Abstract
Social skills training (SST) has been widely used in attempts to rehabilitate chronic schizophrenic patients. The key assumption underlying SST is that social skills deficits are important determinants of the social isolation, poor social role functioning, and low quality of life characteristic of schizophrenic patients. To test this assumption, 89 patients meeting DSM-III-R criteria for schizophrenia were assessed on behavioural and self-report measures of social skills. A structured clinical interview, a self-report inventory of distress during social interaction, and self-monitoring of time in social interaction were used to assess social functioning. Positive psychotic symptoms were assessed in a standardised clinical interview. A structural equation modelling analysis showed that observed social skills predicted social functioning, and that this association was statistically independent of severity of psychotic symptoms. This finding is consistent with the hypothesis that social skills are important in the social functioning of patients with schizophrenia.
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References
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders, 3rd edn revised. American Psychiatric Association, Washington, D. C.
Anthony WA, Liberman RP (1986) The practice of psychiatric rehabilitation: historical, conceptual and research base. Schizophr Bull 12: 542–559
Argyle M (1981) The contribution of social interaction research to social skills training. In: Wine JD, Smye MD (eds) Social competence. Guilford, New York, pp 261–286
Australian Bureau of Statistics (1987) Information paper: the use pilot survey. Australian Bureau of Statistics Canberra, Australia
Bellack AS (1979) Role play tests for assessing social skills: are they valid? are they useful? J Consul Clin Psychol 47: 335–342
Bellack AS (1983) Recurrent problems in the behavioural assessment of social skill. Behav Res Ther 21: 29–42
Bellack AS, Morrison RL, Mueser KT, Wade JH, Sayer SL (1990) Role play for assessing the social competence of psychiatric patients. J Consult Clin Psychiatry 3: 248–255
Bellack AS, Mueser KT, Douglas M, Bennett M (Undated) Social problem solving assessment battery. Medical College of PA/EPPI, Department of Psychiatry Philadelphia
Bentler PM (1985) Theory and implementation of EQS: a structural equations program. BMDP Statistical Software Los Angeles
Bryant B, Trower PE (1974) Social difficulty in a student sample. Br J Educ Psychol 44: 13–21
Cannon-Spoor HE, Potkin SG, Wyatt RJ (1982) Measurement of premorbid adjustment in chronic schizophrenia. Schizophr Bull 8: 470–484
Curran JP (1982) A procedure for the assessment of social skills: the simulated social interaction test. In: Curran JP, Monti PM (eds) Social skills training Guilford, New York, pp 3–21
Falloon JRH, Boyd JL, McGill RW (1984) Behavioural family management of mental illness: enhancing family coping in community care Guilford New York
Halford WK, Foddy M (1982) Cognitive and social skills correlates of social anxiety. Br J Clin Psychol 21: 17–28
Halford WK, Hayes R (1991) Psychological rehabilitation of chronic schizophrenic patients: recent findings on social skills training and family psychoeducation. Clin Psychol Rev 11: 23–44
Hedland JL, Vieweg PW (1980) The Brief Psychiatric Rating Scale: a comprehensive review. J Operational Psychiatry 11: 48–65
Heinrichs DW, Hanlon M, Carpenter WT (1984) The Quality of Life Scale: an instrument for rating the schizophrenia deficit syndrome. Schizophr Bull 10: 388–398
Jackson HJ, Minas IH, Burgess PM, Joshua SD, Charisou J, Campbell IM (1989) Is social skills performance a correlate of schizophrenia subtypes? Schizophr Res 2: 301–309
Johnstone EC, Crow TJ, Frith CD, Stevens M, Kreel L, Husband J (1978) The dementia of dementia praecox: Acta Psychiatr Scand 51: 305–324
Liberman RP, Massel HK, Mosk MD, Wong SE (1985) Social skills training for chronic mental patients. Hosp Community Psychiatry 36:396–403
Liberman RP, DeRisi WJ, Mueser KT (1989) Social skills training for psychiatric patients. Pergamon, New York
Liddle PF (1987) The symptoms of chronic schizophrenia: a re-examination of the positive-negative dichotomy. Br J Psychiatry 158: 145–151
Lindsay WR (1982) The effects of labelling: blind and non-blind ratings of social skills in schizophrenia and non-schizophrenic control subjects. Am J Psychiatry 139: 216–219
Lukoff D, Liberman RP, Neuchterlein KH (1986) Symptom monitoring in the rehabilitation of schizophrenic patients living in the community. Schizophr Bull 12: 578–593
Mueser KT, Bellack AS, Douglas MS, Morrison RL (1991a) Prevalence and stability of social skill deficits in schizophrenia. Schizophr Res 5: 167–176
Mueser KT, Bellack AS, Douglas MS, Wade JH (1991b) Prediction of social skill acquisition in schizophrenic and major affective disorder patients from memory and symptomatology. Psychiatry Res 37: 281–296
Rutter DR (1977) Speech patterning in recently admitted and chronic long-stay schizophrenic patients. Br J Soc Clin Psychol 16: 45–55
Rutter DR (1978) Visual interaction in schizophrenic patients: the timing of looks. Br J Soc Clin Psychol 17: 281–282
Wallace CJ, Liberman RP (1985) Social skills training for patients with schizophrenia: a controlled clinical trial. Psychiatry Res 15: 239–247
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Halford, W.K., Hayes, R.L. Social skills in schizophrenia: assessing the relationship between social skills, psychopathology and community functioning. Soc Psychiatry Psychiatr Epidemiol 30, 14–19 (1995). https://doi.org/10.1007/BF00784429
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DOI: https://doi.org/10.1007/BF00784429