Effects of Social Skills Training on Improving Social Skills of Schizophrenic Patients.

1. ????????????????????????Effects of Social Skills Training on Improving Social Skills of Schizophrenic Patients. ??????? ? ? ?

2. ? ? ????? ??? ???? ???? ???? ???? ????? ?? ?? ?? ??

3. ???? ????????????????????????????????????????????????,???????? (???,1991; Hoffmann, Kupper & Kunz, 1998) ?????????????????

4. ????? ????????????????(?,1998a; ?,1999; ?,1999; ?,1999)???????????(Lysaker et al., 1995; Penn et al., 1997) ????????????????:???????(??,1994; ??,1987; Langewitz et al., 1998)???????(???,1991; ??,1993; Hersen et al., 1984; Liberman et al., 1986)

5. ???? ???????????????????????? 1.??????????????????????????????? 2. ??????????,????????????????

6. ???? ?????????????,???????????? ?????????????,????????????

7. ???? ???? (Social Skill):?????????? ?????? (Social Skills Training):???????,??2?,??60?? ????(Conversation Skill):?????????,???????????? ????(Assertive Skill):??????????????,??????????

8. ????(?) ?????? (Schizophrenic Patient) :?DSM-?????? ????(Social Position) :????*4+??*7 ,????? ????? (Positive and Negative Symptoms) :????????????? ????? (Interaction Anxiousness) :???????????????,?????????????

9. ???? ??????????? ????????? ????????? ????????? ????????????

10. ??????????? ??: ?????????????????(Mueser, Bellack et al., 1995; Perry et al., 1995) ????: ???????????,??????(?, 1996; ?,1993; Macdonald et al., 1998; Wilkinson & Canter, 1986) ?????: ?????????????(Kopelowicz et al., 1997; Lysaker et al., 1995; Mueser, Bellack et al., 1995) ?????:?????,??????(?,1997; Trower, 1979; Wilkinson & Canter, 1986)

11. ????????? ?????? (??,1994; ??,1987) ?????? (Cartledge & Kleefeld, 1991; Goldstein et al., 1980; Walker et al., 1983) ?????? (Cartledge & Kleefeld, 1991; Goldstein et al., 1980) ???? (??,1994; ?,1995; Walker et al., 1983) ???? (??,1994; ??,1987; ?,1995; Cartledge & Kleefeld, 1991; Rinn & Markle, 1979; Walker et al., 1983) ????(?,1999;?,1995;Alberti & Emmons, 1974; Lazarus, 1973; Rinn & Markle, 1979; Wilkinson & Canter, 1982)

12. ????????? ??(??,1987; ???,1991; Langewitz et al., 1998; Liberman et al., 1998; Lysaker et al., 1995; Marder et al.,1996) ??(???,1991; ??,1994; ?,1993; Langewitz et al., 1998; Liberman et al., 1998) ????(??,1987; ???,1991; Fine et al., 1991; Kopelowicz et al.,1997; Lysaker et al., 1995) ???????(?,1997 ;??,1987; ?,1993; Liberman et al., 1998) ??????(???,1991; ??,1987; ?,1993;?,1987)

13. ????????? ???(interview) ?????(self-monitoring) ?????(behavior observation) ???(self-report) ?????(role play)

14. ????????????

15. ???? ???? ???? ???? ???? ???? ??????? ???? ????

16. ????

17. ????

18. ???? ????: 1.????DSM-??????,?????????? 2.?????????????? 3.????,???????? 4.??????? 5.????????? ????: 1.??????????50?????? 2.?????????????

19. ???? ??????? ??????? ??????? ?????? ???? ???

20. ???????(Positive and Negative Syndrome Scale; PANSS) ?????????????????????????????? ???????????; ??,???? ? 1.Cronbach a??? .73 ~ .83 2.???????????????? .80 (p < .001) 3.??????6??????? .89? .82? .81? .77 (Kay, Opler & Fiszbein, 1992)

21. ??????? ?????????????? ?15?,??????????? 1.Cronbacha???? .87 2.?????????? .80 3.????:??????????????????? 4.????:?Marlowe-Crowne?????????????? - .26 (r > .60) (Jones, Briggs & Smith, 1986?Leary & Kowalski, 1987)

22. ?????? ?????????????????,??????????: ??????????? ??????????? ????? ? ?20?,??????????????????????? 1.Cronbach a??? .84 2.?????????? .85 3.?? (2000)????,Cronbach a??? .87,?????Cronbach a?? .88? .60? .59? ? (1992)

23. ???? ??????????????????????? ?29?,???????????? 1.Cronbach a??? .68,?????Cronbach a???? .81? .83? .77 2.??????????? .63,?????Cronbach a???? .55? .79? .70? (?,1983)

24. ??? ????????????? ??????????2? ??????????????????????? ?????288?????????????288????????????

25. ????

26. ????(?)

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28. ???????

29. ???????(?)

30. ???? ???????????????,???????????????? ???????????,????????????????? ?????,???????????????,????????,????????????????,????????????

31. ???? ???? ??????? ???????:?GEE (Generalized Estimating Equation)????,?????????????

32. ????? Yi =�0 +�1X1 +�2X2 +�3X3 +�4X4 +�5X5 +�� +�jXj i= 1?,Y??????????? i= 2?,Y????????? j: 1~ j X1: ?? X2: ?? X3: ?? X4: ???? X5: ???? X6: ???? X7: ????? : Xj: ????????????

33. ??????? ?????? ???????

34. ??????

42. ???????

44. ???????(?)

46. ?? ????? ?????????

47. ????? ????????????????????????????? ?????????????????????????????????????????????????????????

48. ????????????? ?????????????????? ?? (1993)??? (1987)???? (1991)??? (1994) ?? (1992)?? (1992)?? (1993)?? (1993)?? (1987)?? (1991)?Langewitz (1998)??????? ???????: ??????? ???????????,????????? ???????????,????????? ??????????????????????? ?????????????????,??????????????

49. ????????????? ?????????????????? ???? (1991)??? (1994) ?? (1992)?? (1992)?? (1993)?? (1993)?? (1987)?? (1991)?Fine? (1991)?Langewitz (1998)??????? ???????: ???????????,????????????????????? ?????????,?????????????? ???????????????????????? ?????????????????????????

50. ?? 1.???????????????,???????????????????????????????? 2.???????????????,????????????????????????????????????????

51. ??(?) 3.???????????????,??????????????????????????????????? 4.???????????????,????????????????????????????????????????

52. ?? ????????? ???????�?????

53. ?? ????�???????????? ????�?????????????????????????? ????�?????????

54. ??? ????