精神分裂症患者社交技能训练的有效性:个案研究

Nibedita Sarkar, Abhijeet Singh, Arif Ali
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摘要

背景:精神分裂症在日常生活、社区功能、人际关系、问题解决策略或新技能习得方面造成问题。社会心理干预,如社交技能训练,有助于改善精神分裂症患者的社交技能。社会工作实践已经很好地证明了社会技能训练对社会技能低下患者的适用性。目的:本研究旨在通过社交技能训练提高精神分裂症患者的社交技能。方法:本病例研究是在提斯普尔市LGBRIMH医院住院部进行的单受试者病例研究。选择1例符合ICD-10诊断标准的精神分裂症患者。干预前后分别采用临床和社会历史量表、工作行为量表、社会适应功能量表(SAFE)、正、负症候量表(PANSS)、社会技能量表进行精神科社会工作评估。在评估的基础上进行社交技能培训,以提高患者的社交技能。结果:社会功能、社会技能、阳性症状和阴性症状的前后得分均有变化。在社交技能和工作功能方面,他们发现了显著的变化。结论:社会技能训练是有效的,可以提高社会技能,增强工作行为和社会功能。
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Effectiveness of Social Skills Training in Person with Schizophrenia: A Case Study
Background: Schizophrenia imposes problems in day to day living, community functioning, interpersonal relationships, problem-solving strategies or new skills acquisition. Psychosocial intervention like social skills training helps in the improvement of social skills of the person with schizophrenia. The applicability of social skills training for the patient with poor social skills has been well evidenced in social work practice. Aim: The present case study aimed to improve the social skills of the person with schizophrenia by using social skills training. Methodology: This case study was a single subject case study done in the inpatient department of LGBRIMH, Tezpur. A case diagnosed with schizophrenia according to ICD-10 criteria was selected. Psychiatric social work assessment was done using clinical and social history proforma, Work Behaviour Inventory, Social Adaptive Functioning Evaluation (SAFE), Positive and Negative Syndrome Scale (PANSS), Social Skills Checklist was administered before and after the intervention. Based on the assessment social skill training was provided to improve the social skills of the client. Results: There were changes observed in pre and post scores of social functioning, social skills, positive and negative symptoms. Significant changes were noticed in social skills and work functioning. Conclusion: Social skills training is effective and can be provided for improving social skills, for enhancing work behaviour and social functioning.
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