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Effects of a coping-orientated group therapy for schizophrenia and schizoaffective patients: a pilot study
K Andres1, M Pfammatter, F Garst
1University of Bern Psychiatric Services, Switzerland.
Objective:
This controlled pilot study was designed, first, to examine the efficacy of two different group therapy formats for schizophrenia and schizoaffective patients: a patient-centred, psychoeducative and coping-orientated group therapy approach and a supportive therapy group. Secondly, it intended to establish preliminary hypotheses on the therapeutically relevant factors.
Method:
In a sample of 32 patients suffering from schizophrenia or a schizoaffective disorder the effect sizes of the coping-orientated therapy approach and a supportive group therapy on several outcome variables were examined and the predictive power of different effect variables on outcome was analysed.
Results:
The effect sizes show improvements in the cognizance of the disorder and the related pharmacotherapy, the psychopathology and the social functioning for both therapy conditions. Moreover, outcome as measured after 1 year was best predicted by the patient's mastery of active, problem-focused coping strategies.
Conclusion:
The results corroborate the appropriateness of focusing on aspects of coping-behaviour in psychological interventions.
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