The Effects of Cognitive Behavior Therapy and Social Skill Training among Schizophrenia with Risk of Violent Behavior

Nurlaila Fitriani; Budi Keliat; Ice Yulia Wardani

doi:10.3889/oamjms.2021.7846

Authors

Nurlaila Fitriani Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Jakarta, Indonesia; School of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Jawa Tengah, Indonesia
Budi Keliat Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Jakarta, Indonesia
Ice Yulia Wardani Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7846

Keywords:

Risk of conduct violent behavior, Cognitive behavior therapy, Social skill training, Schizophrenia

Abstract

BACKGROUND: Schizophrenia is a condition in which people suffer from impaired ability to think, perceive, and show emotional responses and interact socially. Patients with schizophrenia can experience the risk of violent behavior (RVB). Psychotherapy is needed to deal with the problem.

AIM: This study aimed to investigate the effects of cognitive behavior therapy (CBT) and social skill training (SST) on signs and symptoms of risks of violent behavior (RVB).

METHODOLOGY: This study employed a quasi-experimental without a control group. The research samples used purposive sampling were 30 patients with symptoms of risks of violent behavior. Meanwhile, the measurement used the sign and symptom questioners of risks of violent behavior (Z = 0.791).

RESULT: This study revealed that signs and symptoms decreased significantly (p < 0.05) from 10.45 to 5.41 after the respondents had obtained the CBT. Moreover, after the respondents had received CBT and SST, the sign and symptoms decreased significantly (p < 0.05) from 5.41 to 0.52.

CONCLUSION: This study recommends that the combination of CBT and SST be administered to patients with schizophrenia with risks of violent behavior.

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References

WHO. Schizophrenia. Geneva: WHO; 2019. Available from: https://www.who.int/news-room/fact-sheets/detail/schizophrenia. [Last accessed on 2019 Oct 04].

Metrics GH. Schizophrenia Level 3; 2019. Available from: http://www.healthdata.org/results/gbd_summaries/2019/schizophrenia-level-3-cause [Last accessed on 2019 Oct 04].

Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Jakarta, Indonesia: Kementrian Kesehat RI; 2018. p. 1689-99.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, DC: American Psychiatric Publishing; 2015.

Singh P, Midha A, Chugh K. Schizophrenia: Impact on quality of life. Indian J Psychiatry. 2008;50(3):181-6. https://doi.org/10.4103/0019-5545.43632 DOI: https://doi.org/10.4103/0019-5545.43632

Stuart GW. Prinsip dan Praktik Keperawatan Kesehatan Jiwa Stuart. Singapura: Elsevier Inc.; 2016.

Budi AK, Akemat A, Novy HC. Nurhaeni, Keperawatan Kesehatan Jiwa Komunitas: CMHN (Basic Course). Jakarta: EGC; 2012.

Lamsma J, Cahn W, Fazel S, Genetic Risk and Outcome of Psychosis (GROUP) Investigators. Cognition and violent behavior in psychotic disorders: A nationwide case-control study. Schizophr Res Cogn. 2020;19:100166. https://doi.org/10.1016/j.scog.2019.100166 PMid:31832346 DOI: https://doi.org/10.1016/j.scog.2019.100166

McCleery KH, Ventura J, Kern RS, Subotnik KL, Gretchen-Doorly D, Green MF, et al. Consensus cognitive battery (MCCB) profile of impairment. Schizophr Res. 2015;157:33-9. https://doi.org/10.1016/j.schres.2014.04.039

McCleery A, Ventura J, Kern RS, Subotnik KL, Gretchen-Doorly D, Green MF, et al. Cognitive functioning in first-episode schizophrenia: MATRICS Consensus Cognitive Battery (MCCB) Profile of Impairment. Schizophr Res. 2014;157(1-3):33-9. https://doi.org/10.1016/j.schres.2014.04.039 PMid:24888526 DOI: https://doi.org/10.1016/j.schres.2014.04.039

Volavka J. Violence in schizophrenia and bipolar disorder. Psychiatr Danub. 2013;25(1):24-33. PMid:23470603

Kim SJ, Jung DU, Moon JJ, Jeon DW, Seo YS, Jung SS, et al. Relationship between disability self-awareness and cognitive and daily living function in schizophrenia. Schizophr Res Cogn. 2021;23:100192. https://doi.org/10.1016/j.scog.2020.100192 PMid:33294392 DOI: https://doi.org/10.1016/j.scog.2020.100192

Carbon M, Correll CU. Thinking and acting beyond the positive: The role of the cognitive and negative symptoms in schizophrenia. CNS Spectr. 2014;19 Suppl 1:38-52; quiz 35-7, 53. https://doi.org/10.1017/S1092852914000601 PMid:25403863 DOI: https://doi.org/10.1017/S1092852914000601

Peuskens J, Demily C, Thibaut F. Treatment of cognitive dysfunction in schizophrenia. Clin Ther. 2005;27 Suppl A: S25-37. https://doi.org/10.1016/j.clinthera.2005.07.015 PMid:16198199 DOI: https://doi.org/10.1016/j.clinthera.2005.07.015

Health Quality Ontario. Cognitive behavioural therapy for psychosis: A health technology assessment. Ont Health Technol Assess Ser. 2018;18(5):1-141. PMid:30443277

Batinic B. Cognitive models of positive and negative symptoms of schizophrenia and implications for treatment. Psychiatr Danub. 2019;31 Suppl 2:181-4. PMid:31158119

Rus-Calafell M, Gutiérrez-Maldonado J, Ortega-Bravo M, Ribas-Sabaté J, Caqueo-Urízar A. A brief cognitive-behavioural social skills training for stabilised outpatients with schizophrenia: A preliminary study. Schizophr Res. 2013;143(2-3):327-36. https://doi.org/10.1016/j.schres.2012.11.014. PMid:23235141 DOI: https://doi.org/10.1016/j.schres.2012.11.014

Côté SM, Larose MP, Geoffroy MC, Laurin J, Vitaro F, Tremblay RE, et al. Testing the impact of a social skill training versus waiting list control group for the reduction of disruptive behaviors and stress among preschool children in child care: The study protocol for a cluster randomized trial. BMC Psychol. 2017;5(1):29. https://doi.org/10.1186/s40359-017-0197-9 PMid:28784179 DOI: https://doi.org/10.1186/s40359-017-0197-9

Wykes T. Cognitive-behaviour therapy and schizophrenia. Evid Based Ment Health. 2014;17:67-8. https://doi.org/10.1136/eb-2014-101887 PMid:25043430 DOI: https://doi.org/10.1136/eb-2014-101887

Sivec HJ, Montesano VL. Cognitive behavioral therapy for psychosis in clinical practice. Psychotherapy (Chic). 2012;49(2):258-70. https://doi.org/10.1037/a0028256 PMid:22642528 DOI: https://doi.org/10.1037/a0028256

Granholm E, Holden J, Link PC, McQuaid JR, Jeste DV. Randomized controlled trial of cognitive behavioral social skills training for older consumers with schizophrenia: Defeatist performance attitudes and functional outcome. Am J Geriatr Psychiatry. 2013;21(3):251-62. https://doi.org/10.1016/j.jagp.2012.10.014 PMid:23395192 DOI: https://doi.org/10.1016/j.jagp.2012.10.014

Wiedemann G, Klingberg S. Psychotherapy of positive symptoms in the treatment of patients with schizophrenia psychosis. Nervenarzt. 2003;74(1):76-84. https://doi.org/10.1007/s00115-002-1330-3 PMid:12596031 DOI: https://doi.org/10.1007/s00115-002-1330-3

Liu Y, Yang X, Gillespie A, Guo Z, Ma Y, Chen R, et al. Targeting relapse prevention and positive symptom in first-episode schizophrenia using brief cognitive behavioral therapy: A pilot randomized controlled study. Psychiatry Res. 2019;272:275-83. https://doi.org/10.1016/j.psychres.2018.12.130 PMid:30594760 DOI: https://doi.org/10.1016/j.psychres.2018.12.130

Darmedru C, Demily C, Franck N. Cognitive remediation and social cognitive training for violence in schizophrenia: A systematic review. Psychiatry Res. 2017;251:266-74. https://doi.org/10.1016/j.psychres.2016.12.062 PMid:28219026 DOI: https://doi.org/10.1016/j.psychres.2016.12.062

Sensky T, Turkington D, Kingdon D, Scott JL, Scott J, Siddle R, et al. A randomized controlled trial of cognitive-behavioral therapy for persistent symptoms in schizophrenia resistant to medication. Arch Gen Psychiatry. 2000;57(2):165-72. https://doi.org/10.1001/archpsyc.57.2.165 PMid:10665619 DOI: https://doi.org/10.1001/archpsyc.57.2.165

Bighelli I, Huhn M, Schneider-Thoma J, Krause M, Reitmeir C, Wallis S, et al. Response rates in patients with schizophrenia and positive symptoms receiving cognitive behavioural therapy: A systematic review and single-group meta-analysis. BMC Psychiatry. 2018;18:380. https://doi.org/10.1186/s12888-018-1964-8 PMid:30514268 DOI: https://doi.org/10.1186/s12888-018-1964-8

Turner DT, McGlanaghy E, Cuijpers P, van der Gaag M, Karyotaki E, MacBeth A. A meta-analysis of social skills training and related interventions for psychosis. Schizophr Bull. 2018;44(3):475-91. https://doi.org/10.1093/schbul/sbx146 PMid:29140460 DOI: https://doi.org/10.1093/schbul/sbx146

Horan WP, Kern RS, Tripp C, Hellemann G, Wynn JK, Bell M, et al. Efficacy and specificity of social cognitive skills training for outpatients with psychotic disorders. J Psychiatr Res. 2011;45(8):1113-22. https://doi.org/10.1016/j.jpsychires.2011.01.015. PMid:21377168 DOI: https://doi.org/10.1016/j.jpsychires.2011.01.015