The purpose of the proposed project is to evaluate the effects of a group-format cognitive therapy procedure on psychiatric rehabilitation of persons with schizophrenia. The primary study setting will be an intensive inpatient psychiatric rehabilitation program in a state hospital. The cognitive therapy is currently being developed, based on procedures currently in widespread use in Europe and augmented by additional techniques developed by the PI of the proposed project. The primary hypotheses of the study are that cognitive therapy produces more skill acquisition, higher attendance and participation, better personal functioning, more rapid progress and more success in rehabilitation. The hypotheses will be tested in two-groups (cognitive therapy vs. no cognitive therapy) -- by -- repeated measures ANOVA's. In addition to the group contrast outcome analysis, a battery of clinical measures will be evaluated for their ability to predict treatment outcome. Successful completion of this study will lead to addition of a new treatment modality of known effectiveness to the armamentarium of psychiatric rehabilitation. Also, since cognitive therapy addresses some of the """"""""hallmark"""""""" deficits of schizophrenia more directly than skill training modalities, data generated in this and future studies should lead to a more complete understanding of the relationships between cognitive and behavioral pathology in schizophrenia.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH044756-05
Application #
2246202
Study Section
Treatment Development and Assessment Research Review Committee (TDA)
Project Start
1990-04-01
Project End
1995-08-31
Budget Start
1994-04-01
Budget End
1995-08-31
Support Year
5
Fiscal Year
1994
Total Cost
Indirect Cost
Name
University of Nebraska Lincoln
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
555456995
City
Lincoln
State
NE
Country
United States
Zip Code
68588
Hayes, Sarah A; Hope, Debra A; Terryberry-Spohr, Lori S et al. (2006) Discriminating between cognitive and supportive group therapies for chronic mental illness. J Nerv Ment Dis 194:603-9
Peer, Jason E; Rothmann, Thea L; Penrod, Rachel D et al. (2004) Social cognitive bias and neurocognitive deficit in paranoid symptoms: evidence for an interaction effect and changes during treatment. Schizophr Res 71:463-71
Spaulding, W D; Fleming, S K; Reed, D et al. (1999) Cognitive functioning in schizophrenia: implications for psychiatric rehabilitation. Schizophr Bull 25:275-89
Spaulding, W D; Reed, D; Sullivan, M et al. (1999) Effects of cognitive treatment in psychiatric rehabilitation. Schizophr Bull 25:657-76
Spaulding, W D (1992) Design prerequisites for research on cognitive therapy for schizophrenia. Schizophr Bull 18:39-42