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Titolo:
The psychosocial treatment of schizophrenia: An update
Autore:
Bustillo, JR; Lauriello, J; Horan, WP; Keith, SJ;
Indirizzi:
Univ New Mexico, Sch Med, Dept Psychiat, Albuquerque, NM 87131 USA Univ New Mexico Albuquerque NM USA 87131 chiat, Albuquerque, NM 87131 USA Univ New Mexico, Sch Med, Dept Psychol, Albuquerque, NM 87131 USA Univ NewMexico Albuquerque NM USA 87131 ychol, Albuquerque, NM 87131 USA
Titolo Testata:
AMERICAN JOURNAL OF PSYCHIATRY
fascicolo: 2, volume: 158, anno: 2001,
pagine: 163 - 175
SICI:
0002-953X(200102)158:2<163:TPTOSA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; ASSERTIVE COMMUNITY TREATMENT; COGNITIVE-BEHAVIORAL THERAPY; INTENSIVE CASE-MANAGEMENT; SEVERELY MENTALLY-ILL; EXPRESSED EMOTION; FAMILY INTERVENTION; FOLLOW-UP; SUPPORTED EMPLOYMENT; MAINTENANCE CHEMOTHERAPY;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
70
Recensione:
Indirizzi per estratti:
Indirizzo: Bustillo, JR Univ New Mexico, Sch Med, Dept Psychiat, 2400 Tucker NE, Albuquerque, NM 87131 USA Univ New Mexico 2400 Tucker NE Albuquerque NM USA 87131 1 USA
Citazione:
J.R. Bustillo et al., "The psychosocial treatment of schizophrenia: An update", AM J PSYCHI, 158(2), 2001, pp. 163-175

Abstract

Objective: The authors sought to update the randomized controlled trial literature of psychosocial treatments for schizophrenia. Method: Computerized literature searches were conducted to identify randomized controlled trials of Various psychosocial interventions, with emphasison studies published since a previous review of psychosocial treatments for schizophrenia in 1996. Results: Family therapy and assertive community treatment have clear effects on the prevention of psychotic relapse and rehospitalization. However, these treatments have no consistent effects on other outcome measures (e.g.,pervasive positive and negative symptoms, overall social functioning, and ability to obtain competitive employment). Social skills training improves social skills but has no clear effects on relapse prevention, psychopathology, or employment status. Supportive employment programs that use the place-and-train vocational model have important effects on obtaining competitiveemployment. Some studies have shown improvements in delusions and hallucinations following cognitive behavior therapy. Preliminary research indicatesthat personal therapy may improve social functioning. Conclusions: Relatively simple, long-term psychoeducational family therapyshould be available to the majority of persons suffering from schizophrenia. Assertive community training programs ought to be offered to patients with frequent relapses and hospitalizations, especially if they have limited family support. Patients with schizophrenia can clearly improve their social competence with social skills training, which may translate into a more adaptive functioning in the community. For patients interested in working, rapid placement with ongoing support offers the best opportunity for maintaining a regular job in the community. Cognitive behavior therapy may benefitthe large number of patients who continue to experience disabling psychotic symptoms despite optimal pharmacological treatment.

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Documento generato il 22/01/20 alle ore 06:24:26