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Social Skills Training for Schizophrenia?

ALAN S. BELLACK, PHD; Kim T. MUESER, PHD
Arch Gen Psychiatry. 1992;49(1):76-76. doi:10.1001/archpsyc.1992.01820010076012
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To the Editor. —  Hogarty and colleagues1 have conducted an extremely important study on the treatment of schizophrenia. Their results shed considerable light on the potential impact of psychosocial interventions, and underscore the need for longitudinal evaluations of outcome. We find little to fault in the research design and data analysis; however, we disagree with what appears to be the overly pessimistic conclusion1(p346) that the effects of psychosocial treatments in general, and social skills training (SST) in particular, dissolve once treatment ends. Based solely on examination of the final point in their 2-year survival analysis, SST does appear to provide little more than medication alone.However, as eloquently pointed out by Hogarty et al, this analysis provides a limited and misleading view of the overall effects of the intervention. The SST condition was as effective as either of the family treatment conditions until month 21 of the intervention. Had

REFERENCES

Hogarty GE, Anderson CM, Reiss DJ, Kornblith SJ, Greenwald DP, Ulrich RF, Carter M, The EPICS Research Group.  Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia, II: two-year effects of a controlled study on relapse and adjustment . Arch Gen Psychiatry . 1991;;48:340-347.
Hooley J.  Expressed emotion: a review of the critical literature . Clin Psychol Rev . 1985;;5:119-140.
Parker G, Johnston P, Hayward L.  Parental 'expressed emotion' as a predictor of schizophrenic relapse . Arch Gen Psychiatry . 1988;;45:806-813.
Hogarty GE, Anderson CM, Reiss DJ, Kornblith SJ, Greenwald DP, Javna CD, Madonia MJ, The EPICS Research Group.  Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia, I: one-year effects of a controlled study on relapse and expressed emotion . Arch Gen Psychiatry . 1986;;43:633-642.
Neuchterlein HK, Dawson ME.  Information processing and attentional functioning in the developmental course of schizophrenic disorders . Schizophr Bull . 1984;:10:160-203.

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Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Hogarty GE, Anderson CM, Reiss DJ, Kornblith SJ, Greenwald DP, Ulrich RF, Carter M, The EPICS Research Group.  Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia, II: two-year effects of a controlled study on relapse and adjustment . Arch Gen Psychiatry . 1991;;48:340-347.
Hooley J.  Expressed emotion: a review of the critical literature . Clin Psychol Rev . 1985;;5:119-140.
Parker G, Johnston P, Hayward L.  Parental 'expressed emotion' as a predictor of schizophrenic relapse . Arch Gen Psychiatry . 1988;;45:806-813.
Hogarty GE, Anderson CM, Reiss DJ, Kornblith SJ, Greenwald DP, Javna CD, Madonia MJ, The EPICS Research Group.  Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia, I: one-year effects of a controlled study on relapse and expressed emotion . Arch Gen Psychiatry . 1986;;43:633-642.
Neuchterlein HK, Dawson ME.  Information processing and attentional functioning in the developmental course of schizophrenic disorders . Schizophr Bull . 1984;:10:160-203.

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