Table 1.
Study | Sample | Intervention | Intervention Duration | Neurocognitive Measures | Outcome Measures | Finding | Effect Sizes |
---|---|---|---|---|---|---|---|
Bowen et al., 1994 | 30 chronic inpatients MA=36 %male=80 Edu=12.9 Dur ill=? AO=? Hosp=? |
Medication management skills | 1-day | CPT, DSDT, Forced-Choice Span of Apprehension |
Proximal Measure: Comprehension of oral and videotaped information in training, information presented on videotape. Mediational Measure: AIPSS |
Sustained attention and verbal memory was linked to proximal measures of skills taught in the training program, whereas sustained attention was linked to social role-plays not taught directly in the skills training program. | For comprehension total scores: 100% in the large range. For social-role play total scores: 100% in moderate to large range. |
Granholm et al., 2008 | 65 outpatients MA=53.3 %male=74 Edu=12.4 Dur ill=? AO=? Hosp=? |
CBT and SST | 6-months | Processing speed, executive- function, attention and vigilance (factors) |
Proximal Measure: Content mastery tests. Distal Measure: ILSS Process Measures: Participation and attendance |
There was no evidence that severity of neuropsychological impairment predicted the magnitude of improvement as a function of the intervention. | Group participation, large range. NR for other measures. |
Kern, Green & Satz, 1992 | 16 chronic inpatients MA=34.1 %male=44 Edu=11.8 Dur ill=? AO=? Hosp=? |
Medication and symptom management modules | 8-months | Backward masking, CPT, DSDT, WCST, RAVLT, RCFT, PPVT, Pin Test |
Proximal Measure: Content mastery test, Process Measure: Measure of on- task behavior |
Vigilance, susceptibility to distraction and verbal learning linked to proximal outcome measures. | For on-task behavior, 14% large range, 21% moderate to large, 29% small-to-moderate, 36% minimal effect. |
McKee, Hull & Smith, 1997 | 19 chronic inpatients MA=30 % male=47 Edu=13 Dur ill=? AO=? Hosp=? |
Medication management, symptom identification and collaborative treatment planning. | 3-weeks | SDMT, RAVLT, WISC-III Mazes, FAS, Category Instance Test, Stroop Color- Word Test | Process Measures: Level of participation in groups, attendance | Executive- function, but not symptoms, contributed unique variance to the level of participation variable, whereas attention and negative symptoms predicted attendance. | NR |
Mueser, Douglas, Bellack & Wade, 1991 | 45 acute inpatients MA=33.2 % male=56 Edu=11.5 Dur ill=? AO=? Hosp=5.4 |
Expressing negative feelings and compromise and negotiation. | 2-weeks | WMS | Proximal Measures: Role-play tests and ratings of assertiveness | Pre-intervention memory scores, but not symptoms, related to improvement in social-skills across the treatment trial. | For role-play assessments and overall memory quotient scores: Small-to-moderate effect at immediate test, large effect at follow-up. |
Silverstein, Schenkel, Valone, & Nuernberger, 1998 | NR | Conversation skills | NR | IQ, attention, verbal list learning, problem- solving | Proximal Measure: Content-mastery tests | Attention and verbal memory linked to skill acquisition. | NR |
Smith, Hull Romanelli, Fertuck &Weiss 1999 | 32 acute inpatients MA=34.6 % male=56 Edu=? Dur ill=? AO=18.2 Hosp=7.6 |
Community re-entry module | 3 weeks | TMT, CVLT | Proximal Measure: Community reintegration content mastery test | Skill acquisition predicted by group membership and verbal memory, but not symptoms. | Post-treatment content mastery score: 75% of effects in the large range, 25% in the moderate- large range. |
Ucok et al., 2006 | 32 outpatients MA=28.3 % male=? Edu=11.7 Dur ill=7.1 AO=? Hosp=? |
Social problem solving training | 6-weeks | WCST, CPT, Digit Span | Proximal Measure: AIPSS | Skill acquisition predicted by sustained attention and executive function. | Total AIPSS scores: 25% of effects in the large range, 25% in moderate-large range, 50% in small-to-moderate range. |
Note: AO=Age-of-onset; AIPSS: Assessment of Interpersonal Problem Solving; CBT=cognitive-behavioral therapy; CPT=Continuous Performance Test; CVLT=California Verbal Learning Test; DSDT-Digit Span Distractibility Test; Dur ill=duration of illness; Edu=Education; FAS=Controlled Oral Word Association Test; Hosp: Hospitalization; ILSS=Independent Living Skills Survey; MA=Mean age; NR: Not reported; PPVT=Peabody Picture Vocabulary Test; RAVLT=Rey Auditory Verbal Learning Test; RCFT=Rey Complex Figure Test; SDMT=Symbol Digit Modalities Test; SST=social-skills training; TMT=Trailmaking Test; WCST=Wisconsin Card Sorting Test; WISC-III=Wechsler Intelligence Scale for Children; WMS =Wechsler Memory Scale.