Extensions of Errorless Learning for Social Problem-Solving Deficits in Schizophrenia.

Objective: There is a clear need to develop psychosocial rehabilitation methods that compensate for neurocognitive deficits common to persons with severe and persistent mental illness. Errorless learning, a compensatory training intervention, has been successful in teaching entry-level job tasks. Ho...

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Publicado en:American Journal of Psychiatry Vol. 162; no. 3; pp. 513 - 520
Autores principales: Kern, Robert S., Green, Michael F., Mitchell, Sharon
Formato: Artículo
Publicado: American Psychiatric Publishing, Inc. March 2005
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: March 2005
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      pub: American Psychiatric Publishing, Inc.
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        10.1176/appi.ajp.162.3.513
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        atl: Extensions of Errorless Learning for Social Problem-Solving Deficits in Schizophrenia.
      aug:
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          Kern, Robert S.
          Green, Michael F.
          Mitchell, Sharon
      su:
        Problem solving
        Schizophrenia
        Mental illness treatment
      sug:
        subj:
          Problem solving
          Schizophrenia
          Mental illness treatment
      ab: Objective: There is a clear need to develop psychosocial rehabilitation methods that compensate for neurocognitive deficits common to persons with severe and persistent mental illness. Errorless learning, a compensatory training intervention, has been successful in teaching entry-level job tasks. However, errorless learning's applicability to broader, more complex functions is unknown. The present study tested the extension of errorless learning for deficits in social problem-solving skills in patients with schizophrenia. Method: Sixty clinically stable outpatients with schizophrenia or schizoaffective disorder were stratified by gender and level of memory impairment before being randomly assigned to one of two training programs: errorless learning or symptom management. Groups were matched for training time, format and structure of training, and types of teaching aids used. Social problem-solving ability, measured by the Assessment of Interpersonal Problem-Solving Skills, was assessed at baseline, within 2 days of training completion, and after 3 months. Dependent measures were the scores for the receiving, processing, and sending skills areas from the Assessment of Interpersonal Problem-Solving Skills. Results: A repeated-measures analysis of covariance was conducted for each dependent measure with baseline Assessment of Interpersonal Problem-Solving Skills score entered as a covariate. For all three skills, there was a significant training group effect favoring errorless learning. Durability of errorless learning training effects extended to the 3-month follow-up assessment for processing and sending skills but not receiving skills. Conclusions: Results support the extension of errorless learning to complex functions such as social problem-solving skills in the rehabilitation of persons with schizophrenia. Reprinted by permission of the publisher.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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