title: An evaluation of a stress management program for individuals with schizophrenia.
abstract: Vulnerability-stress models suggest that training in specific stress management techniques should yield benefits to those suffering from schizophrenia and related disorders. In this paper, we describe an evaluation of the impact of adding a stress management program to other medical and psychosocial interventions for such patients. Outcomes were compared for 121 patients randomly assigned to receive either a 12-week stress management program with follow-up sessions or participation in a social activities group. The two treatment conditions did not differ in levels of symptoms, perceived stress or life skills immediately after completion of treatment or at 1-year follow-up. Patients who received the stress management program did have fewer hospital admissions in the year following treatment. This effect of stress management was most apparent for those who showed high levels of attendance for treatment sessions. It was concluded that training in stress management may provide patients with skills for coping with acute stressors and reduce the likelihood of subsequent acute exacerbation of symptoms with need for hospitalization.
authors.affiliation: Department of Psychiatry, University of Western Ontario, London, Ontario, Canada. rnorman@uwo.ca
authors.forename: Ross M G
authors.initials: RM
authors.lastname: Norman
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Malla
authors.forename: Terry S
authors.initials: TS
authors.lastname: McLean
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: McIntosh
authors.forename: R W J
authors.initials: RW
authors.lastname: Neufeld
authors.forename: L Panth
authors.initials: LP
authors.lastname: Voruganti
authors.forename: L
authors.initials: L
authors.lastname: Cortese
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005163:Factor Analysis, Statistical; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D011340:Problem Solving; D015397:Program Evaluation; D011613:Psychotherapy / Q000379:methods*; D011897:Random Allocation; D012559:Schizophrenia / Q000534:rehabilitation; D012565:Schizophrenic Psychology; D013315:Stress, Psychological / Q000523:psychology* / Q000628:therapy*