Cargando…

Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis

AIM: Difficulties in social functioning have been observed in youth at clinical high-risk (CHR) of psychosis even in those who do not go on to develop a psychotic illness. Few treatment studies have attempted to improve social functioning in this population. The aim of this study was to conduct a ra...

Descripción completa

Detalles Bibliográficos
Autores principales: Addington, Jean, Liu, Lu, Braun, Amy, Brummitt, Kali, Cadenhead, Kristin S, Cornblatt, Barbara A, Holden, Jason L, Granholm, Eric
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10439516/
https://www.ncbi.nlm.nih.gov/pubmed/37601286
http://dx.doi.org/10.1093/schizbullopen/sgad020
_version_ 1785092963428204544
author Addington, Jean
Liu, Lu
Braun, Amy
Brummitt, Kali
Cadenhead, Kristin S
Cornblatt, Barbara A
Holden, Jason L
Granholm, Eric
author_facet Addington, Jean
Liu, Lu
Braun, Amy
Brummitt, Kali
Cadenhead, Kristin S
Cornblatt, Barbara A
Holden, Jason L
Granholm, Eric
author_sort Addington, Jean
collection PubMed
description AIM: Difficulties in social functioning have been observed in youth at clinical high-risk (CHR) of psychosis even in those who do not go on to develop a psychotic illness. Few treatment studies have attempted to improve social functioning in this population. The aim of this study was to conduct a randomized trial comparing the effects of Cognitive-Behavioral Social Skills Training (CBSST) with a supportive therapy (ST). METHODS: Both CBSST and ST were weekly group therapies, delivered over 18 weeks. This was a 2-arm trial with single-blinded ratings and intention-to-treat analyses. Assessments occurred at baseline, end-of-treatment, and 12 months after the baseline assessment. The primary outcome was social and role functioning and defeatist performance attitudes were the secondary outcome. Attenuated positive and negative symptoms, anxiety, depression, self-efficacy, and beliefs about self and others were examined as exploratory outcomes. RESULTS: There were no significant differences between the 2 groups at baseline or either of the 2 follow-ups. However, at follow-ups, in each group there were significant improvements in clinical symptoms. These could not be attributed to group treatment since there was no control or wait-list group. CONCLUSIONS: Since poor social functioning is one of the most observed difficulties in CHR individuals, and a decline in social functioning may be a significant predictor of later transition to psychosis, future work will be needed to find effective treatments for this decline in functioning for CHR youth.
format Online
Article
Text
id pubmed-10439516
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-104395162023-08-20 Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis Addington, Jean Liu, Lu Braun, Amy Brummitt, Kali Cadenhead, Kristin S Cornblatt, Barbara A Holden, Jason L Granholm, Eric Schizophr Bull Open Regular Article AIM: Difficulties in social functioning have been observed in youth at clinical high-risk (CHR) of psychosis even in those who do not go on to develop a psychotic illness. Few treatment studies have attempted to improve social functioning in this population. The aim of this study was to conduct a randomized trial comparing the effects of Cognitive-Behavioral Social Skills Training (CBSST) with a supportive therapy (ST). METHODS: Both CBSST and ST were weekly group therapies, delivered over 18 weeks. This was a 2-arm trial with single-blinded ratings and intention-to-treat analyses. Assessments occurred at baseline, end-of-treatment, and 12 months after the baseline assessment. The primary outcome was social and role functioning and defeatist performance attitudes were the secondary outcome. Attenuated positive and negative symptoms, anxiety, depression, self-efficacy, and beliefs about self and others were examined as exploratory outcomes. RESULTS: There were no significant differences between the 2 groups at baseline or either of the 2 follow-ups. However, at follow-ups, in each group there were significant improvements in clinical symptoms. These could not be attributed to group treatment since there was no control or wait-list group. CONCLUSIONS: Since poor social functioning is one of the most observed difficulties in CHR individuals, and a decline in social functioning may be a significant predictor of later transition to psychosis, future work will be needed to find effective treatments for this decline in functioning for CHR youth. Oxford University Press 2023-08-02 /pmc/articles/PMC10439516/ /pubmed/37601286 http://dx.doi.org/10.1093/schizbullopen/sgad020 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the University of Maryland's school of medicine, Maryland Psychiatric Research Center. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Regular Article
Addington, Jean
Liu, Lu
Braun, Amy
Brummitt, Kali
Cadenhead, Kristin S
Cornblatt, Barbara A
Holden, Jason L
Granholm, Eric
Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis
title Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis
title_full Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis
title_fullStr Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis
title_full_unstemmed Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis
title_short Cognitive-Behavioral Social Skills Training: Outcome of a Randomized Controlled Trial for Youth at Risk of Psychosis
title_sort cognitive-behavioral social skills training: outcome of a randomized controlled trial for youth at risk of psychosis
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10439516/
https://www.ncbi.nlm.nih.gov/pubmed/37601286
http://dx.doi.org/10.1093/schizbullopen/sgad020
work_keys_str_mv AT addingtonjean cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis
AT liulu cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis
AT braunamy cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis
AT brummittkali cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis
AT cadenheadkristins cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis
AT cornblattbarbaraa cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis
AT holdenjasonl cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis
AT granholmeric cognitivebehavioralsocialskillstrainingoutcomeofarandomizedcontrolledtrialforyouthatriskofpsychosis