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Technique for training schizophrenic patients in illness self-management: a controlled trial.
Am J Psychiatry 1992; 149(11):1549-55AJ

Abstract

OBJECTIVE

To determine whether schizophrenic outpatients receiving low-dose neuroleptic therapy could learn and retain complex information and skills related to self-management of their illness, a novel technique of teaching, using cognitive and behavioral methods, was designed to compensate for the patients' learning disabilities.

METHOD

The subjects were 41 patients with DSM-III-R schizophrenia who were receiving constant maintenance neuroleptic drug therapy. They were randomly assigned to structured, modularized skills training or to supportive group psychotherapy.

RESULTS

The patients who received skills training made significant gains in each of the areas taught, while those participating in group therapy did not. The skills learned during training were retained without significant erosion over a 1-year follow-up period.

CONCLUSIONS

The effectiveness of modularized teaching of illness self-management skills to schizophrenic patients appears to be largely independent of baseline psychology and symptom improvement. Such an approach is useful for overcoming or compensating for the enduring cognitive and information processing deficits commonly found in schizophrenia.

Authors+Show Affiliations

Clinical Research Center for Schizophrenia and Psychiatric Rehabilitation, University of California, School of Medicine, Los Angeles.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

1384364

Citation

Eckman, T A., et al. "Technique for Training Schizophrenic Patients in Illness Self-management: a Controlled Trial." The American Journal of Psychiatry, vol. 149, no. 11, 1992, pp. 1549-55.
Eckman TA, Wirshing WC, Marder SR, et al. Technique for training schizophrenic patients in illness self-management: a controlled trial. Am J Psychiatry. 1992;149(11):1549-55.
Eckman, T. A., Wirshing, W. C., Marder, S. R., Liberman, R. P., Johnston-Cronk, K., Zimmermann, K., & Mintz, J. (1992). Technique for training schizophrenic patients in illness self-management: a controlled trial. The American Journal of Psychiatry, 149(11), pp. 1549-55.
Eckman TA, et al. Technique for Training Schizophrenic Patients in Illness Self-management: a Controlled Trial. Am J Psychiatry. 1992;149(11):1549-55. PubMed PMID: 1384364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Technique for training schizophrenic patients in illness self-management: a controlled trial. AU - Eckman,T A, AU - Wirshing,W C, AU - Marder,S R, AU - Liberman,R P, AU - Johnston-Cronk,K, AU - Zimmermann,K, AU - Mintz,J, PY - 1992/11/1/pubmed PY - 1992/11/1/medline PY - 1992/11/1/entrez SP - 1549 EP - 55 JF - The American journal of psychiatry JO - Am J Psychiatry VL - 149 IS - 11 N2 - OBJECTIVE: To determine whether schizophrenic outpatients receiving low-dose neuroleptic therapy could learn and retain complex information and skills related to self-management of their illness, a novel technique of teaching, using cognitive and behavioral methods, was designed to compensate for the patients' learning disabilities. METHOD: The subjects were 41 patients with DSM-III-R schizophrenia who were receiving constant maintenance neuroleptic drug therapy. They were randomly assigned to structured, modularized skills training or to supportive group psychotherapy. RESULTS: The patients who received skills training made significant gains in each of the areas taught, while those participating in group therapy did not. The skills learned during training were retained without significant erosion over a 1-year follow-up period. CONCLUSIONS: The effectiveness of modularized teaching of illness self-management skills to schizophrenic patients appears to be largely independent of baseline psychology and symptom improvement. Such an approach is useful for overcoming or compensating for the enduring cognitive and information processing deficits commonly found in schizophrenia. SN - 0002-953X UR - https://www.unboundmedicine.com/medline/citation/1384364/full_citation L2 - https://ajp.psychiatryonline.org/doi/full/10.1176/ajp.149.11.1549?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -