title: Technique for training schizophrenic patients in illness self-management: a controlled trial.
abstract: OBJECTIVE
  To determine whether schizophrenic outpatients receiving low-dose neuroleptic therapy could learn and retain complex information and skills related to self-management of their illness, a novel technique of teaching, using cognitive and behavioral methods, was designed to compensate for the patients' learning disabilities.
  
  
  METHODS
  The subjects were 41 patients with DSM-III-R schizophrenia who were receiving constant maintenance neuroleptic drug therapy. They were randomly assigned to structured, modularized skills training or to supportive group psychotherapy.
  
  
  RESULTS
  The patients who received skills training made significant gains in each of the areas taught, while those participating in group therapy did not. The skills learned during training were retained without significant erosion over a 1-year follow-up period.
  
  
  CONCLUSIONS
  The effectiveness of modularized teaching of illness self-management skills to schizophrenic patients appears to be largely independent of baseline psychology and symptom improvement. Such an approach is useful for overcoming or compensating for the enduring cognitive and information processing deficits commonly found in schizophrenia.
authors.affiliation: Clinical Research Center for Schizophrenia and Psychiatric Rehabilitation, University of California, School of Medicine, Los Angeles.
authors.forename: T A
authors.initials: TA
authors.lastname: Eckman
authors.forename: W C
authors.initials: WC
authors.lastname: Wirshing
authors.forename: S R
authors.initials: SR
authors.lastname: Marder
authors.forename: R P
authors.initials: RP
authors.lastname: Liberman
authors.forename: K
authors.initials: K
authors.lastname: Johnston-Cronk
authors.forename: K
authors.initials: K
authors.lastname: Zimmermann
authors.forename: J
authors.initials: J
authors.lastname: Mintz
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000553:Ambulatory Care; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001296:Audiovisual Aids; D015928:Cognitive Behavioral Therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group; D012381:Role Playing; D012559:Schizophrenia / Q000188:drug therapy / Q000534:rehabilitation / Q000628:therapy*; D012565:Schizophrenic Psychology; D012648:Self Care; D013664:Teaching Materials
chemical_list: D014150:Antipsychotic Agents