Social cognition training for people with schizophrenia: A randomised study

Background: Social functioning deficits are common in people with schizophrenia and were shown to be important prognostic indicators. Social Cognition and Interaction Training (SCIT) is a manual-based treatment designed to improve social functioning in people with schizophrenia by enhancing social cognition. The aim of this study was to evaluate the feasibility, acceptability, and efficacy of SCIT in male inpatient forensic wards. Methods: The study is a randomised single blind controlled, crossover design, with 21 participants randomised to SCIT and 15 to treatment as usual (TAU). SCIT treatment consisted of eight-week therapy sessions twice per week. Participants were assessed before and after the intervention period with measures of symptoms, affect recognition, theory of mind and attributional style. Feasibility was assessed through group attendance. Participant acceptability was evaluated through post-group satisfaction and social goals achievement. Results: The group was well received by all participants and the majority reported their confidence had improved following the intervention. Almost two thirds of the SCIT participants agreed they had achieved their social goal as a result of the intervention. Participants in the SCIT group showed a significant improvement in affect recognition compared to TAU. However, the two groups did not differ in theory of mind and attributional style after therapy. Discussion: It is feasible to deliver SCIT in forensic ward setting and the intervention improved affect recognition. Some adaptations may be needed in order to accommodate for the reduced social contact of forensic wards.