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Assertiveness and problem-solving training for mildly mentally retarded persons with dual diagnoses.

C M Nezu1, A M Nezu, P Arean

  • 1Department of Mental Health Sciences, Hahnemann University, Philadelphia, PA 19102-1192.

Research in Developmental Disabilities
|January 1, 1991
PubMed
Summary

Assertiveness and problem-solving training improved adaptive social behavior and reduced distress in dually diagnosed patients with mild mental retardation. Both training methods showed similar effectiveness, highlighting self-regulatory therapy models.

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Area of Science:

  • Psychiatry
  • Psychology
  • Social Work

Background:

  • Dual diagnosis in individuals with mild mental retardation presents unique treatment challenges.
  • Adaptive social behavior, distress, and psychiatric symptoms require targeted interventions.
  • Effective anger control and problem-solving coping skills are crucial for this population.

Purpose of the Study:

  • To investigate the comparative effectiveness of assertiveness and problem-solving training.
  • To assess the impact of these trainings on social behavior, distress, psychiatric symptoms, anger control, and coping skills.
  • To evaluate treatment outcomes at multiple time points, including a 3-month follow-up.

Main Methods:

  • A counterbalanced design was employed to compare two training interventions.

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  • Assessments included pretreatment, midphase, posttreatment, and 3-month follow-up evaluations.
  • Data were collected using self-report measures and caregiver ratings.

    • Main Results:

    • A combined assertiveness and problem-solving training package demonstrated effectiveness in treating individuals with mild mental retardation and dual psychiatric diagnoses.
    • Significant improvements were observed in self-reported distress and caregiver-rated adaptive functioning.
    • No essential differences were found between the assertiveness and problem-solving training protocols.

    Conclusions:

    • Assertiveness and problem-solving training are beneficial for dually diagnosed patients with mild mental retardation.
    • Self-regulatory models of therapy are important for this population.
    • Future research should further explore and refine these therapeutic approaches.