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J Psychother Pract Res 9:149-156, July 2000
© 2000 American Psychiatric Association

Clinical and Research Reports

Development of an Integrated Cognitive-Behavioral and Social Skills Training Intervention for Older Patients With Schizophrenia

John R. McQuaid, Ph.D., Eric Granholm, Ph.D., Fauzia Simjee McClure, Ph.D., Suzanne Roepke, Ph.D., Paola Pedrelli, M.A., Thomas L. Patterson, Ph.D. and Dilip V. Jeste, M.D.

Received December 2, 1999; revised March 22, 2000; accepted April 11, 2000. From the University of California, San Diego, and VA San Diego Healthcare Services. Address correspondence to Dr. McQuaid, Psychology Service (116-B), VA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161; e-mail: jmcquaid{at}ucsd.edu

There is considerable evidence that psychosocial treatments benefit younger adults with schizophrenia. However, no studies have been undertaken of such interventions for older patients with schizophrenia. This report describes the development of a novel integrated treatment combining cognitive-behavioral therapy (CBT) and social skills training (SST). This intervention is designed to address the needs of older patients with schizophrenia by challenging beliefs common in this population that interfere with treatment and by providing repetitive practice of behaviors to improve retention and skill development. The authors provide two case reports and pilot data suggesting benefits of this approach.

Key Words: Schizophrenia • Geriatric Psychiatry • Psychotherapy, Cognitive and Behavioral • Social Skills Training




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