TOKEN ECONOMY APPROACH AND PHYSICAL ACTIVITY: A SHORT REPORT FOR PATIENTS WITH SCHIZOPHRENIA

Georgia Maggouritsa, Dimitrios Kokaridas, Konstantinos Bonotis

Abstract


The purpose of this study is to provide a short report concerning token economy system application in psychiatry units and connect this approach with physical activity programming, as an effective way to promote psychological benefits, skills and exercise behavior of patients with schizophrenia. Conclusions: Token economy combined with physical activity can be a useful non-pharmaceutical approach that helps patients with schizophrenia to improve psychological aspects and quality of life.

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schizophrenia, token economy, exercise

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Acil A, Dogan S, Dogan O, 2008. The effects of physical exercises to mental state and quality of life in patients with schizophrenia. Journal of Psychiatric and Mental Health Nursing, 15: 808–815.

Ayllon T, Haughton E, 1962. Control of the behavior of schizophrenic patients by food. Journal of the Experimental Analysis of Behavior, 5: 343–352.

Beebe L.H, Smith K, 2010. Feasibility of the Walk, Address, Learn and Cue (WALC) Intervention for Schizophrenia Spectrum Disorders. Archives of Psychiatric Nursing, 24: 54–62.

Carless D, Douglas K. A, 2004. A golf programme for people with severe and enduring mental health problems. Journal of Public Mental Health, 3: 26–39.

Christopherson E.R, Arnold C.M, Hill D.W, Quilitch H.R, 1972. The home point system: token reinforcement procedures for application by parents of children with behavior problems. Journal of Applied Behavior Analysis, 5: 485-497.

Comaty J.E, Stasio M, Advokat C, 2001. Analysis of outcome variables of a token economy system in a state psychiatric hospital: a program evaluation. Research in Developmental Disabilities, 22(3): 233-253.

Corrigan P.W, 1995. Use of token economy with seriously mentally ill patients: Criticisms and misconceptions. Psychiatric Services, 46: 1258-1263.

Dickerson F, Tenhula W.N, Green-Paden L.D, 2005. The token economy for schizophrenia: review of the literature and recommendations for future research. Schizophrenia Research, 75: 405-416.

Dixon L.B, Dickerson F, Bellack A.S, Bennett M, Dickinson D, Goldberg, R.W, Lehman A, Wendy N, Tenhula W.N, Calme C, Pasillas R.M, Peer J, Kreyenbuhl J, 2010. The 2009 Schizophrenia PORT Psychosocial Treatment Recommendations and Summary Statements. Schizophrenia Bulletin, 36: 48–70.

Duraiswamy G, Thirthalli J, Nagendra H. R, Gangadhar B. N, 2007. Yoga therapy as an add-on treatment in the management of patients with schizophrenia – a randomised control trial. Acta Psychiatrica Scandinavica, 116: 226–232.

Fassino S, Amianto F, Abbate Daga G, Leombruni P, 2007. Personality and psychopathology correlates of dropout in an outpatient psychiatric service. Panminerva Medica, 49: 7-15.

Fjellstedt N, Sulzer-Azaroff B, 1973. Reducing the latency of a child's responding to instructions by means of a token system. Journal of Applied Behavior Analysis, 6: 125-130.

Fogarty M, Happell B, 2005. Exploring the benefits of an exercise program for people with schizophrenia: A qualitative study. Issues in Mental Health Nursing, 26: 341-351.

Gholipour A, Abolghasemi SH, Gholinia K, Taheri S, 2012. Token Reinforcement Therapeutic Approach is More Effective than Exercise for Controlling Negative Symptoms of Schizophrenic Patients: A Randomized Controlled Trial, International Journal of Preventive Medicine, 3:466-70.

Glynn S.M, 1990. Token economy approaches for psychiatric patients: Progress and pitfalls over 25 years. Behavior Modification, 14: 383-407.

Gorczynski P F, Sitch M, Faulkner G, 2017. Examining methods, messengers and behavioural theories to disseminate physical activity information to individuals with a diagnosis of schizophrenia: a scoping review. Journal of Mental Health, 1-10.

Grant T, 2000. Physical activity and mental health – national consensus statements and guidelines for practitioners. London: Health Education Authority.

Henderson J.D, Scoles P.E, 1970. Conditioning techniques in a community-based operant environment for psychotic men. Behavior Therapy, 1: 245-251.

Hersen M, Eisler R.M, Smith B.S, Agras W.S, 1972. A token reinforcement ward for young psychiatric patients. American Journal of Psychiatry, 129: 142-233.

Ho A.P, Tsuang J.W, Liberman R.P, Wang R, Wilkins J.N, Eckman T.A, Shaner A.L, 1999. Achieving effective treatment of patients with chronic psychotic illness and comorbid substance dependence. American Journal of Psychiatry, 156: 1765–1770.

Holley J, Crone D, Tyson P, Lovell G, 2011. The effects of physical activity on psychological well-being for those with schizophrenia: A systematic review. British Journal of Clinical Psychology, 50:84–105.

Hupp S. D. A, Reitman D, Northup J, O’Callaghan P, LeBlanc M, 2002. The effects of delayed rewards, tokens, and stimulant medication on sportsmanlike behavior with ADHD-diagnosed children. Behavior Modification, 26: 148–162.

Jason L.A, 1985. Using a token-actuated timer to reduce television viewing. Journal of Applied Behavior Analysis, 18: 269-272.

Kahng S, Boscoe J, Byrne S, 2003.The use of an escape contingency and a token economy to increase food acceptance. Journal of Applied Behavior Analysis, 36: 349-353.

Kokaridas D, Maggouritsa G, Stoforos P, Patsiaouras A, Theodorakis Y, Diggelidis N, 2013. The effect of a token economy system program and physical activity on improving quality of life of patients with schizophrenia: a pilot study. American Journal of Applied Psychology, 2: 80-88.

Lee L.L, Arthur A, Avis M, 2008. Using self-efficacy theory to develop interventions that help older people overcome psychological barriers to physical activity: a discussion paper. International Journal of Nursing Studies, 45: 1690-1699.

Lehman F A, Kreyenbuhl J, Buchanan W R, Dickerson B F, Dixon B L, Goldberg R, Green-Paden D L, Tenhula N W, Boerescu D, Tek C, Sandson N, Steinwachs M D, 2004. The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2003. Schizophrenia Bulletin, 30:193-217.

LePage J. P, DelBen K, Pollard S, McGhee M, VanHorn L, Murphy J, Lewis P, Aboraya A, Mogg N, 2003. Reducing assaults on an acute psychiatric unit using a token economy: A 2-year follow-up. Behavioral Interventions, 18: 179-190.

Lindamer, L.A., McKibbin, C., Norman, G.J., Jordan, L., Harrison, K., Abeyesinhe, S., & Patrick, K. (2008). Assessment of physical activity in middle-aged and older adults with schizophrenia. Schizophrenia Research, 104: 294-301.

Maggouritsa G, Kokaridas D, Stoforos P, Patsiaouras A, Diggelidis N, Theodorakis, Y, 2014b. The Effect of a Physical Activity Program on Improving Body Cathexis and Self-Esteem of Patients with Schizophrenia. Inquiries in physical education and sport, 12: 40-51.

Maggouritsa G, Kokaridas D, Theodorakis Y, Patsiaouras A, Mouzas O, Dimitrakopoulos S, Diggelidis N, 2014a. The Effect of a Physical Activity Program on Improving Mood Profile of Patients with Schizophrenia. International Journal of Sport & Exercise Psychology, 12: 273 –284.

McCormick B.P, Frey G, Lee C, Chun S, Gajic J, Stamatovic-Gajic B, Maksimovich M, 2008. Predicting Transitory Mood from Physical Activity Level Among People With Severe Mental Illness in Two Cultures. International Journal Social Psychiatry, 54: 527-538.

McGinnis J.C, Friman P.C, Carlyon W.D, 1999. The effect of token rewards on intrinsic motivation for doing math. Journal of Applied Behavior Analysis, 32: 375-379.

McMonagle T, Sultana A, 2000. Token economy for schizophrenia (Cochrane Review). The Cochrane Database of Systematic Reviews, 3, CD001473.

Mei-Feng L, Jaw-Haw C, Mei-Hsien C, Mei-Chi H, 2006. Significant experiences of token therapy from the perspective of psychotic patients. The Journal of Nursing Research, 14: 315-23.

Menza M, Vreeland B, Minsky S, Gara M, Radler D.R, Sakowitz M, 2004. Managing atypical antipsychotic-associated weight gain: 12-month data on a multimodal weight control program. Journal of Clinical Psychiatry, 65: 471-477.

Nelson G, Cone J.D, 1979. Multiple-baseline analysis of a token economy for psychiatric patients. Journal of Applied Behavior Analysis, 12: 255-271.

Park S, Gibson C, McMichael T, 2006. Socio-affective factors modulate working memory in schizophrenic subjects. Neuroscience, 139:373-384.

Paul G.L, Lentz R.J, 1977. Psychosocial Treatment of Chronic Mental Patients: Milieu versus Social-learning Programs. Cambridge, MA: Harvard University Press.

Reitman D, Hupp S. D. A, O’Callaghan P.M., Gulley V, Northup N, 2001. The influence of a token economy and methylphenidate on attentive and disruptive behavior during sports with ADHD-diagnosed children. Behavior Modification, 25: 305-323.

Silverstein S.M, 2010. Bridging the Gap between Extrinsic and Intrinsic Motivation in the Cognitive Remediation of Schizophrenia. Schizophrenia Bulletin, 36: 949-956.

Smith T.E, Hull J.W, Goodman M, Hedayat-Harris A, Willson D.F, Israel L.M, Munich R.L, 1999. The relative influences of symptoms, insight, and neurocognition on social adjustment in schizophrenia and schizoaffective disorder. Journal of Nervous and Mental Disease, 187: 102–108.

Stubbs B, Firth J, Berry A, Schuch B F, Rosenbaum S, Gaughran F, Veronesse N, Williams J, Craig T., Yung R A, Vancampfort D, 2016. How much physical activity do people with schizophrenia engage in?: A systematic review, comparative meta-analysis and meta-regression. Schizophrenia Research, 176: 431–440.

Winkler R.C, 1971. The relevance of economic theory and technology to token reinforcement systems. Behaviour Research and Therapy, 9: 81-88.

Wolfe D.A, Mendes M.G, Factor D, 1984. A parent-administered program to reduce children's television viewing. Journal of Applied Behavior Analysis, 17: 267-272.




DOI: http://dx.doi.org/10.46827/ejpe.v6i11.3604

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