Effectiveness of Social Skills Training to Improve Social Functioning Scores in Schizophrenia Patients at X Lawang Mental Hospital
Keywords:
Human and health, psychosocial rehabilitation, schizophrenia, social function, social skills training (SST), the personal and social performance scale (PSP)Abstract
Disability can cause social dysfunctions that affect daily activities, social interaction, and work, which has a significant impact on the quality of life of schizophrenics so that they depend on other people. The use of pharmacotherapy alone is not enough; psychosocial interventions such as social skills training (SST) is needed to improve social functioning in schizophrenic patients. Incorporating social skills training (SST) into a multifaceted treatment and rehabilitation program is deemed significant. The study aimed to determine the effect of social skills training to improve social functions in schizophrenia patients in X Lawang Mental Health. This study used a pre-experimental design with one group pre-test and post-test. Of 40 patients with schizophrenia who were admitted to X Lawang Mental Health fulfilled the inclusion and exclusion requirements. Social function scores were measured using the Personal and Social Performance (PSP) instrument before and after the social skills training intervention. The level of significance of statistical tests is stated at p<0.05. Data analysis used the Wilcoxon test and linear regression. There was significant difference in social functioning scores between before and after social skills training with a value of p=0.000 (p<0.05). The results of the multivariate linear regression test showed that social skills training had a statistically significant effect to improve social function scores with a value of p=0.000. Social skills training has a significant effect to improve social functioning scores in schizophrenics at X Lawang Mental Health.
Downloads
References
Kharawala S, Hastedt C, Podhorna J, Shukla H, Kappelhoff B, and Harvey PD. The Relationship between Cognition and Functioning in Schizophrenia: A Semi-Systematic Review. Schizophrenia Research: Cognition. 2022; 27: 1-16.
Matsuda Y, Makinodan M, Morimoto T, and Kishimoto T. Neural Changes Following Cognitive Remediation Therapy for Schizophrenia. Psychiatry and Clinical Neurosciences. 2019; 73(11): 676–684.
Yildiz M. Psychosocial Rehabilitation Interventions in the Treatment of Schizophrenia and Bipolar Disorder. Nöro Psikiyatri Arşivi. 2021; 58(1): 77-82.
Korman N, Stanton R, Vecchio A, et al. The Effect of Exercise on Global, Social, Daily Living and Occupational Functioning in People Living with Schizophrenia: A Systematic Review and Meta-Analysis. Schizophrenia Research. 2023; 256: 98–111.
Aruldass P, Sekar TS, Saravanan S, Samuel R, and Jacob KS. Effectiveness of Social Skills Training Groups in Persons with Severe Mental Illness: A Pre–Post Intervention Study. Indian Journal Psychological Medicine. 2022; 44(2): 114–119.
Kementerian Kesehatan Republik Indonesia. National Report on Basic Health Research. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.
Marder SR and Cannon TD. Schizophrenia. The New England Journal of Medicine. 2019; 381(18): 1753–1761.
GBD 2019 Mental Disorder Collaborators. Global, Regional, and National Burden of 12 Mental Disorders in 204 Countries and Territories, 1990–2019: A Systematic Analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry. 2022; 9(2): 137–150.
Clark A, Jit M, Warren-Gash C, et al. Global, Regional, and National Estimates of the Population at Increased Risk of Severe COVID-19 due to Underlying Health Conditions in 2020: A Modelling Study. The Lancet Global Health. 2020; 8(8): 1003–1017.
Jauhar S, Johnstone M, McKenna PJ. Schizophrenia. The Lancet. 2022; 399(10323): 473–486.
Jelastopulu E, Giourou E, Merekoulias G, Mestousi A, Moratis E, Alexopoulos EC. Correlation between the Personal and Social Performance Scale (PSP) and the Positive and Negative Syndrome Scale (PANSS) in a Greek Sample of Patients with Schizophrenia. BMC Psychiatry. 2014; 14: 1–7.
Purnama DA, Amir N, Budiman R, and Heriani AI. Uji Validitas dan Reliabilitas Personal and Social Performance Scale pada Pasien Skizofrenia di Indonesia. Cermin Dunia Kedokteran. 2012; 39(2): 98–101.
Vázquez-Reyes A, Martín-Rodríguez A, Pérez-San-Gregorio MÁ, and Vázquez-Morejón AJ. Survival of Patients with Severe Mental Disorders: Influence of Social Functioning. International Journal of Social Psychiatry. 2023; 69(5): 1157–1165.
Kim Y, Kwon A, Min D, Kim S, Jin MJ, and Lee SH. Neurophysiological and Psychological Predictors of Social Functioning in Patients with Schizophrenia and Bipolar Disorder. Psychiatry Investigation. 2019; 16(10): 718–727.
Vázquez-Reyes A, Ángeles Pérez-San-Gregorio M, Martín-Rodríguez A, Vázquez-Morejón AJ. Ten-Year Follow-Up of Social Functioning and Behaviour Problems in People with Schizophrenia and Related Disorders. International Journal of Social Psychiatry. 2022; 68(7): 1324–1335.
Malarvili A, Selvaraja P, Ndyeabura AW, Akowuah GA, and Okechukwu PN. Antidiabetic Activity of Crude Stem Extracts of Coscinium Fenestratum on Streptozotocin-Induced Type-2 Diabetic Rats. Asian Journal of Pharmaceutical and Clinical Research. 2011; 4(4): 47–51.
Asher L, Hanlon C, Birhane R, et al. Community-Based Rehabilitation Intervention For People With Schizophrenia In Ethiopia (RISE): A 12 Month Mixed Methods Pilot Study. BMC Psychiatry. 2018; 18(1): 1-17.
Ding R, Zhao M, Wang Y, et al. Community-Based Rehabilitation Interventions on Quality of Care for People with Schizophrenia in China (CRISC): Study Protocol for a Cluster-Randomized Controlled Trial. BMC Psychiatry. 2023; 23(1): 1-10.
McCutcheon RA, Marques TR, and Howes OD. Schizophrenia—An Overview. JAMA Psychiatry. 2020; 77(2): 201-210.
Saleena LAK, Teo MYM, How YH, In LLA, and Pui LP. Immunomodulatory Action of Lactococcus lactis. Journal of Bioscience and Bioengineering. 2023; 135(1): 1–9.
Almerie MQ, Al Marhi MO, Jawoosh M, et al. Social Skills Programmes for Schizophrenia. Cochrane Database Systematic Review. 2015; 6: 1-74.
Rajji TK, Mamo DC, Holden J, Granholm E, and Mulsant BH. Cognitive-Behavioral Social Skills Training for Patients with Late-Life Schizophrenia and the Moderating Effect of Executive Dysfunction. Schizophrenia Research. 2022; 239: 160–167.
Karaman İGY, Kasal Mİ, Ingec C, Yastibaş C, Gülyüksel F, and Güleç M. Effect of Adjunct Psychosocial Skills Training on Social Functioning of Schizophrenia Patients Who Get Occupational Therapy in a Community Mental Health Center: A Comparative Study. Nöro Psikiyatri Arşivi. 2020; 57(3): 248-253.
Tobing DL. Pengaruh Terapi Social Skill Training terhadap Kemampuan Bersosialisasi Klien Skizophrenia di RS Jiwa Dr. Soeharto Heerdjan Jakarta. Jurnal Ilmiah Keperawatan Indonesia. 2018; 1(2): 29–43.
Sulistiowati NMD and Sawitri NKA. Pengaruh Social Skill Training terhadap Kemampuan Sosialisasi Pasien dengan Hambatan Interaksi Sosial. Bali: Universitas Udayana; 2014.
Turner DT, McGlanaghy E, Cuijpers P, van der Gaag M, Karyotaki E, and MacBeth A. A Meta-Analysis of Social Skills Training and Related Interventions for Psychosis. Schizophrenia Bulletin. 2018; 44(3): 475–491.
Kopelowicz A, Liberman RP, and Zarate R. Recent Advances in Social Skills Training for Schizophrenia. Schizophrenia Bulletin. 2006; 32(1): 12–23.
Juckel G, Schaub D, Fuchs N, et al. Validation of the Personal and Social Performance (PSP) Scale in a German Sample of Acutely Ill Patients with Schizophrenia. Schizophrenia Research. 2008; 104(1–3): 287–293.
Stichter JP, Herzog MJ, Kilgus SP, and Schoemann AM. Exploring the Moderating Effects of Cognitive Abilities on Social Competence Intervention Outcomes. Behavior Modification. 2018; 42(1): 84–107.
Corrigan PW and Mueser KT. Principles and Practice of Psychiatric Rehabilitation: An Empirical Approach. 2nd edition. New York: The Guilford Press; 2016.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Jurnal Kedokteran Brawijaya
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).