–71CrossRefGoogle Scholar
Strauss, JAEstroff, SESubjective experiences of schizophrenia and related disorders: Implications for understanding and treatment. Schizophren Bull 1989; 15: 177–8CrossRefGoogle Scholar
Tarrier, NHarwood, SYusupoff, LBeckett, RBaker, ACoping Strategy Enhancement (CSE): a method of treating residual schizophrenic symptoms. Behav Psychother 1990; 18: 643–62Google Scholar
Tarrier, NBeckett, RHarwood, SBaker, AYusupoff, LUgarteburu, IA trial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: I. Outcome. Br J Psychiatry 1993; 162: 524–32CrossRefGoogle ScholarPubMed
Test, MACommunity support programs.Bellack, AS eds. Treatment and Care for Schizophrenia New York: Grune and Stratton, 1984; 347–73Google Scholar
Van Den Bosch, RVan Asma, MRombouts, RLouwerens, JCoping style and cognitive dysfunction in schizophrenic patients. Br J Psychiatry 1992;161suppl 18:123–8CrossRefGoogle Scholar
Wykes, TKatz, RSturt, EHemsley, DAbnormalities of response processing in a chronic psychiatric group. A possible predictor of failure in rehabilitation programmes?. Br J Psychiatry 1992; 160: 244–52CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.