Hostname: page-component-5cf477f64f-2wr7h Total loading time: 0 Render date: 2025-04-01T14:09:10.989Z Has data issue: false hasContentIssue false
  • English
  • Français

Transportability and Feasibility of Social Cognition and Interaction Training (SCIT) in Community Settings

Published online by Cambridge University Press:  27 October 2009

David L. Roberts ,
David L. Penn ,
Daniella Labate ,
Seth A. Margolis  and
Abram Sterne
David L. Roberts*
Affiliation:
Yale University School of Medicine, New Haven, USA
David L. Penn
Affiliation:
University of North Carolina, Chapel Hill, USA
Daniella Labate
Affiliation:
The Bridge Inc., New York, USA
Seth A. Margolis
Affiliation:
F.E.G.S. Health and Human Services System, New York, USA
Abram Sterne
Affiliation:
F.E.G.S. Health and Human Services System, New York, USA
*
Reprint requests to David L. Roberts, Yale University School of Medicine, Department of Psychiatry, CMHC, Room 38, 34 Park Street, New Haven, CT 06519, USA. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Social Cognition and Interaction Training (SCIT) is a manual-based group intervention designed to improve social cognition in schizophrenia. Initial studies conducted by the developers of SCIT suggest that the intervention has promise in ameliorating social cognitive dysfunction in both inpatients and outpatients. Aims: The current study is a preliminary evaluation of SCIT in community samples. Method: An uncontrolled, pre-post design was used in this initial feasibility study. A collaborative research-clinical approach was employed to enable research evaluation while also meeting the administrative goals of participating clinics, and working within the constraints of real-world clinical practice. Transportability, acceptability, and feasibility of SCIT were evaluated in terms of pre- and post-treatment evaluations, client attendance data (N = 50), and clinic administrators’ decisions about whether to integrate SCIT into regular programming. Social-cognitive outcome measures assessed emotion perception, Theory of Mind, and attributional bias. Results: These support the transportability, acceptability, and feasibility of SCIT in community settings. SCIT has been integrated into routine practice at several test sites. Tentative support was found for improvement in emotion perception and Theory of Mind, but not attributional bias. Conclusions: SCIT may be a promising intervention for community agencies serving individuals with psychotic disorders who seek to improve their social functioning.

Keywords

Schizophreniasocial cognitionTheory of Mindemotion perceptionattributional biastransportability
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 38 , Issue 1 , January 2010 , pp. 35 - 47
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Addis, M. E. and Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331–339.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author.Google Scholar
Brothers, L. (1990). The social brain: a project for integrating primate behavior and neurophysiology in a new domain. Concepts in Neuroscience, 1, 27–61.Google Scholar
Bell, M., Tsang, H. W., Greig, T. C. and Bryson, G. J. (2009). Neurocognition, social cognition, perceived social discomfort, and vocational outcomes in schizophrenia. Schizophrenia Bulletin, 35, 738–747.CrossRefGoogle ScholarPubMed
Bellack, A. S., Schooler, N. and Marder, S. R. (2004). Do Clozapine and Risperidone affect social competence and problem solving? American Journal of Psychiatry, 161, 364–367.CrossRefGoogle ScholarPubMed
Brekke, J., Kay, D. D., Lee, K. S. and Green, M. F. (2005). Biosocial pathways to functional outcome in schizophrenia. Schizophrenia Research, 80, 213–225.CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ: Erlbaum.Google Scholar
Combs, D. R., Adams, S. D., Penn, D. L., Roberts, D. L., Tiegreen, J. and Stem, P. (2007). Social Cognition and Interaction Training for inpatients with schizophrenia spectrum disorders: preliminary findings. Schizophrenia Research, 91, 112–116.CrossRefGoogle ScholarPubMed
Combs, D. R., Penn, D. L., Wicher, M. and Waldheter, E. (2007). The Ambiguous Intentions Hostility Questionnaire (AIHQ): a new measure for evaluating attributional biases in paranoia. Cognitive Neuropsychiatry, 12, 128–143.CrossRefGoogle ScholarPubMed
Corcoran, R., Mercer, G. and Frith, C. (1995). Schizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophrenia Research, 17, 5–13.CrossRefGoogle Scholar
Couture, S. M., Penn, D. L. and Roberts, D. L. (2006). The functional significance of social cognition in schizophrenia: a review. Schizophrenia Bulletin, 32, S44–S63.CrossRefGoogle ScholarPubMed
Curtis, N. M., Ronan, K. R. and Borduin, C. M. (2004) Multisystemic treatment: a meta-analysis of outcome studies. Journal of Family Psychology, 18, 411–419.CrossRefGoogle ScholarPubMed
Davidson, M., Reichenberg, A., Rabinowitz, J., Weiser, M. and Kaplan, Z. (1999). Behavioral and intellectual markers for schizophrenia in apparently healthy male adolescents. American Journal of Psychiatry, 156, 1328–1335.CrossRefGoogle ScholarPubMed
Dobson, K. S. and Hamilton, K. E. (2002). The stage model for psychotherapy manual development: a valuable tool for promoting evidence-based practice. Clinical Psychology: Science and Practice, 9, 407–409.Google Scholar
Dunlap, W. P., Cortina, J. M., Vaslow, J. B. and Burke, M. J. (1996). Meta-analysis of experiments with matched groups or repeated measures designs. Psychological Methods, 1, 170–177.CrossRefGoogle Scholar
Granholm, E., Ben-Zeev, D. and Link, P. C. (in press). Social disinterest attitudes and group cognitive-behavioral social skills training for functional disability in schizophrenia. Schizophrenia Bulletin.Google Scholar
Green, M. F., Olivier, B., Crawley, J. N., Penn, D. L. and Silverstein, S. (2005). Social cognition in schizophrenia: recommendations from the MATRICS new approaches conference. Schizophrenia Bulletin, 31, 882–887.CrossRefGoogle Scholar
Greenwald, A. G. and Banaji, M. R. (1995). Implicit social cognition: attitudes, self-esteem, and stereotypes. Psychological Review, 102, 4–27.CrossRefGoogle ScholarPubMed
Horan, W. P., Kern, R. S., Shokat-Fadai, K., Sergi, M. J., Wynn, J. K. and Green, M. F. (2009). Social cognitive skills training in schizophrenia: an initial efficacy study of stabilized outpatients. Schizophrenia Research, 107, 47–54.CrossRefGoogle ScholarPubMed
Kerr, S. L. and Neale, J. M. (1993). Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance? Journal of Abnormal Psychology, 102, 312–318.CrossRefGoogle ScholarPubMed
Kreyenbuhl, J., Nossel, H. R. and Dixon, L. B. (2009). Disengagement from mental health treatment among individuals with schizophrenia and strategies for facilitating connections to care: a review of the literature. Schizophrenia Bulletin, 35, 696–703.CrossRefGoogle Scholar
Kurtz, M. M. and Mueser, K. T. (2008). A meta-analysis of controlled research on social skills training for schizophrenia. Journal of Consulting and Clinical Psychology, 76, 491–504.CrossRefGoogle ScholarPubMed
Marenco, S. and Weinberger, D. R. (2000). The neurodevelopmental hypothesis of schizophrenia: following a trail of evidence from cradle to grave. Development and Psychopathology, 12, 501–527.CrossRefGoogle ScholarPubMed
Onken, L. S., Blaine, J. D. and Battjes, R. J. (1997). Behavioral therapy research: a conceptualization of a process. In Henggeler, S. W. and Santos, A. B. (Eds.), Innovative Approaches for Difficult-to-Treat Populations (pp. 477–485). Washington, DC: American Psychiatric Press.Google Scholar
Penn, D. L., Corrigan, P. W., Bentall, R., Racenstein, J. M. and Newman, L. (1997). Social cognition in schizophrenia. Psychological Bulletin, 121, 114–132.CrossRefGoogle ScholarPubMed
Penn, D. L., Roberts, D. L., Combs, D. and Sterne, A. (2007). The development of the Social Cognition and Interaction Training program for schizophrenia spectrum disorders. Psychiatric Services, 58, 449–451.CrossRefGoogle ScholarPubMed
Penn, D. L., Roberts, D., Munt, E. D., Silverstein, E., Jones, N. and Sheitman, B. (2005). A pilot study of social cognition and interaction training (SCIT) for schizophrenia. Schizophrenia Research, 80, 357–359.CrossRefGoogle ScholarPubMed
Penn, D. L., Sanna, L. and Roberts, D. L. (2008). Social cognition in schizophrenia: an overview. Schizophrenia Bulletin, 34, 408–411.CrossRefGoogle ScholarPubMed
Perlick, D., Stastny, P., Mattis, S. and Teresi, J. (1992). Contribution of family, cognitive, and clinical dimensions to long-term outcome in schizophrenia. Schizophrenia Research, 6, 257–265.CrossRefGoogle ScholarPubMed
Pollice, R., Roncone, R., Falloon, I. R. H., Mazza, M., DeRisio, A., Necozione, S., Morosini, P. and Casacchia, M. (2002). Is theory of mind in schizophrenia more strongly associated with clinical and social functioning than with neurocognitive deficits? Psychopathology, 35, 280–288.Google Scholar
Pinkham, A. E. and Penn, D. L. (2006) Neurocognitive and social cognitive predictors of interpersonal skill in schizophrenia. Psychiatry Research, 143, 167–178.CrossRefGoogle ScholarPubMed
Roberts, D. L., Fiszdon, J. M., DeGeorge, P. and Tek, C. (2009). Impression-management effects in paranoia assessment. Schizophrenia Bulletin, 35, Supp1, 2–3.Google Scholar
Roberts, D. L. and Penn, D. L. (2009). Social Cognition and Interaction Training (SCIT) for outpatients with schizophrenia: a preliminary study. Psychiatry Research, 166, 141–147.CrossRefGoogle ScholarPubMed
Roberts, D. L., Penn, D. L., Cather, C., Otto, M. and Goff, D. C. (2004). Should CBT target the social impairments associated with schizophrenia? Journal of Cognitive Psychotherapy: An International Quarterly, 18, 255–264.CrossRefGoogle Scholar
Sullivan, G., Marder, S. R., Liberman, R. P., Donahoe, C. P. and Mintz, J. (1990). Social skills and relapse history in outpatient schizophrenics. Psychiatry, 53, 340–345.CrossRefGoogle ScholarPubMed
Tarrier, N. and Wykes, T. (2004). Is there evidence that cognitive behaviour therapy is an effective treatment for schizophrenia? A cautious or cautionary tale? Behaviour Research and Therapy, 42, 1377–1401.CrossRefGoogle ScholarPubMed
Twamley, E. W., Jeste, D. V. and Bellack, A. S. (2003). A review of cognitive training in schizophrenia. Schizophrenia Bulletin, 29, 359–382.CrossRefGoogle ScholarPubMed
Vauth, R., Rusch, N., Wirtz, M. and Corrigan, P. W. (2004). Does social cognition influence the relation between neurocognitive deficits and vocational functioning in schizophrenia? Psychiatry Research, 128, 155–165.CrossRefGoogle ScholarPubMed
Weisz, J. R., Chu, B. C. and Polo, A. J. (2004). Treatment dissemination and evidence-based practice: strengthening intervention through clinician-researcher collaboration. Clinical Psychology: Science and Practice, 11, 300–307.Google Scholar
Westen, D. (2002). Manualizing manual development. Clinical Psychology: Science and Practice, 9, 416–418.Google Scholar
Westen, D. and Morrison, K. (2001). A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: an empirical examination of the status of empirically supported therapies. Journal of Consulting and Clinical Psychology, 6, 875–899.CrossRefGoogle Scholar
Wykes, T., Steel, C., Everitt, B. and Tarrier, N. (2008). Cognitive behavior therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin, 34, 523–537.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.