A randomized, controlled trial of Social Cognition and Interaction Training (SCIT) for outpatients with schizophrenia spectrum disorders

Journal article


Roberts, David, Combs, Dennis, Willoughby, Michael, Mintz, Jim, Gibson, Clare, Rupp, Betty and Penn, David L.. (2014). A randomized, controlled trial of Social Cognition and Interaction Training (SCIT) for outpatients with schizophrenia spectrum disorders. British Journal of Clinical Psychology. 53(3), pp. 281 - 298. https://doi.org/10.1111/bjc.12044
AuthorsRoberts, David, Combs, Dennis, Willoughby, Michael, Mintz, Jim, Gibson, Clare, Rupp, Betty and Penn, David L.
Abstract

Objectives

In schizophrenia, the ability to adaptively infer the thoughts and feelings of others (i.e., social cognition) is strongly associated with community functioning. Researchers have designed psychosocial interventions to improve social cognition with the aim of improving downstream social functioning. Social Cognition and Interaction Training (SCIT) is one such intervention. Previous research on SCIT has been promising, but has consisted largely of smaller trials with insufficient experimental control. Design

Randomized, controlled trial. Methods

The current article reports on a controlled trial of 66 adults with schizophrenia randomized to receive either SCIT (n = 33), delivered in weekly group sessions, or treatment as usual (n = 33) for 6 months. Participants completed assessments of social cognition, social functioning, neurocognition and symptoms at baseline, post‐treatment, and 3‐month follow‐up. Results

Primary analyses suggest that SCIT may improve social functioning, negative symptoms, and possibly hostile attributional bias. Post‐hoc analyses suggest a dose–response effect. Conclusions

Findings are discussed in the context of continuing to refine and improve social cognitive interventions for schizophrenia. Practitioner points - Social cognitive intervention is a feasible and promising approach to improving social functioning among individuals with schizophrenia‐spectrum disorders.
- Dose–response findings suggest that delivering social cognitive interventions with greater frequency may maximize their benefit to patients.
- Research on social cognitive interventions is still young and effects from well‐controlled trials have been inconsistent.
- It is not yet clear which components of social cognitive training may be the key active ingredients.
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Year2014
JournalBritish Journal of Clinical Psychology
Journal citation53 (3), pp. 281 - 298
PublisherJohn Wiley & Sons Ltd
ISSN0144-6657
Digital Object Identifier (DOI)https://doi.org/10.1111/bjc.12044
Scopus EID2-s2.0-84905665443
Page range281 - 298
Place of publicationUnited Kingdom
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https://acuresearchbank.acu.edu.au/item/866q6/a-randomized-controlled-trial-of-social-cognition-and-interaction-training-scit-for-outpatients-with-schizophrenia-spectrum-disorders

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