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Life skills programmes for chronic mental illnesses.

M M Nicol1, L Robertson, J A Connaughton

  • 1State Hospital, Carstairs, Lanark, Scotland, UK, ML11 8RP. m.nicol@leith.qmced.ac.uk

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary
This summary is machine-generated.

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Life skills programmes for chronic mental illness show no clear benefits in this review. More rigorous trials are needed to determine their effectiveness in rehabilitation.

Area of Science:

  • Psychiatry
  • Rehabilitation Medicine
  • Clinical Psychology

Background:

  • Schizophrenia often involves chronic relapses and significant social disability.
  • Rehabilitation for schizophrenia frequently includes life skills programmes to support independent functioning.

Purpose of the Study:

  • To evaluate the effectiveness of life skills programmes compared to standard care for individuals with chronic mental health conditions.

Main Methods:

  • A systematic search of multiple databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycLIT) was conducted.
  • Included were randomized or quasi-randomized controlled trials comparing life skills programmes with standard care for serious mental illnesses.
  • Data extraction and analysis followed a rigorous protocol, including intention-to-treat analysis where applicable.

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Main Results:

  • Only two randomized controlled trials, involving 38 participants, met the inclusion criteria.
  • The available data were limited, and no definitive conclusions regarding the effectiveness of life skills programmes could be drawn.

Conclusions:

  • A large, well-designed pragmatic randomized trial is urgently required to ascertain the efficacy of life skills training in rehabilitation.
  • Continuing current practices without robust trial evidence may be considered unethical.