The Structure of Social Skills in Persons with Schizophrenia

我们的目的是建立客观的精神分裂症患者社交技能评估工具，分析这些结构，并开发改善这些结构的治疗方法。为此，我们修改了结构化角色扮演测试，以便能够评估接收、处理和发送技能。我们选择了6种社会互动进行角色扮演测试，55名专业人员和32名精神病患者都认为这些情境熟悉且重要。以下是对36例精神分裂症患者（ICD-10）进行的改良角色扮演测试的现场试验结果。验证了试验的可行性、信度和效度。可行性：角色扮演测试可在1小时左右完成，受试者无症状加重。评量者间信度：计算4名评量者角色扮演测验13个评量项的ANOVA-ICC。ANOVA-ICC评分的极差在0.5.3以上。效度：在因子分析（主成分法）中发现4个因子：总问题解决能力、自我效能与焦虑、对社会情境的接受、对替代方案的修正。总问题解决能力得分与心理111生活评估量表（LASMI）人际关系子测试显著相关。GAS得分与角色扮演测试不相关。影响社会技能的因素：总问题解决能力得分与阴性症状、无组织症状、数字广度测试、轨迹制作测试A和B、单词流畅性测试和思维创造性测试显著相关。紊乱症状对得分有显著影响。

Our purpose is making the objective assessment tool of social skills of persons with schizophrenia, analyzing those structure, and developing treatment for improving those. For the purpose, we modified the structured role play test to be able to assess receiving, processing, and sending skills. We chose 6 social interactions for the role play test, and these situations were found familiar and important by both 55 professionals and 32 psychiatric patients. The following are the results of field trail of the modified role play test with 36 patients with schizophrenia (ICD-10). Feasibility, reliability and validity of the test were verified.1. Feasibility : the role play test could be done within about 1 hour, and no subject showed symptom exacerbation.2. Inter-rater reliability : ANOVA-ICC of 13 rating items of the role play test among 4 raters were calculated. The ranges of the score of ANOVA-ICC were above 0.5.3. Validity: Four factors were found in factor analysis (principal component method) - total problem solving skills, self efficacy and anxiety, reception of social situation, and modification of alternatives. The score of total problem solving skills was significantly correlated with the Interpersonal relations subtest of the Life Assessment Scale for the Mentally 111 (LASMI). The GAS score was not correlated with the role play test.4. Factors contributed to social skills : The score of total problem solving skills were significantly correlated with negative symptoms, disorganized symptoms, digit span test, trail making test A and B, word fluency test, and thinking creativeness test. The score were significantly contributed by disorganized symptoms.