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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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Published in: | The American journal of psychiatry 1999-11, Vol.156 (11), p.1817-1818 |
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container_title | The American journal of psychiatry |
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creator | Smith, Thomas E. Hull, James W. Romanelli, Susan Fertuck, Eric Weiss, Kim A. |
description | 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. |
doi_str_mv | 10.1176/ajp.156.11.1817 |
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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.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.156.11.1817</identifier><identifier>PMID: 10553750</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>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</subject><ispartof>The American journal of psychiatry, 1999-11, Vol.156 (11), p.1817-1818</ispartof><rights>1999 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Nov 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a445t-3d7a0ea8648540e2f35056ce32524dfb4e40e3cb924d1934f9d964dd3d71bec83</citedby><cites>FETCH-LOGICAL-a445t-3d7a0ea8648540e2f35056ce32524dfb4e40e3cb924d1934f9d964dd3d71bec83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.156.11.1817$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.156.11.1817$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2853,21624,21625,21626,27922,27923,30998,77564,77569</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1987571$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10553750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Thomas E.</creatorcontrib><creatorcontrib>Hull, James W.</creatorcontrib><creatorcontrib>Romanelli, Susan</creatorcontrib><creatorcontrib>Fertuck, Eric</creatorcontrib><creatorcontrib>Weiss, Kim A.</creatorcontrib><title>Symptoms and Neurocognition as Rate Limiters in Skills Training for Psychotic Patients</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>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.</description><subject>Biological and medical sciences</subject><subject>Capacity</subject><subject>Cognition & reasoning</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - psychology</subject><subject>Cognition Disorders - rehabilitation</subject><subject>Cognitive Therapy</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Memory, Short-Term</subject><subject>Models, Psychological</subject><subject>Neurocognitive functioning</subject><subject>Patients</subject><subject>Predictors</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy, Group</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - psychology</subject><subject>Psychotic Disorders - rehabilitation</subject><subject>Reeducation. Readaptation. Sociotherapy</subject><subject>Regression Analysis</subject><subject>Replication studies</subject><subject>Schizophrenia</subject><subject>Schizophrenia - diagnosis</subject><subject>Schizophrenia - rehabilitation</subject><subject>Schizophrenic Psychology</subject><subject>Social skills training</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkd1rFDEUxYNY7Lb67JsEFZ-cbb7uJPMoxVph0WKr-DZkM5madSaZJpmH_e-bZRdahOLT5Vx-535wEHpNyZJSWZ_pzbSkUBexpIrKZ2hBgUMlGVPP0YIQwqoG-O9jdJLSpkjCJXuBjikB4BLIAv263o5TDmPC2nf4m51jMOHWu-yCxzrhHzpbvHKjyzYm7Dy-_uuGIeGbqJ13_hb3IeKrtDV_QnYGX-nsrM_pJTrq9ZDsq0M9RT8vPt-cX1ar71--nn9aVVoIyBXvpCZWq1ooEMSyngOB2ljOgImuXwtbutysm6Jow0XfdE0tuq746NoaxU_Rh_3cKYa72abcji4ZOwza2zCnti5OIRn_LwhSEapUU8C3_4CbMEdfnmgZI0KClDvo3VMQBao4MOC0UGd7ysSQUrR9O0U36rhtKWl38bUlvmKoi2h38RXHm8PceT3a7hG_z6sA7w-ATkYPfdTeuPTANaocuNv8cY_paXKPbnti7T0o1q8n</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Smith, Thomas E.</creator><creator>Hull, James W.</creator><creator>Romanelli, Susan</creator><creator>Fertuck, Eric</creator><creator>Weiss, Kim A.</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19991101</creationdate><title>Symptoms and Neurocognition as Rate Limiters in Skills Training for Psychotic Patients</title><author>Smith, Thomas E. ; Hull, James W. ; Romanelli, Susan ; Fertuck, Eric ; Weiss, Kim A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a445t-3d7a0ea8648540e2f35056ce32524dfb4e40e3cb924d1934f9d964dd3d71bec83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Capacity</topic><topic>Cognition & reasoning</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - psychology</topic><topic>Cognition Disorders - rehabilitation</topic><topic>Cognitive Therapy</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Memory, Short-Term</topic><topic>Models, Psychological</topic><topic>Neurocognitive functioning</topic><topic>Patients</topic><topic>Predictors</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy, Group</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - psychology</topic><topic>Psychotic Disorders - rehabilitation</topic><topic>Reeducation. Readaptation. Sociotherapy</topic><topic>Regression Analysis</topic><topic>Replication studies</topic><topic>Schizophrenia</topic><topic>Schizophrenia - diagnosis</topic><topic>Schizophrenia - rehabilitation</topic><topic>Schizophrenic Psychology</topic><topic>Social skills training</topic><topic>Therapy</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Thomas E.</creatorcontrib><creatorcontrib>Hull, James W.</creatorcontrib><creatorcontrib>Romanelli, Susan</creatorcontrib><creatorcontrib>Fertuck, Eric</creatorcontrib><creatorcontrib>Weiss, Kim A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 13</collection><collection>Periodicals Index Online Segment 14</collection><collection>Periodicals Index Online Segment 27</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - 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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.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>10553750</pmid><doi>10.1176/ajp.156.11.1817</doi><tpages>2</tpages></addata></record> |
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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 |
title | Symptoms and Neurocognition as Rate Limiters in Skills Training for Psychotic Patients |
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