Symptoms and Neurocognition as Rate Limiters in Skills Training for Psychotic Patients

OBJECTIVE: This study aimed to replicate findings that neurocognitive capacity in schizophrenia is more predictive of acquisition of social skills than are symptoms. METHOD: Thirty-two hospitalized patients with chronic psychotic disorders were randomly assigned to community reintegration skills tra...

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Bibliographic Details
Published in:The American journal of psychiatry 1999-11, Vol.156 (11), p.1817-1818
Main Authors: Smith, Thomas E., Hull, James W., Romanelli, Susan, Fertuck, Eric, Weiss, Kim A.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Capacity
Cognition & reasoning
Cognition Disorders - diagnosis
Cognition Disorders - psychology
Cognition Disorders - rehabilitation
Cognitive Therapy
Humans
Medical sciences
Memory, Short-Term
Models, Psychological
Neurocognitive functioning
Patients
Predictors
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy, Group
Psychotic Disorders - diagnosis
Psychotic Disorders - psychology
Psychotic Disorders - rehabilitation
Reeducation. Readaptation. Sociotherapy
Regression Analysis
Replication studies
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - rehabilitation
Schizophrenic Psychology
Social skills training
Therapy
Treatment Outcome
Treatments
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Summary:OBJECTIVE: This study aimed to replicate findings that neurocognitive capacity in schizophrenia is more predictive of acquisition of social skills than are symptoms. METHOD: Thirty-two hospitalized patients with chronic psychotic disorders were randomly assigned to community reintegration skills training or supportive group therapy. Neurocognitive functioning was assessed before treatment, and symptoms and skill levels were measured before and after treatment. RESULTS: The skills training group showed significantly greater skill acquisition. In a regression model, skill acquisition was predicted by group membership and verbal memory capacity and not by symptoms. CONCLUSIONS: With methodological advances, the authors replicated findings regarding the importance of neurocognition in determining treatment outcome in schizophrenia.
ISSN:0002-953X
1535-7228
DOI:10.1176/ajp.156.11.1817