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In the final chapter of Part II, the authors take a broad view of the sights, sounds, and stories shared in Chapters 3–5, point out findings that support earlier research, and introduce and discuss new findings that emerged from this research journey. Conclusions are organized in three large sections that mirror the foci of the previous three chapters: the six senior centers, music within the centers, and perspectives on older adult center clients’ music participation. The chapter closes with new thoughts and ideas relative to the role of music in senior centers and in older adults’ lives.
This chapter reviews findings from the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study as it compares the effects of olanzapine, perphenazine, quetiapine, risperidone, and ziprasidone on psychosocial functioning as measured on the Quality of Life Scale (QLS). In assessing psychosocial functioning, it was hypothesized that improvement would be different among treatments. The CATIE study was initiated by the National Institute of Mental Health (NIMH) to determine the effectiveness of antipsychotic drugs. For the Psychosocial Functioning Study presented in this chapter, we hypothesized that there would be differences among olanzapine, perphenazine, quetiapine, risperidone, and ziprasidone in improvement in psychosocial functioning as measured by the QLS total scale. The QLS is a clinician-rated scale of social functioning, interpersonal relationships, and psychological well-being, originally developed to measure schizophrenic deficit syndrome. Many diverse approaches to evaluate psychosocial functioning and quality of life for individuals with schizophrenia make comparisons across schizophrenia studies difficult.
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