Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-30T20:10:52.697Z Has data issue: false hasContentIssue false
  • English
  • Français

Rehabilitation of schizophrenic and other long-term mentally ill patients. Results from a prospective study of a comprehensive inpatient treatment program based on cognitive therapy

Published online by Cambridge University Press:  16 April 2020

B. Svensson  and
L. Hansson
B. Svensson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, S-221 85, Lund, Sweden
L. Hansson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, S-221 85, Lund, Sweden
Get access

Summary

A total of 28 long-term mentally ill patients, the majority schizophrenic, treated with cognitive therapy in the context of milieu-therapy and group therapy, were investigated at admission and discharge with regard to changes in symptomatology, quality of life, global functioning, need for medication, and perceived target complaints. The results showed a significant relief in perceived burden of illness and an improvement in quality of life. A better pre-admission functioning with regard to social functioning, occupational function, and symptoms predicted a more favourable outcome.

Keywords

antipsychotic medicationcognitive therapygroup-therapylong-term mentally illmilieu-therapypredictor of outcomequality of lifeschizophrenia
Type
Original article
Information
European Psychiatry , Volume 14 , Issue 6 , October 1999 , pp. 325 - 332
Copyright
Copyright © European Psychiatric Association 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association, Diagnostic and statistical manual for mental disorders 3rded, rev. Washington DC : APA ; 1989.Google Scholar
Åsberg, MMontgomery, SAPerris, CSchalling, DSedvall, G. A comprehensive psychopathological rating scale Acta Psychiatr Scand 1978 ; 271 Suppl : 5–27.CrossRefGoogle Scholar
Battle, CCImber, SDHoehn-Saric, RHStone, ARMash, ERFrank, JD. Target Complaints as criteria of improvement Am J Psychother 1966 ; 20 : 184-92.CrossRefGoogle ScholarPubMed
Brenner, HDHodel, BRoder, VCorrigan, P. Treatment of cognitive dysfunctions and behavioural deficits in schizophrenia Schizophr Bull 1992 ; 18 : 21-6.CrossRefGoogle Scholar
Browne, SRoe, MLane, AGervin, MMorris, MKinsella, A, et al. Quality of life in schizophrenia: Relationship to sociodemographic factors, symptomathology and tardive dyskinesia Acta Psychiatr Scand 1996 ; 94 : 118-24.CrossRefGoogle Scholar
Chadwick, PDJLowe, CF. Measurement and modification of delusional beliefs J Cons Clin Psych 1990 ; 58 : 225-32.CrossRefGoogle ScholarPubMed
Derogatis, LRFasth, BG. Confirmation of the dimensional structure of the SCL-90: A study in construct validation J Clin Psychol 1977 ; 33 : 981-9.3.0.CO;2-0>CrossRefGoogle Scholar
Dickerson, FBRingel, NBParente, F. Subjective quality of life in outpatients with schizophrenia : clinical and utilization correlates Acta Psychiatr Scand 1998 ; 98 : 124-7.CrossRefGoogle Scholar
Drury, VBirchwood, MCochrane, RMacmillan, F. Cognitive therapy and recovery from acute psychosis : a controlled trail I. Impact on psychotic symptoms Br J Psychiatry 1996 ; 169 : 593–601.CrossRefGoogle Scholar
Fowler, DGarety, PKuipers, E. Cognitive behavioural therapy for psychosis. Theory and Practice West Sussex, England: Wiley and Sons; 1995.Google Scholar
Fowler, DMorley, S. The cognitive behavioural treatment of hallucinations and delusions: A preliminary study Behav Psychother 1989 ; 17 : 267-82.CrossRefGoogle Scholar
Garety, PAKuipers, LFowler, FChamberlain, FDunn, G. Cognitive behavioural therapy for drug-resistant psychosis Br J Med Psychol 1994 ; 67 : 259-71.CrossRefGoogle ScholarPubMed
Haddock, GBentall, RPSlade, PD. Psychological treatment of auditory hallucinations: focusing or distraction?In: Haddock, GSlade, P, eds. Cognitive-Behavioural Interventions with Psychotic Disorders London; Routledge: 1996. p. 45–70.Google Scholar
Hoffman, HKupper, Z. Relationships between social competence, psychopathology and work performance and their predictive value for vocational rehabilitation of schizophrenic outpatients Schizophr Res 1997 ; 17 : 69–79.CrossRefGoogle Scholar
Jacobsen, NSFollette, WCRevenstorf, DPsychotherapy Outcome Research : Methods for reporting variability and evaluating clinical significance Behav Ther 1984 ; 15 : 336-52.CrossRefGoogle Scholar
Kajandi, M. Apsychiatric and interactional perspective on quality of lifeIn: Nordenfeldt, L, ed. Concepts and measurement of quality of life in health care Dordrecht, Holland: Kluwer Academic Publishers; 1994. p. 257-76.CrossRefGoogle Scholar
Kingdon, DGTurkington, D. The Use of Cognitive Behaviour Therapy with a Normalizing Rationale in Schizophrenia J Nerv Ment Dis 1991 ; 179 : 207-11.CrossRefGoogle Scholar
Kuipers, EGarety, PFowler, DDunn, GBebbington, PFreeman, D, et al. London-East Anglia randomized controlled trial of cognitive-behavioural therapy for psychosis I : Effects of the treatment phase Br J Psychiatry 1997 ; 171 : 319-27.CrossRefGoogle ScholarPubMed
Norusis, MJ. Statistical package for the social sciences, SPSSPC+ V3.1 Chicago : Spss Inc. ; 1988.Google Scholar
Perris, C. Cognitive therapy with schizophrenic patients New York : Guilford ; 1989.Google Scholar
Perris, CA. Cognitive-behavioural treatment program for patients with a schizophrenic disorder New Dir Ment Health Serv 1992 ; 53 : 21–32.CrossRefGoogle Scholar
Perris, CSkagerlind, L. Cognitive therapy with schizophrenic patients Acta Psychiatr Scand 1994 ; 89 : 65–70.CrossRefGoogle Scholar
Perris, CToresson, PSkagerlind, LWarburton, EGustavsson, HJohansson, T. Integrating components in a comprehensive cognitive treatment program for patients with a schizophrenic disorderIn: Stefanis, CNSoldatos, CRRabavilas, A, eds. Psychiatry: a world perspective, vol. 3 Amsterdam : Elsevier ; 1990. p. 724-9.Google Scholar
Spaulding, WReed, DStorzbach, DSullivan, MWeiler, MRichardson, C. The effects of a remediational approach to cognitive therapy for schizophreniaIn: Wykes, TTarrier, NLewis, S, eds. Outcome and Innovation in Psychological Treatment of Schizophrenia Chichester, England : Wiley ; 1998. p. 145-60.Google Scholar
Strauss, JSCarpenter, WT. The prediction of outcome in schizophrenia. I. Characteristics of outcome Arch Gen Psych 1972 ; 27 : 739-46.CrossRefGoogle Scholar
Strauss, JSCarpenter, WT. The prediction of outcome in schizophrenia II. Relationships between predictors and outcome variables : A report from the WHO international pilot study of schizophrenia Arch Gen Psych 1974 ; 31 : 37–42.CrossRefGoogle Scholar
Tarrier, NBeckett, RHarwood, SBaker, AYusupoff, LUgarteburu, I. A trail of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients : I. Outcome Br J Psychiatry 1993 ; 162 : 524-32.CrossRefGoogle Scholar
Wieselgren, IM. Prognosis and early prognostic factors in schizophrenia [dissertation] Uppsala : Acta Universitatis Upsaliensis ; 1995. p. 7–57.Google Scholar
Submit a response

Comments

No Comments have been published for this article.