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David L. Penn - One of the best experts on this subject based on the ideXlab platform.
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a randomized controlled trial of social cognition and Interaction Training scit for outpatients with schizophrenia spectrum disorders
British Journal of Clinical Psychology, 2014Co-Authors: David L Roberts, Dennis R. Combs, Michael T Willoughby, Jim Mintz, Clare M Gibson, Betty Rupp, David L. PennAbstract: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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social cognition and Interaction Training scit for outpatients with bipolar disorder
Journal of Affective Disorders, 2013Co-Authors: G. Lahera, C. M. Olbert, J. M. Montes, Agustín Benito, Alberto Fernandezliria, David L. PennAbstract:Introduction: Patients with bipolar disorder show social cognition deficits during both symptomatic and euthymic phases of the illness, partially independent of other cognitive dysfunctions and current mood. Previous studies in schizophrenia have revealed that social cognition is a modifiable domain. Social cognition and Interaction Training (SCIT) is an 18-week, manual-based, group treatment designed to improve social functioning by way of social cognition. Method: 37 outpatients with DSM-IV-TR bipolar and schizoaffective disorders were randomly assigned to treatment as usual (TAU)þ SCIT (n ¼21) or TAU (n¼ 16). Independent, blind evaluators assessed subjects before and after the intervention on Face Emotion Identification Task (FEIT), Face Emotion Discrimination (FEDT), Emotion Recognition (ER40), Theory of Mind (Hinting Task) and Hostility Bias (AIHQ). Results: Analysis of covariance revealed significant group effects for emotion perception, theory of mind, and depressive symptoms. The SCIT group showed a small within-group decrease on the AIHQ Blame subscale, a moderate decrease in AIHQ Hostility Bias, a small increase in scores on the Hinting Task, a moderate increase on the ER40, and large increases on the FEDT and FEIT. There was no evidence of effects on aggressive attributional biases or on global functioning. Limitation: No follow up assessment was conducted, so it is unknown whether the effects of SCIT persist over time. Conclusion: This trial provides preliminary evidence that SCIT is feasible and may improve social cognition for bipolar and schizoaffective outpatients.
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Social cognition and Interaction Training (SCIT) for outpatients with bipolar disorder
Journal of Affective Disorders, 2013Co-Authors: G. Lahera, A. Fernández-liria, C. M. Olbert, J. M. Montes, Agustín Benito, David L. PennAbstract:Introduction: Patients with bipolar disorder show social cognition deficits during both symptomatic and euthymic phases of the illness, partially independent of other cognitive dysfunctions and current mood. Previous studies in schizophrenia have revealed that social cognition is a modifiable domain. Social cognition and Interaction Training (SCIT) is an 18-week, manual-based, group treatment designed to improve social functioning by way of social cognition. Method: 37 outpatients with DSM-IV-TR bipolar and schizoaffective disorders were randomly assigned to treatment as usual (TAU)+SCIT (n=21) or TAU (n=16). Independent, blind evaluators assessed subjects before and after the intervention on Face Emotion Identification Task (FEIT), Face Emotion Discrimination (FEDT), Emotion Recognition (ER40), Theory of Mind (Hinting Task) and Hostility Bias (AIHQ). Results: Analysis of covariance revealed significant group effects for emotion perception, theory of mind, and depressive symptoms. The SCIT group showed a small within-group decrease on the AIHQ Blame subscale, a moderate decrease in AIHQ Hostility Bias, a small increase in scores on the Hinting Task, a moderate increase on the ER40, and large increases on the FEDT and FEIT. There was no evidence of effects on aggressive attributional biases or on global functioning. Limitation: No follow up assessment was conducted, so it is unknown whether the effects of SCIT persist over time. Conclusion: This trial provides preliminary evidence that SCIT is feasible and may improve social cognition for bipolar and schizoaffective outpatients. © 2012 Elsevier B.V.
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transportability and feasibility of social cognition and Interaction Training scit in community settings
Behavioural and Cognitive Psychotherapy, 2010Co-Authors: David L Roberts, David L. Penn, Daniella Labate, Seth A Margolis, Abram SterneAbstract:Background: Social Cognition and Interaction Training (SCIT) is a manual-based group intervention designed to improve social cognition in schizophrenia. Initial studies conducted by the developers of SCIT suggest that the intervention has promise in ameliorating social cognitive dysfunction in both inpatients and outpatients. Aims: The current study is a preliminary evaluation of SCIT in community samples. Method: An uncontrolled, pre-post design was used in this initial feasibility study. A collaborative research-clinical approach was employed to enable research evaluation while also meeting the administrative goals of participating clinics, and working within the constraints of real-world clinical practice. Transportability, acceptability, and feasibility of SCIT were evaluated in terms of preand post-treatment evaluations, client attendance data (N = 50), and clinic administrators’ decisions about whether to integrate SCIT into regular programming. Social-cognitive outcome measures assessed emotion perception, Theory of Mind, and attributional bias. Results: These support the transportability, acceptability, and feasibility of SCIT in community settings. SCIT has been integrated into routine practice at several test sites. Tentative support was found for improvement in emotion perception and Theory of Mind, but not attributional bias. Conclusions: SCIT may be a promising intervention for community agencies serving individuals with psychotic disorders who seek to improve their social functioning.
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social cognition and Interaction Training scit for outpatients with schizophrenia a preliminary study
Psychiatry Research-neuroimaging, 2009Co-Authors: David L Roberts, David L. PennAbstract:Abstract Social functioning deficits (e.g., social skill, community functioning) are a core feature of schizophrenia. These deficits are only minimally improved via the frontline treatments for schizophrenia (e.g. medication, social skills Training, cognitive-behavioral therapy). Social cognition is a promising treatment target in this regard as it may be more strongly related to social functioning outcomes than traditional neurocognitive domains [Couture, S., Penn, D.L., Roberts, D.L., 2006. The functional significance of social cognition in schizophrenia: a review. Schizophrenia Bulletin (Suppl. 1), S-44–63]. Social cognition and Interaction Training (SCIT) is a 20-week, manualized, group treatment designed to improve social functioning in schizophrenia by way of improved social cognition. This article reports preliminary data from a quasi-experimental study comparing SCIT + treatment as usual (TAU; n =20) to TAU alone ( n =11) among outpatients. Results using analysis of variance (ANOVA) suggest SCIT-related improvements in emotion perception and social skill.
David L Roberts - One of the best experts on this subject based on the ideXlab platform.
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social cognition and Interaction Training for recent onset schizophrenia a preliminary randomized trial
Early Intervention in Psychiatry, 2020Co-Authors: Nuno Rocha, Carlos Campos, Joao Mateus Figueiredo, Sergio Saraiva, Carla Almeida, C A Moreira, Guilherme Pereira, Diogo Tellescorreia, David L RobertsAbstract:Comprehensive social cognition Training programs have been effective to improve social cognition in people with chronic schizophrenia, although there is insufficient quality evidence for recent-onset psychosis. The aim of this study was to assess the effects of Social Cognition and Interaction Training (SCIT) in a sample of recent-onset schizophrenia outpatients. Sixteen participants who had their first psychotic episode for less than 2 years were randomly allocated to the SCIT group during 20 weeks (weekly sessions) or to a psychoeducation group and completed baseline and post-Training assessment for cognitive biases, social cognition, clinical symptoms and functioning. Permutation-based analysis revealed improvements in overall functioning (P = 0.036) and blame score (P = 0.070) in the SCIT group compared to the psychoeducation intervention, with large effect sizes (d = 1.438 and d = 1.204, respectively). There were also large effect sizes for hostility, emotion recognition, social perception, positive and total symptoms (d = 0.833-1.158). These results suggest that SCIT may be an effective tool to improve attributional biases and functional outcomes in recent-onset schizophrenia outpatients. Future controlled trials with larger sample size and follow-up assessments should be developed to further understand effective intervention outcomes for this population.
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Effectiveness of Social Cognition and Interaction Training (SCIT) in Community Settings in Portugal
Health, 2019Co-Authors: Filipa Palha, David L RobertsAbstract:Social cognition is a promising treatment target in schizophrenia because of its close link to social functioning impairment. Social Cognition and Interaction Training (SCIT) has received support in efficacy trials, but its effectiveness in routine clinical care and in non-English speaking countries, including Portugal is not well established. The present study aimed to contribute to study the effectiveness of the Portuguese version of SCIT in routine care in Portugal. In the present quasi-experimental study, 35 outpatients with schizophrenia received either treatment as usual (TAU) (n = 16) or TAU plus SCIT (n = 19). Participants completed the Hinting task, the Ambiguous Intentions Hostility Questionnaire-Ambiguous items (AIHQ-A), and two measures of social functioning at baseline and after 24 weeks of treatment. On the Hinting task, both groups showed improvements, with a larger effect size in the SCIT group. On the AIHQ, the SCIT group showed a trend level advantage, which became significant when considering only patients with elevated baseline bias scores. The SCIT group showed strong improvements relative to the TAU group in social skill performance but no change in global social functioning. Overall, this study provides initial support for the feasibility and potential effectiveness of SCIT in community settings in Portugal.
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social cognition and Interaction Training scit for adults with psychotic disorders a feasibility study in finland
Behavioural and Cognitive Psychotherapy, 2016Co-Authors: Greta Voutilainen, David L Roberts, Tiina Kouhia, Jorma OksanenAbstract:Background: Social Cognition and Interaction Training (SCIT) is a psychosocial treatment designed to improve social functioning in schizophrenia by improving social cognition. Positive results have been reported from several studies, mainly from the USA, but more studies are needed to determine the feasibility of SCIT in different cultural contexts. Aims: The objective of this study was to evaluate the feasibility and acceptability of the Finnish translation of SCIT in Finland. Method: This was an uncontrolled, within-group study. Thirty-three patients with psychotic disorders participated in SCIT groups and also received the standard services provided at their respective care facilities. We measured participant attendance, attrition and responses on feedback surveys. Participants also completed measures of emotion perception, Theory of Mind (ToM), attributional bias and metacognitive overconfidence both before and after SCIT. Results: The attendance rate was high, attrition was low, and the patients expressed satisfaction with SCIT. Preliminary efficacy analyses showed a statistically significant pre to posttest improvement in emotion perception and ToM, but not attributional bias or overconfidence. Conclusions: SCIT is feasible and well accepted and may remediate social cognitive dysfunction in people with psychotic disorders in Finland.
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a randomized controlled trial of social cognition and Interaction Training scit for outpatients with schizophrenia spectrum disorders
British Journal of Clinical Psychology, 2014Co-Authors: David L Roberts, Dennis R. Combs, Michael T Willoughby, Jim Mintz, Clare M Gibson, Betty Rupp, David L. PennAbstract: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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social cognition and Interaction Training preliminary results of an rct in a community setting in israel
Psychiatric Services, 2014Co-Authors: Ilanit Hassonohayon, Michal Mashiacheizenberg, Moran Avidan, David L RobertsAbstract:ObjectiveSocial cognition and Interaction Training (SCIT) has shown promise in improving consumers’ social cognition and functioning, in both inpatient and outpatient settings. This randomized controlled trial examined the effectiveness of SCIT among persons with serious mental illness living in community settings in Israel.MethodsFifty-five participants in social-mentoring services were assigned randomly to SCIT with social mentoring or to social mentoring only. Emotion recognition, theory of mind, attributional bias, and social functioning were assessed at baseline (February 2010) and about six months later, upon completion of the intervention.ResultsInteractions between time of measurement and group were significant for theory of mind and social engagement. Emotion recognition by the SCIT group improved significantly, but the time × group Interaction for this variable was not significant.ConclusionsThis study provides preliminary evidence that SCIT plus social mentoring improves social cognition and fu...
Dennis R. Combs - One of the best experts on this subject based on the ideXlab platform.
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a randomized controlled trial of social cognition and Interaction Training scit for outpatients with schizophrenia spectrum disorders
British Journal of Clinical Psychology, 2014Co-Authors: David L Roberts, Dennis R. Combs, Michael T Willoughby, Jim Mintz, Clare M Gibson, Betty Rupp, David L. PennAbstract: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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the development of the social cognition and Interaction Training program for schizophrenia spectrum disorders
Psychiatric Services, 2007Co-Authors: David L. Penn, Dennis R. Combs, David L Roberts, Abram SterneAbstract:This column describes the development of a treatment, the Social Cognition and Interaction Training (SCIT) program, a groupbased intervention delivered weekly over a six-month period, with the purpose of improving both social cognition and social functioning among persons with schizophrenia spectrum disorders. SCIT comprises three phases: emotion Training, figuring out situations, and integration. Initial pilot testing of 17 inpatients showed that SCIT was associated with improved emotion perception, improved theory of mind, and a reduced tendency to attribute hostile intent to others, with effect sizes being in the mediumlarge range. Although research is still in the early phases, SCIT is a potential best practice. (Psychiatric Services 58:449–451, 2007)
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social cognition and Interaction Training scit for inpatients with schizophrenia spectrum disorders preliminary findings
Schizophrenia Research, 2007Co-Authors: Dennis R. Combs, David L. Penn, Scott D. Adams, Joshua Tiegreen, David L Roberts, Patricia StemAbstract:Individuals with schizophrenia exhibit consistent deficits in social cognition such as emotion perception, attributional style, and theory of mind, which may be targets of psychosocial treatments. Previous intervention studies have typically focused on only one aspect of social cognition and have not assessed generalization of treatment to improvements in social functioning. This paper describes preliminary data from a new group-based treatment, Social Cognition and Interaction Training (SCIT), aimed at improving social cognition in schizophrenia. Eighteen inpatients with schizophrenia spectrum disorders completed SCIT and were compared with 10 inpatients who completed a coping skills group. Participants were assessed at pre-test and post-test on measures of emotion and social perception, theory of mind, attributional style (e.g., blame, hostility, and aggression), cognitive flexibility, and social relationships. We also collected data on the frequency of aggressive incidents on the treatment ward. The results showed that compared to the control group, SCIT participants improved on all of the social cognitive measures and showed better self-reported social relationships and fewer aggressive incidents on the treatment unit at post-test. Importantly, this change was independent of changes in clinical symptoms over time and supports the unique role of SCIT in improving social cognitive deficits in schizophrenia.
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Social Cognition and Interaction Training (SCIT) for inpatients with schizophrenia spectrum disorders: Preliminary findings
Schizophrenia Research, 2007Co-Authors: Dennis R. Combs, David L. Penn, Scott D. Adams, Joshua Tiegreen, David Roberts, Patricia StemAbstract:Individuals with schizophrenia exhibit consistent deficits in social cognition such as emotion perception, attributional style, and theory of mind, which may be targets of psychosocial treatments. Previous intervention studies have typically focused on only one aspect of social cognition and have not assessed generalization of treatment to improvements in social functioning. This paper describes preliminary data from a new group-based treatment, Social Cognition and Interaction Training (SCIT), aimed at improving social cognition in schizophrenia. Eighteen inpatients with schizophrenia spectrum disorders completed SCIT and were compared with 10 inpatients who completed a coping skills group. Participants were assessed at pre-test and post-test on measures of emotion and social perception, theory of mind, attributional style (e.g., blame, hostility, and aggression), cognitive flexibility, and social relationships. We also collected data on the frequency of aggressive incidents on the treatment ward. The results showed that compared to the control group, SCIT participants improved on all of the social cognitive measures and showed better self-reported social relationships and fewer aggressive incidents on the treatment unit at post-test. Importantly, this change was independent of changes in clinical symptoms over time and supports the unique role of SCIT in improving social cognitive deficits in schizophrenia. © 2007 Elsevier B.V. All rights reserved.
Patricia Stem - One of the best experts on this subject based on the ideXlab platform.
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social cognition and Interaction Training scit for inpatients with schizophrenia spectrum disorders preliminary findings
Schizophrenia Research, 2007Co-Authors: Dennis R. Combs, David L. Penn, Scott D. Adams, Joshua Tiegreen, David L Roberts, Patricia StemAbstract:Individuals with schizophrenia exhibit consistent deficits in social cognition such as emotion perception, attributional style, and theory of mind, which may be targets of psychosocial treatments. Previous intervention studies have typically focused on only one aspect of social cognition and have not assessed generalization of treatment to improvements in social functioning. This paper describes preliminary data from a new group-based treatment, Social Cognition and Interaction Training (SCIT), aimed at improving social cognition in schizophrenia. Eighteen inpatients with schizophrenia spectrum disorders completed SCIT and were compared with 10 inpatients who completed a coping skills group. Participants were assessed at pre-test and post-test on measures of emotion and social perception, theory of mind, attributional style (e.g., blame, hostility, and aggression), cognitive flexibility, and social relationships. We also collected data on the frequency of aggressive incidents on the treatment ward. The results showed that compared to the control group, SCIT participants improved on all of the social cognitive measures and showed better self-reported social relationships and fewer aggressive incidents on the treatment unit at post-test. Importantly, this change was independent of changes in clinical symptoms over time and supports the unique role of SCIT in improving social cognitive deficits in schizophrenia.
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Social Cognition and Interaction Training (SCIT) for inpatients with schizophrenia spectrum disorders: Preliminary findings
Schizophrenia Research, 2007Co-Authors: Dennis R. Combs, David L. Penn, Scott D. Adams, Joshua Tiegreen, David Roberts, Patricia StemAbstract:Individuals with schizophrenia exhibit consistent deficits in social cognition such as emotion perception, attributional style, and theory of mind, which may be targets of psychosocial treatments. Previous intervention studies have typically focused on only one aspect of social cognition and have not assessed generalization of treatment to improvements in social functioning. This paper describes preliminary data from a new group-based treatment, Social Cognition and Interaction Training (SCIT), aimed at improving social cognition in schizophrenia. Eighteen inpatients with schizophrenia spectrum disorders completed SCIT and were compared with 10 inpatients who completed a coping skills group. Participants were assessed at pre-test and post-test on measures of emotion and social perception, theory of mind, attributional style (e.g., blame, hostility, and aggression), cognitive flexibility, and social relationships. We also collected data on the frequency of aggressive incidents on the treatment ward. The results showed that compared to the control group, SCIT participants improved on all of the social cognitive measures and showed better self-reported social relationships and fewer aggressive incidents on the treatment unit at post-test. Importantly, this change was independent of changes in clinical symptoms over time and supports the unique role of SCIT in improving social cognitive deficits in schizophrenia. © 2007 Elsevier B.V. All rights reserved.
Tami Im - One of the best experts on this subject based on the ideXlab platform.
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virtual reality based social Interaction Training for children with high functioning autism
Journal of Educational Research, 2013Co-Authors: Fengfeng Ke, Tami ImAbstract:Employing the multiple-baseline across-subjects design, the authors examined the implementation and potential effect of a virtual-reality-based social Interaction program on the Interaction and communication performance of children with high functioning autism. The data were collected via behavior observation and analysis, questionnaires, and interviewing. The children participants demonstrated increased performance of responding, initiation, greeting, and positive conversation-ending during the intervention, and improved social competence measures after the intervention. The study also contributed salient themes on the adaptive design of a virtual-reality-based learning environment for learners with special needs. The study findings should extend the discussion on the design and usage of technology-supported informal learning environment for children with diverse characteristics and learning needs.
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Virtual-reality-based social Interaction Training for children with high-functioning autism
Journal of Educational Research, 2013Co-Authors: Fengfeng Ke, Tami ImAbstract:ABSTRACT Employing the multiple-baseline across-subjects design, the authors examined the implementation and potential effect of a virtual-reality-based social Interaction program on the Interaction and communication performance of children with high functioning autism. The data were collected via behavior observation and analysis, questionnaires, and interviewing. The children participants demonstrated increased performance of responding, initiation, greeting, and positive conversation-ending during the intervention, and improved social competence measures after the intervention. The study also contributed salient themes on the adaptive design of a virtual-reality-based learning environment for learners with special needs. The study findings should extend the discussion on the design and usage of technology-supported informal learning environment for children with diverse characteristics and learning needs.\nABSTRACT Employing the multiple-baseline across-subjects design, the authors examined the implementation and potential effect of a virtual-reality-based social Interaction program on the Interaction and communication performance of children with high functioning autism. The data were collected via behavior observation and analysis, questionnaires, and interviewing. The children participants demonstrated increased performance of responding, initiation, greeting, and positive conversation-ending during the intervention, and improved social competence measures after the intervention. The study also contributed salient themes on the adaptive design of a virtual-reality-based learning environment for learners with special needs. The study findings should extend the discussion on the design and usage of technology-supported informal learning environment for children with diverse characteristics and learning needs.