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The Social Functioning Scale the Development and Validation of a New Scale of Social Adjustment for use in Family Intervention Programmes with Schizophrenic Patients

  • Max Birchwood (a1), Jo Smith (a2), Ray Cochrane (a3), Sheila Wetton (a1) and Sonja Copestake (a1)...
Abstract

Social functioning as an outcome variable in family interventions with schizophrenic patients has been a relatively neglected area. The requirements of a scale of social functioning to measure the efficacy of family interventions include: the measurement of skill/behaviour relevant to the impairments and the demography of this group; the ability to yield considerable information with an economy of clinical time; and the establishment of ‘comparative’ need through comparison between subscales and with appropriate reference groups. Results from three samples show that the Social Functioning Scale is reliable, valid, sensitive and responsive to change.

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American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.
Barrowclough, C. & Tarrier, N. (1990) The effects of expressed emotion and family intervention on the social functioning of schizophrenic patients. Social Psychiatry and Psychiatric Epidemiology (in press).
Bellack, A. S., Morrison, R. L., Wixted, J. T., et al (1990) An analysis of social competence in schizophrenia. British Journal of Psychiatry (in press).
Birchwood, M. J. (1983) Family Coping Behaviour and the Course of Schizophrenia. Unpublished PhD thesis, University of Birmingham.
Birchwood, M. J. & Smith, J. (1987) Schizophrenia and the family. In Coping with Disorder in the Family (ed. J. Orford). Beckenham: Croom-Helm.
Birchwood, M. J. & Smith, J., MacMillan, F., et al (1989) Predicting relapse in schizophrenia: the development and implementation of an early signs monitoring system using patients and families as observers. Psychological Medicine, 19, 649656.
Birchwood, M. J. & Smith, J., (1990) Specific and non-specific effects of educational intervention with families of schizophrenic patients: a comparison of three methods. In submission.
Bradshaw, J. (1972) A taxonomy of social need. In Problems and Progress in Medical Care, 7th series (ed. G. McLachlan), pp. 7182. London: Oxford University Press.
Brewin, C. R., Wing, J. K., Mangen, S. P., et al (1987) Principles and practice of measuring needs in the long-term mentally ill: the MRC ‘Needs for Care’ assessment. Psychological Medicine, 17, 971981.
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241258.
Cochrane, R. (1980) A comparative evaluation of the symptom rating test and the Langner 22-item index for use in epidemiological surveys. Psychological Medicine, 10, 115124.
Falloon, I. R. H., Boyd, J. L. & McGill, C. N. (1984) Family Care of Schizophrenia. New York: Guildford Press. Guttman, L. (1945) A basis for analysing test–retest reliability. Psychometrica, 10, 255–282.
Harman, H. H. (1967) Modern Factor Analysis. Chicago: University Press.
Hogarty, G. E., Schooler, N. R., Ulrich, R., et al (1979) Fluphenazine and social therapy in the after care of schizophrenic patients. Archives of General Psychiatry, 36, 12831294.
Paul, G. L. & Lentz, R. J. (1977) Psychological Treatment of Chronic Mental Patients: Milieu versus Social-Learning Programs. Cambridge: Harvard University Press.
Platt, S., Weyman, A., Hirsch, S., et al (1980) The social behaviour assessment schedule (SBAS). Social Psychiatry, 15, 4355.
Shepherd, M., Watt, D., Falloon, I., et al (1989) The natural history of schizophrenia: a five year follow-up study of outcome and prediction in a representative sample of schizophrenics. Psychological Medicine (monograph suppl. 15).
Smith, J. & Birchwood, M. (1987) Specific and non-specific effects of educational intervention with families living with a schizophrenic relative. British Journal of Psychiatry, 150, 645652.
Smith, J. & Birchwood, M. (1990) Relatives and patients as partners in the management of schizophrenia: the development of a service model. British Journal of Psychiatry, 156, 654660.
Smith, J., Birchwood, M. & Haddrell, A. (1990) Challenging schizophrenic patients construction and understanding of their illness: the effect of level of persisting symptomatology. In submission.
Stein, L. I. & Test, M. (1980) Alternatives to mental hospital treatment. 1. Conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry, 37, 392397.
Strauss, J. & Carpenter, W. T. (1977) The prediction of outcome in schizophrenia III: five year outcome and its predictors. Archives of General Psychiatry, 34, 159163.
Sturt, E. & Wykes, T. (1986) The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the SBS schedule. British Journal of Psychiatry, 148, 111.
Tarrier, N., Barrowclough, C., Vaughn, C., et al (1988) The community management of schizophrenia: a controlled trial of behavioural interventions with families to reduce relapse. British Journal of Psychiatry, 153, 532542.
Weissman, M. M. (1975) The assessment of social adjustment: review of techniques. Archives General Psychiatry, 32, 357365.
Weissman, M. M. (1981) The assessment of social adjustment: an update. Archives of General Psychiatry, 38, 12501258.
Wing, J. & Brown, G. N. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.
Wing, J., Brown, G. N. Cooper, J. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptomatology: An Instruction Manual for the PSE and CATEGO. London: Cambridge University Press.
World Health Organization (1979) Schizophrenia: An International Follow-Up Study. New York: Wiley.
World Health Organization (1980) International Classification of Impairments, Disabilities and Handicaps. Geneva: WHO.
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  • ISSN: 0007-1250
  • EISSN: 1472-1465
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The Social Functioning Scale the Development and Validation of a New Scale of Social Adjustment for use in Family Intervention Programmes with Schizophrenic Patients

  • Max Birchwood (a1), Jo Smith (a2), Ray Cochrane (a3), Sheila Wetton (a1) and Sonja Copestake (a1)...
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