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Grading of Recommendations of psychological interventions in the rehabilitation of patients with schizophrenia

Published online by Cambridge University Press:  27 August 2024

R. Vazquez-Noguerol Mendez ,
S. Garcia Pineiro ,
P. G. S. Perez ,
M. Puime Miguez ,
C. Cinos Galan ,
M. J. Veiga Candan ,
M. Suarez Baldomir  and
M. Soriano Garcia
R. Vazquez-Noguerol Mendez*
Affiliation:
SERGAS, Vigo, Spain
S. Garcia Pineiro
Affiliation:
SERGAS, Vigo, Spain
P. G. S. Perez
Affiliation:
SERGAS, Vigo, Spain
M. Puime Miguez
Affiliation:
SERGAS, Vigo, Spain
C. Cinos Galan
Affiliation:
SERGAS, Vigo, Spain
M. J. Veiga Candan
Affiliation:
SERGAS, Vigo, Spain
M. Suarez Baldomir
Affiliation:
SERGAS, Vigo, Spain
M. Soriano Garcia
Affiliation:
SERGAS, Vigo, Spain
*
*Corresponding author.

Abstract

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Introduction

As part of the intervention, patients with severe schizophrenia who are cared for in psychiatric rehabilitation units need psychological treatments. However, there is great variability within the psychotherapy alternatives that are proposed for rehabilitation in schizophrenia, and it is necessary to know which are the most efficient interventions in order to prioritize their inclusion in intervention programs.

Objectives

To know the level of evidence of the existing psychotherapy alternatives for the rehabilitation treatment in schizophrenia through the systematic review of recently published studies.

Methods

Consecutive systematic searches in the scientific literature were used in a sensitive and specific way, aimed at identifying the existence of documents in databases and clinical practice guidelines based on evidence of psychological treatment in schizophrenia. Psychosocial and social approaches and family members interventions were excluded, and the search was limited to the last 5 years. The PICO format has been used, and a subsequent critical reading using the AGREE II tool, considering the inclusion criteria of presenting a score >60% in 4 domains.

Results

The following interventions have been found to be therapeutically effective: Level 1B (Early intervention in Psychosis; Patient and Family psychoeducational intervention; Basic ando social skills training; Social cognition and Metakognition training; Cognitive Remediation; Cognitive Behavioral Individual Therapy; Assertive Community treatment; Supported employment). Level 2B (Family Problem Solving Therapy, Dynamic Psychotherapy; Cognitive Behavioral Group Therapy); Level 2C (Horticultural, Art, Music, Animals Therapies).

Conclusions

Several psychotherapy alternatives are proposed for rehabilitation in schizophrenia, with known level of evidenca in order to prioritize their inclusion in intervention programs.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S741
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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