Advertisement

A trial of two cognitive behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients

II. Treatment-specific changes in coping and problem-solving skills
  • N. Tarrier
  • L. Sharpe
  • R. Beckett
  • S. Harwood
  • A. Baker
  • L. Yusopoff
Article

Summary

Changes in coping skills and problem-solving skills were examined in two groups of schizophrenic patients. The groups received either coping skills enhancement or problem-solving treatments to reduce their drugresistant residual psychotic symptoms. The coping skills group showed significant increases both in the number of positive coping strategies used and in their efficacy, whereas the problem-solving group showed a decrease in these measures during treatment. Both groups showed significant improvements in problem-solving skills. Changes in coping but not problem solving were significantly related to decreases in psychotic symptoms during treatment. It was concluded that treatment involving the teaching of coping skills had a specific treatment effect.

Keywords

Public Health Treatment Effect Coping Strategy Specific Treatment Psychotic Symptom 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Birchwood M, Smith J, Cochrane R, Wetton S, Copstake S (1990) The social functioning scale: The development and validation of a scale of social adjustment for use in family intervention programmes with schizophrenic patients. Br J Psychiatry 157: 853–859Google Scholar
  2. Borden JW, Clum GA, Broyles SE, Watkins PL (1988) Coping strategies and panic. J Anxiety Disord 2: 339–352Google Scholar
  3. D'Zurilla TJ, Goldfried MR (1971) Problem solving and behaviour modification. J Abnorm Psychol 78: 107–126Google Scholar
  4. Falloon IRH, Boyd JL, McGill CW, Razani J, Moss HB, Gilderman AM (1982) Family management in the prevention of exacerbations of schizophrenics. New Engl J Med 306: 1437–1440Google Scholar
  5. Falloon IRH, Talbot RE (1981) Persistent auditory hallucinations: Coping mechanisms and implications for management. Psychol Med 11: 329–339Google Scholar
  6. Krawiecka M, Goldberg D, Vaughan M (1977) Standardised psychiatric assessment scale for chronic psychotic patients. Acta Psychiatr Scand 36: 25–31Google Scholar
  7. Lazarus RS, Folkman S (1984) Psychological stress and the coping process McGraw-Hill New YorkGoogle Scholar
  8. Smith J, Birchwood M (1990) Relatives and patients as partments the management of schizophrenia: the development of a service model. Br J Psychiatry 156: 654–660Google Scholar
  9. Tarrier N (1987) An investigation of residual psychotic symptoms in discharged schiophrenic patients. Br J Clin Psychol 26: 141–143Google Scholar
  10. Tarrier N (1992) Management and modification of residual psychotic symptoms. In: Birchwood M, Tarrier N (eds) Innovation in the psychological management of schizophrenia. Wiley, Chichester, pp 147–169Google Scholar
  11. Tarrier N, Beckett R, Harwood S, Baker A, Yusopoff L, Ugarteburu I (1992) A trial of two cognitive behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: I. Outcome. Br J Psychiatry (in press)Google Scholar
  12. Vitaliano PP, Katon W, Russo J, Maiuro RD, Anderson K, Jones M (1987) Coping as an index of illness behaviour in panic disorders. J Nerv Ment Disord 175: 78–84Google Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • N. Tarrier
    • 1
  • L. Sharpe
    • 2
  • R. Beckett
    • 3
  • S. Harwood
    • 4
  • A. Baker
    • 5
  • L. Yusopoff
    • 6
  1. 1.Department of Clinical Psychology, School of Psychiatry and Behavioural SciencesUniversity Hospital of South ManchesterManchesterUK
  2. 2.Badham Clinic, Department of PsychologyUniversity of SydneyAustralia
  3. 3.Department of PsychologyFairmile HospitalWallingfordUK
  4. 4.Department of PsychologyPrestwich Hospital, Salford DHAManchesterUK
  5. 5.National Drug and Alcohol Research CentreUniversity of New South WalesAustralia
  6. 6.Department of PsychologyHope Hospital, Salford DHAManchesterUK

Personalised recommendations