Extensions of errorless learning for social problem-solving deficits in schizophrenia

Robert S. Kern, Michael F. Green, Sharon Mitchell, Alex Kopelowicz, Jim Mintz, Robert P. Liberman

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Objective: There is a clear need to develop psychosocial rehabilitation methods that compensate for neurocognitive deficits common to persons with severe and persistent mental illness. Errorless learning, a compensatory training intervention, has been successful in teaching entry-level job tasks. However, errorless learning's applicability to broader, more complex functions is unknown. The present study tested the extension of errorless learning for deficits in social problem-solving skills in patients with schizophrenia. Method: Sixty clinically stable outpatients with schizophrenia or schizoaffective disorder were stratified by gender and level of memory impairment before being randomly assigned to one of two training programs: errorless learning or symptom management. Groups were matched for training time, format and structure of training, and types of teaching aids used. Social problem-solving ability, measured by the Assessment of Interpersonal Problem-Solving Skills, was assessed at base-line, within 2 days of training completion, and after 3 months. Dependent measures were the scores for the receiving, processing, and sending skills areas from the Assessment of Interpersonal Problem-Solving Skills. Results: A repeated-measures analysis of covariance was conducted for each dependent measure with baseline Assessment of Interpersonal Problem-Solving Skills score entered as a covariate. For all three skills, there was a significant training group effect favoring errorless learning. Durability of errorless learning training effects extended to the 3-month follow-up assessment for processing and sending skills but not receiving skills. Conclusions: Results support the extension of errorless learning to complex functions such as social problem-solving skills in the rehabilitation of persons with schizophrenia.

Original languageEnglish (US)
Pages (from-to)513-519
Number of pages7
JournalAmerican Journal of Psychiatry
Volume162
Issue number3
DOIs
StatePublished - Mar 2005
Externally publishedYes

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Social Problems
Schizophrenia
Learning
Teaching
Aptitude
Psychotic Disorders
Research Design
Outpatients
Rehabilitation
Education

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Extensions of errorless learning for social problem-solving deficits in schizophrenia. / Kern, Robert S.; Green, Michael F.; Mitchell, Sharon; Kopelowicz, Alex; Mintz, Jim; Liberman, Robert P.

In: American Journal of Psychiatry, Vol. 162, No. 3, 03.2005, p. 513-519.

Research output: Contribution to journalArticle

Kern, Robert S. ; Green, Michael F. ; Mitchell, Sharon ; Kopelowicz, Alex ; Mintz, Jim ; Liberman, Robert P. / Extensions of errorless learning for social problem-solving deficits in schizophrenia. In: American Journal of Psychiatry. 2005 ; Vol. 162, No. 3. pp. 513-519.
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