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An Analysis of Social Competence in Schizophrenia

  • Alan S. Bellack (a1), Randall L. Morrison (a2), John T. Wixted (a2) and Kim T. Mueser (a2)
Abstract

Twenty-one schizophrenics with prominent negative symptoms were compared with 37 schizophrenics without them, 33 patients with major affective disorder and 20 non-patient controls on a battery of measures including a role-play test of social skills, the Social Adjustment Scale, and the Quality of Life Scale. The negative schizophrenics were most impaired on every subscale of each measure, followed in order by the non-negative schizophrenics, affective disorder patients, and non-patient controls. The social skill measures were not correlated with positive symptom levels, but were highly correlated with measures of community functioning. The results are consistent with the hypothesis that social dysfunction results from focal deficits in social skills.

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American Psychiatric Association (1960) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III–R). Washington, DC: APA.
Andreasen, N. C. (1982) Negative symptoms in schizophrenia: definition and reliability. Archives of General Psychiatry, 39, 784788.
Andreasen, N. C. (1985) Positive and negative schizophrenia: a critical evaluation. Schizophrenia Bulletin, 11, 380389.
Andreasen, N. C. & Olsen, S. (1982) Negative vs. positive schizophrenia: definition and validation. Archives of General Psychiatry, 39, 789794.
Argyle, M. (1981) The contribution of social interaction research to social skills training. In Social Competence, (eds J. D. Wine & M. D. Smye), pp. 261286. New York: Guilford.
Bellack, A. S. (1979) A critical appraisal of strategies for assessing social skill. Behavioral Assessment, 1, 157176.
Bellack, A. S. (1983) Recurrent problems in the behavioral assessment of social skill. Behaviour Research and Therapy, 21, 2942.
Bellack, A. S. & Morrison, R. L. (1982) Interpersonal dysfunction. In International Handbook of Behavior Modification and Therapy (eds A. S. Bellack, M. Hersen & A. E. Kazdin), pp. 717748. New York: Plenum.
Bray, J. H. & Maxwell, S. E. (1985) Multivariate Analysis of Variance (series no. 07–054). Sage university paper series on quantitative applications in the social sciences. Beverly Hills: Sage Publications.
Carpenter, W. T., Heinrichs, D. W. & Alphs, L. D. (1985) Treatment of negative symptoms. Schizophrenia Bulletin, 11, 440452.
Carpenter, W. T., Heinrichs, D. W. & Wagman, A. M. I. (1988) Deficit and nondeficit forms of schizophrenia. American Journal of Psychiatry, 145, 578583.
Conger, J. C. & Farrell, A. D. (1981) Behavioral components of heterosocial skills. Behavior Therapy, 12, 4155.
Crow, T. J. (1985) The two-syndrome concept: origins and current status. Psychological Bulletin, 11, 471486.
Cutting, J. & Murphy, D. (1988) Schizophrenic thought disorder: a psychological and organic interpretation. British Journal of Psychiatry, 152, 310319.
Davis, J. M. & Gierl, B. (1984) Pharmacological treatment in the care of schizophrenic patients. In Treatment and Care for Schizophrenia (ed. A. S. Bellack). New York: Grune & Stratton.
Heinrichs, D. W., Hanlon, T. E. & Carpenter, W. T. Jr (1984) The Quality of Life Scale: an instrument for rating the schizophrenic deficit syndrome. Schizophrenia Bulletin, 12, 388398. 43, 330–340.
Hollingshead, A. B. & Redlich, F. C. (1958) Social Class and Mental Illness: A Community Study. New York: John Wiley.
Johnstone, E. C., Crow, T. J., Frith, C. D., et al (1978) The dementia of dementia praecox. Acta Psychiatrica Scandinavica, 57, 305324.
Johnstone, E. C., Frith, C. D., Gold, A., et al (1979) The outcome of severe acute schizophrenic illnesses after one year. British Journal of Psychiatry, 134, 2833.
Lewine, R. R. J., Watt, N. F. & Fryer, J. H. (1978) A study of childhood social competence, adult premorbid competence, and psychiatric outcome in three schizophrenic subtypes. Journal of Abnormal Psychology, 87, 294302.
Liberman, R. P. (1982) Assessment of social skills. Schizophrenia Bulletin, 8, 6283.
Liddle, P. F. (1987) The symptoms of chronic schizophrenia: a re-examination of the positive-negative dichotomy. British Journal of Psychiatry, 151, 145151.
Lindsay, W. R. (1982) The effects of labelling: blind and nonblind ratings of social skills in schizophrenic and nonschizophrenic control subjects. American Journal of Psychiatry, 139, 216219.
Longabaugh, R., Eldred, S. H., Bell, N. W., et al (1966) The interactional world of the chronic schizophrenic patient. Psychiatry, 29, 7899.
McFall, R. M. (1982) A review and reformulation of the concept of social skills. Behavioral Assessment, 4, 133.
Morrison, R. L., Bellack, A. S. & Mueser, K. T. (1988) Facial affect recognition deficits and schizophrenia. Schizophrenia Bulletin, 14, 6783.
Morrison, R. L. & Wotted, J. T. (1989) Social skills training. In A Clinical Guide for the Treatment of Schizophrenia (ed. A. S. Bellack). New York: Plenum.
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.
Norusis, M. J. (1988) SPSS/PC + Advanced Statistics V2.0. Chicago: SPSS Inc.
Romano, J. M. & Bellack, A. S. (1980) Social validation of a component model of assertive behavior. Journal of Consulting and Clinical Psychology, 48, 478490.
Rutter, D. R. (1977a) Speech patterning in recently admitted and chronic long-stay schizophrenic patients. British Journal of Social and Clinical Psychology, 16, 4555.
Rutter, D. R. (1977b) Visual interaction and speech patterning in admitted and acute schizophrenic patients. British Journal of Social and Clinical Psychology, 16, 357362.
Rutter, D. R. (1978) Visual interaction in schizophrenic patients: the timing of looks. British Journal of Social and Clinical Psychology, 17, 281282.
Spitzer, R. L. & Endicott, J. (1978) Schedule for Affective Disorders and Schizophrenia (SADS). New York: New York State Psychiatric Institute.
Spitzer, R. L. & Williams, J. B. W. (1985) Structured Clinical Interview for DSM–III–Psychotic Disorders Version (7/1/85). New York: New York State Psychiatric Institute.
Strauss, J. S., Carpenter, W. T. Jr & Bartko, J. J. (1974) The diagnosis and understanding of schizophrenia. Part III. Speculations on the processes that underlie schizophrenic symptoms and signs. Schizophrenia Bulletin, 11, 6169.
Thomas, P., King, K. & Fraser, W. I. (1987) Positive and negative symptoms of schizophrenia and linguistic performance. Acta Psychiatrica Scandinavica, 76, 144151.
Trower, P., Bryant, B. & Argyle, M. (1978) Social Skills and Mental Health. Pittsburgh: University of Pittsburgh Press.
Wallace, C. J. (1984) Community and interpersonal functioning in the course of schizophrenic disorders. Schizophrenia Bulletin, 10, 233257.
Weissman, M. M. & Bothwell, S. (1976) Assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33, 11111115.
Weissman, M. M. & Paykel, E. S. (1974) The Depressed Woman: A Study of Social Relations. Chicago: University of Chicago Press.
Zigler, E. & Levine, J. (1981) Premorbid competence in schizophrenia. What is being measured? Journal of Consulting and Clinical Psychology, 49, 96105.
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An Analysis of Social Competence in Schizophrenia

  • Alan S. Bellack (a1), Randall L. Morrison (a2), John T. Wixted (a2) and Kim T. Mueser (a2)
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