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Titolo:
The importance of psychosocial interventions and patient involvement in the treatment of schizophrenia
Autore:
Tarrier, N; Bobes, J;
Indirizzi:
Univ Manchester, Acad Div Clin Psychol, Manchester M13 9PL, Lancs, EnglandUniv Manchester Manchester Lancs England M13 9PL M13 9PL, Lancs, England Univ Oviedo, Dept Med Psiquiatria, Oviedo, Spain Univ Oviedo Oviedo Spain iv Oviedo, Dept Med Psiquiatria, Oviedo, Spain
Titolo Testata:
INTERNATIONAL JOURNAL OF PSYCHIATRY IN CLINICAL PRACTICE
, volume: 4, anno: 2000, supplemento:, 1
pagine: S35 - S51
SICI:
1365-1501(200012)4:<S35:TIOPIA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; QUALITY-OF-LIFE; COGNITIVE-BEHAVIORAL THERAPY; ATYPICAL ANTIPSYCHOTIC MEDICATIONS; INPATIENT FAMILY INTERVENTION; FOLLOW-UP; SUBSTANCE-ABUSE; SUBJECTIVE EXPERIENCE; NEUROLEPTIC DYSPHORIA; MAINTENANCE TREATMENT;
Keywords:
schizophrenia; psychological interventions; social interventions; family intervention; expressed emotion; cognitive-behaviour therapy; attitude to medication; quality of life; compliance/adherence therapy; antipsychotic; patient dialogue;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
121
Recensione:
Indirizzi per estratti:
Indirizzo: Tarrier, N Univ Manchester, Withington Hosp, Sch Psychiat & Behav Sci, Acad Div Clin Psychiat, Manchester M20 8LR, Lancs, England Univ Manchester Manchester Lancs England M20 8LR ancs, England
Citazione:
N. Tarrier e J. Bobes, "The importance of psychosocial interventions and patient involvement in the treatment of schizophrenia", INT J PSYC, 4, 2000, pp. S35-S51

Abstract

The multifactorial nature of schizophrenia and the wide-ranging impact of the illness on the patient, their family, carers and healthcare providers mean that clinicians must be prepared to take a holistic approach to treatment. It is widely recognized that a patient's beliefs about their treatment and their experiences of schizophrenia can be very important in determiningboth attitude towards treatment compliance and behaviour in response to symptoms of the illness and environmental stress. Antipsychotic therapy remains the cornerstone of treatment for schizophrenia. However, there is now growing evidence to support the benefits of non-pharmacological interventions, when used in combination with antipsychotic treatment, in relieving symptoms, improving occupational and social functioning and reducing the risk ofrelapse. In particular, these interventions appear to provide benefits in coping shills and social and vocational functioning, as reflected in a greater ability to function independently and an improvement in quality of life. Systematic assessment of non-pharmacological therapies in schizophrenia is still a relatively new science, but there is goon evidence that psychosocial therapies, such as family intervention therapy, cognitive-behaviour therapy and compliance therapy can markedly change a patient's behaviour and improve adherence to treatment and hence interaction with families, carers and healthcare providers. Psychosocial interventions can be implemented fromthe first episode of psychosis onwards and can contribute to an improved overall outcome in schizophrenia, to patients being more satisfied with their treatment, and to a better quality of life for the patient and their family. Initial comprehensive assessment will involve regular contact with the patient and opens channels for an ongoing dialogue. It is important that these discussions with the patients and their families and carers not only cover the need for social, emotional and behavioural support but include regular discussion of the acceptability and side-effects of antipsychotic treatment so that problems can be identified and addressed promptly. While the importance of non-pharmacological interventions in improving the quality of patient care is becoming widely accepted, access to psychological, psycho-educational and family support is by no means universal in current clinical practice. It is important that these services, provided by appropriately trained personnel, are mane available to all patients for whom they may be appropriate.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 01:15:42